Medical Case Manager, Infectious Diseases

Job Details

PRIMARY FUNCTION: The medical case manager (MCM) addresses the needs of medically-complex patients (i.e., patients who are consistently unable to come into the office for medical visits and routine lab work, have continuous, poor medication adherence, and/or identified to be high-need) in the ambulatory medical setting by: 1) coordinating all medical-related care and services, 2) identifying and resolving care barriers, and 3) facilitating receipt of social and supportive services to maintain optimal health. The aim is to allow patients to efficiently access all services with in-house resources.

Job Description

ESSENTIAL FUNCTIONS:
•    Communicates with physicians and other professionals to develop a care plan that facilitates the efficient use of health care resources, and aids patient in executing plan. 
•    Develops outreach plans with co-workers (HIV social care team members and clinicians) in order to establish continuous follow-up with patients.
•    Reviews pertinent medical history, current diagnosis, and pharmaceutical data via EMR including tracking medical data (e.g., checking whether patients have up-to-date labs).
•    Assists patients in forming solutions for presenting problem, co-defines and determines realistic goals.
•    Promotes wellness and provides education regarding preventive care measures, including facilitating health promotion group sessions.
•    Documents client activities and coaching/counseling sessions in established clinical format.
•    Interacts with co-workers, visitors, and other staff consistent with the iSCORE values of Jefferson. 

INTERNAL/EXTERNAL CONTACTS:
Patients, physicians and other physical and behavioral health providers, public and private insurers
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EDUCATIONAL/TRAINING REQUIREMENTS:
Master’s degree in social work, counseling, or a related field.
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CERTIFICATES, LICENSES, AND REGISTRATION:
N/A
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EXPERIENCE REQUIREMENTS:
5 years of experience in a physical or behavioral health position

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ADDITIONAL INFORMATION: 
Proficiency with Outlook, Word, and Excel highly preferred.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Primary Location Address

100 S 9th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.