Case Manager – Medical Overview • The Case Manager – Medical provides direct case management to patients in a primary care clinic, ensuring access to and retention in medical care. • Collaborates with multidisciplinary teams to support patients' health outcomes through proactive care coordination and service linkage. • Develops individualized care plans based on comprehensive assessments and reassessments to address patient needs effectively. • Coordinates access to specialty care, mental health services, and substance use treatment, ensuring seamless integration with primary care. • Maintains accurate documentation in electronic and paper records to meet reporting requirements and support continuous quality improvement. • Identifies and recruits individuals from diverse communities to facilitate early access to treatment and social services. • Ensures compliance with health codes and organizational standards, including immunization and communicable disease testing. • Supports organizational goals through active participation in clinic and client services activities. Case Manager – Medical Key Responsibilities & Duties • Conduct intake, assessments, and reassessments to develop individualized care plans for patients. • Coordinate patient access to medical services, entitlements, and community resources. • Obtain prior authorizations for pharmacy and medical services not covered by insurance plans. • Maintain accurate and timely documentation in electronic medical records and agency databases. • Collaborate with primary care providers and multidisciplinary teams to ensure positive health outcomes for patients. • Recruit individuals from target communities to facilitate access to care and services. • Participate in continuous quality improvement activities to enhance service delivery. • Perform other duties as assigned to support organizational objectives. Case Manager – Medical Job Requirements • Bachelor’s degree in social science, psychology, social work, health, or equivalent experience required. • Minimum of three years of relevant work experience in case management or related field preferred. • Experience working with diverse communities, including individuals living with HIV/AIDS, immigrants, and LGBT populations. • Proficiency in one or more Asian languages is preferred. • Strong written and verbal communication skills in English required. • Ability to manage multiple tasks effectively in a fast-paced environment. • Proficiency in using common office software and electronic medical records systems. • Compliance with immunization and communicable disease testing requirements.