Medical Case Manager

Evergreen Health•Buffalo, NY

26d

About The Position

The Medical Case Manager is responsible for comprehensive coordination of medical care (and linkage to supportive services and retention in care) to improve health outcomes for patients of the trans experience. Candidate will identify and address barriers to support the improvement of patient outcomes, retention and adherence. They collaborate with and support team members to ensure a patient focused approach to care. As part of the essential functions of this position, the Medical Case Manager: Conducts initial assessment, and conducts follow-up interviews annually with patients in the primary care setting. Provides linkage and referrals to all other appropriate wrap-around services and programs available throughout the Evergreen Association and the community to address any identified barriers or challenges. Ensures patient retention in care through monitoring, patient reminders and identifying and addressing any barriers directly or through referrals if necessary. Maintains complete, current and accurate patient files through the electronic medical records system (Medent) complying with agency protocols and confidentiality policies. Completes documentation of all patient encounters within the Medent system ensuring all input is current and accurate. Attends/arranges case conferences with internal and external service providers regarding common patients as necessary to meet patient's needs. Conduct field reporting to ensure accurate reporting. Provides opportunities for development of health supporting life skills to enhance the patients’ health literacy and capacity to self-advocate for healthcare. Maintains a positive and respectful attitude providing outstanding customer service to all patients and association staff, always recognizing that patient needs are the association’s top priority.

Requirements

Bachelor’s degree in health, human or education services and one (1) year of qualifying experience working with the following populations: persons with HIV infection, and/or persons with a history of mental illness, homelessness, or chemical dependence; OR Associates degree in health, human or education services and two (2) years of qualifying experience working with the following populations: persons with HIV infection, and/or persons with a history of mental illness, homelessness, or chemical dependence
Working knowledge utilizing EMR systems required (Medent, highly preferred)
Candidate must be able to communicate clearly and professionally in writing and verbally
Candidate must demonstrate time management and organizational skills, and familiarity with computers and MS Office software
awareness of and sensitivity to the issues and health disparities faced by underserved populations are essential

Responsibilities

Conducts initial assessment, and conducts follow-up interviews annually with patients in the primary care setting.
Provides linkage and referrals to all other appropriate wrap-around services and programs available throughout the Evergreen Association and the community to address any identified barriers or challenges.
Ensures patient retention in care through monitoring, patient reminders and identifying and addressing any barriers directly or through referrals if necessary.
Maintains complete, current and accurate patient files through the electronic medical records system (Medent) complying with agency protocols and confidentiality policies.
Completes documentation of all patient encounters within the Medent system ensuring all input is current and accurate.
Attends/arranges case conferences with internal and external service providers regarding common patients as necessary to meet patient's needs.
Conduct field reporting to ensure accurate reporting.
Provides opportunities for development of health supporting life skills to enhance the patients’ health literacy and capacity to self-advocate for healthcare.
Maintains a positive and respectful attitude providing outstanding customer service to all patients and association staff, always recognizing that patient needs are the association’s top priority.