Case Manager – Medical Overview • The Case Manager – Medical will provide direct case management to patients, ensuring access to and retention in medical care. • Collaborate with multidisciplinary teams to develop individualized care plans and achieve positive health outcomes. • Coordinate patient access to specialty care, entitlements, and mental health services. • Ensure accurate reporting and documentation in both electronic and paper records. • Facilitate early access to treatment for specific communities, including Asians and Pacific Islanders living with HIV/AIDS. • Work collaboratively within the organizational structure to meet quality improvement goals. • Engage in proactive case management activities, including intake and reassessment processes. • Maintain compliance with health codes and organizational policies regarding immunizations and disease prevention. Case Manager – Medical Key Responsibilities & Duties • Conduct comprehensive assessments and develop individualized care plans for patients. • Coordinate patient access to additional services, including specialty care and substance use treatment. • Obtain prior authorizations for pharmacy or medical services not covered by insurance. • Maintain accurate and compliant documentation and reporting in medical records. • Recruit specific communities to facilitate early access to treatment and social services. • Participate in continuous quality improvement activities within the clinic. • Collaborate with primary care providers and multidisciplinary teams to ensure patient health outcomes. • Handle multiple tasks effectively in a fast-paced environment. Case Manager – Medical Job Requirements • Bachelor’s degree in social science, psychology, social work, or health-related field required. • Minimum of three years of relevant work experience in case management preferred. • Experience working with communities such as people living with HIV/AIDS, immigrants, and LGBT individuals required. • Fluency in one or more Asian languages is preferred. • Proficiency in office software and electronic medical records systems required. • Ability to work flexible hours, including evenings and weekends, as needed. • Strong communication skills and attention to detail are essential. • Proof of immunization or immunity to certain communicable diseases is mandatory.