Medical Case Manager Lead

Description

CAN Community Health is the nation's premier resource in ending epidemics with a mission of empowering wellness, has an exciting opportunity for a Medical Case Manager Lead.

We are looking for someone who is passionate about serving the needs of individuals impacted by HIV, Hepatitis C, STI's, and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values. We offer a good quality of life with an excellent daytime schedule, competitive pay with a bonus plan, premiere benefits package with a retirement plan with a generous company matching contribution. We have received recognition in 2025, 2024, 2023, 2022, 2021, 2019, & 2018 NPT's Best Non-Profit to Work for Award.

CAN is a Drug-Free Workplace. All potential hires will be required to take and clear a pre-employment drug screen upon job offer. 

You can find out more about us by visiting our website at www.cancommunityhealth.org. Apply Today!

Salary: Starting at $24-$30 hourly based on experience.

Statement of Purpose: 

This position has two primary responsibilities: 

1. The day-to-day coordination of the work of the Case Management Team. 
2. Determining eligibility for and enrolling clients in patient care and other assistance programs, including required documentation and follow up thereof. 

Values:

1. Recognize and affirm the unique and intrinsic worth of each individual.

2. Treat all those we serve with compassion and kindness.

3. Act with absolute honesty, integrity, and fairness in the way I conduct my business and the way Ilive my life.

4. Trust my colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect, and dignity.

Essential Functions:

1. Coordinate the day-to-day activities of the Case Management Team. 
2. Assure appropriate distribution of workload among Case Managers. 
3. Respond to daily, routine questions and issues of Case Managers and other CAN departments as they relate to patient eligibility, appointments and scheduling/rescheduling, information in EHS and Careware and other aspects of Case Management’s work. 
4. Assure that new Case Managers are appropriately trained and oriented to patient care programs and participate in screening and interviewing of candidates for new Case Management positions as they arise. 
5. Provide input to Case Management Supervisor concerning Staff Performance Reviews. 
6. Assure coordination of client services among Case Managers and with other CAN departments. 
7. Report any Case Manager performance issues or patient complaints to Case Management Supervisor for appropriate action.
8. Screen clients for Ryan White program eligibility, complete required documentation and identify patient needs. 
9. With client input, develop and monitor progress on individual plans of care. 
10. Provide Ryan White supportive and comprehensive case management (including financial planning and budgeting, development of life skills, etc., as needed by patients). 
11. Provide HOPWA services to eligible patients, including: coordination with Lead Agency, Health Planning Council of Southwest Florida (HPC); cross train at least one Case Manager to enroll patients in HOPWA; assure accuracy and completeness of HOPWA paperwork; provide required documentation to HPC when requesting services; maintain spreadsheet of HOPWA expenditures and beneficiaries up to date; make sure Case Managers complete HOPWA referrals spreadsheet and case notes in Careware and provide HOPWA referrals list on a monthly basis to Accounting Dept.   
12. Provide referrals and coordinate services with peer navigators and other agencies, including federal, state and local assistance programs according to plan of care/patient needs. 
13. Oversee and coordinate with peer navigators the women’s support group, including planning speakers or other activities, inviting women, ordering food, etc. 
14. Utilize FL Bureau of HIV/AIDS database program to accurately document all client encounters and services for clients and complete CAN billing sheets. 
15. With medical team, coordinate with other Case Managers enrollment in Patient Assistance Programs and assure follow up action is provided. 
16. Comply with all Bureau of HIV/AIDS eligibility and case management requirements, as well as keep up to date with program changes. 
17. Ensure integrity of case management actions and records through a team self- audit review process. 
18. Promotes and practices CAN Community Health Inc’s mission and values and follows its policies and procedures. 
19. Ensures confidentiality is maintained by Case Management Team r