Medical Case Manager, Immigrant and Refugee Health Center

Boston Medical CenterBoston, MA
Onsite

About The Position

The Medical Case Manager is responsible for assessing the needs of patients, including comprehensive insurance, risk assessment, medical, adherence, and treatment needs; developing service plans based on those identified needs; providing outreach and facilitating referrals and access to social service benefits, concrete services, and other providers; monitoring patient progress and advocating on behalf of patients when they are unable to do so for themselves; complying with all data entry, data integrity, and data tracking requirements for funding agencies.

Requirements

  • Bachelor’s degree required.
  • 2-3 years of experience working in a medical or social services environment.
  • Bilingual-bicultural preferred.
  • Able to employ clinical skills to create service plan interventions based on an objective assessment tool.
  • Expertise in establishing working relationships with patients, their families, professionals, and the community.
  • Knowledge of community, social, and health resources
  • Facility performing multicultural assessments and interventions.
  • Sensitivity to ethnic, cultural, gender, and sexual orientation diversity, values, beliefs, and behaviors.
  • Demonstrated ability to be flexible with client’s priorities, evolving needs, and goals.
  • Demonstrated empathic understanding of patients who may have, mental illness, substance abuse or other health issues.
  • Effective verbal and written communication skills in English.
  • Demonstrated ability to write contract reports that are clear and informative.
  • Demonstrated critical thinking and problem solving ability.
  • Computer competency, including Microsoft Outlook, Work, and Excel.
  • Effective interpersonal skills to facilitate communication with various members of the health care team, patients, and their families.

Nice To Haves

  • Master’s degree (or equivalent) in social work, psychology, or related human services field preferred.
  • Adult Mental Health First Aid, LCSW, LICSW or LMHC as appropriate, preferred.

Responsibilities

  • Conducts Immigrant and Refugee Health Center (IRHC) Needs Assessment/Intake for new clients. Includes: Mental health acuity/crisis assessment, and facilitate appropriate triaging
  • Comprehensive assessment of client’s medical, mental health and social needs
  • Collection of funder-required data points
  • Collaborate with front desk/administrative staff to schedule client for medical, mental health, social service appointments, as indicated by Needs Assessment
  • Appropriate documentation of needs assessment data in EMR
  • Serve as a key member of the IRHC Case Management Team
  • Respond to pages during regular business hours; meet clients in IRHC programs to assess acute and high-level biopsychosocial needs and ensure client is successfully connected with appropriate resources, services and providers.
  • Actively participate in ongoing development and refinement of case management model and processes in collaboration with IRHC teams
  • Provide consultation and recommendations to other hospital clinicians regarding resources and approaches to care for immigrant patients
  • Provide case management for established IRHC clients
  • Create a safe, warm, welcoming environment and encourage engagement in care
  • Provide case management services for established IRHC clients, including connecting patients to a broad range of services including but not limited to: mental health services, primary care services, medical specialty services, immigration legal services, financial assistance, food, transportation, housing, clothing, health literacy, interpreter service needs, etc.
  • Provide client education regarding available services and resources both within the IRHC, throughout BMC and in community, and provide tools and facilitate connections to these resources
  • Assist in facilitation of case management groups for IRHC patients
  • Facilitates interdisciplinary consultation on patient’s behalf through participation in rounds, team meetings and clinical reviews
  • Maintains HIPAA standards and confidentiality of protected health information.
  • Performs and maintains all documentation in the electronic chart of patient encounters; resource development efforts; and other patient interventions and interactions
  • Participates in multidisciplinary/staff/team meetings and activities; meets regularly with leaders at IRHC and specialty programs to triage program issues appropriately.
  • Participates in team-based Quality Improvement (QI) initiatives
  • Participates in local site operations, including team operational meetings; and is actively engaged in developing, implementing and refining operational protocols and processes as IRHC infrastructure expands
  • Encouraged to engage in learning and growth opportunities including attending weekly Grand Rounds, and pursuing training opportunities with the approval of supervisor

Benefits

  • Competitive pay
  • Tuition reimbursement and tuition remission programs
  • Highly subsidized medical, dental, and vision insurance options
  • Career Advancement/Professional Development: Access a wealth of ongoing training and development opportunities that will not only enhance your skills but also expand your knowledge base especially for individuals pursuing careers in medicine or biomedical research.
  • Pioneering Research: Engage in groundbreaking research projects that are driving the forefront of biomedical science.
  • discretionary annual bonuses and merit increases
  • Flexible Spending Accounts
  • 403(b) savings matches
  • paid time off
  • career advancement opportunities
  • resources to support employee and family well-being
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