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Medical Case Manager

Exempt, Full Time Position


Department: Adult Medicine

Since 1970, Community Health Services has existed to provide comprehensive health care services to the struggling residents of Hartford and Windsor. We were made for the community, by the community, to offer a full spectrum of services to include medical, behavioral health care, dental care, a full-service pharmacy and more. Our goal is to offer our patients a medical home; a place where they can come for all of their needs; a place where the clinical staff know them by their first name. Our dedicated staff demonstrate the good we can do on a daily basis when we provide quality care with dignity to each and every individual. We want to help our patients get all of the health care they need -- when they need it -- so they may too live a healthier and happier life.

Community Health Services, Inc. is seeking experienced an experienced Medical Case Manager for a full time, 40-hour opportunity in our Adult Medicine Department. Reporting to the Infectious Disease Program Manager, the Medical Case Manager is an integral part of the care team, providing top-quality assistants to patients and contributing to the efficiency and effectiveness of individual patient visits as well as to improved population health.

The successful candidate will:
  • Have a Bachelor's degree in social work or a related human services field

  • Two (2) years of experience in case management

  • Have experience providing social or medical services directly to individuals with complex medical and psychosocial needs

  • Have training in the management of HIV-related health and psychosocial issues OR direct experience working with persons living with HIV, HCV, or other infectious diseases

  • Develop and maintain written patient-centered comprehensive, individualized medical case management plans that address patients’ medical, social, economic, and other needs

  • Collect, review, and analyze data on patient utilization to inform assess and document each patient’s progress under the case management plan and re-assess, modify and update the plan at least every six months as necessary to address current needs.

  • Consult with patients through a variety of means, including in-person meetings, and telephonically, to develop, maintain, and deliver case management services in accordance with written medical case management plans

  • Support care coordination before, during, and after provider visits, by reviewing reports and the patient electronic health record to identify gaps in care, educating patients on the importance of completing healthcare visits, and following up with patients to ensure they have appropriate information and resources to participate in their care

  • Provide health education and counseling consistent with the patient’s case management plan, including education regarding risk reduction, eligibility for benefit programs, and the importance of compliance with healthcare

  • Timely enter case management data, including referrals, hospital admission, outcomes of services delivered and other information, into care management databases

  • Maintain accurate, detailed, timely documentation of case management charts, including encounters, referrals and other relevant patient information, in accordance with departmental documentation standards

  • Assist patients in obtaining access to care and services, by advocating for patients with insurers, providers, and governmental agencies.

  • Maintain deep knowledge of community and state resources available to support patients’ social determinants of health needs.

  • Develop and maintain positive relationships with partners in the community who can provide healthcare and other services to patients

  • Collect and maintain accurate patient demographic and health-related information in relevant care management databases

  • Provide benefit counseling to assist client to access other private and public programs (e.g. Medicaid, Medicare, of insurance Marketplace/Exchange, etc.) and periodically review client eligibility for benefits

  • Conduct all case management services in accordance with the most current version of the State of Connecticut Core Standards

  • Perform all duties in accordance with CHS Core Values, Compliance Program, and other policies and procedures

  • Participate in quality and process improvement efforts in the department and the organization as requested or as directed

  • Complete training and professional development requirements in a timely manner

  • Perform other duties as assigned or directed

Some benefit programs available to eligible employees include:
  • Medical Insurance

  • Dental Insurance

  • Vision Insurance

  • 401(k) Plan and up to 4% Employer Match

  • Generous Paid Time Off

  • 9 Paid Holidays

  • Competitive Pay

  • Employer Paid Life Insurance

  • Employer Paid Short Term Disability

  • Employer Paid Long Term Disability

  • Employee Assistance Programs

  • Worker's Compensation

  • Various Leave Programs - Bereavement, Military, Maternity, and more

COVID-19 Vaccination Requirements

CHS requires all new employees to be vaccinated against Covid-19 prior to starting employment with CHS unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

Community Health Services is An Equal Opportunity/Affirmative Action Employer. 
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status, age or any other federally protected class.

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