The following statements are intended to describe the major elements and requirements of the position and should not be taken as an exhaustive list of all responsibilities, duties, and skills required of individuals assigned to this job.
JOB SUMMARY:
Under the general supervision of the QA/PI RN or Director of Quality Services, the Case Manager helps our patients understand their rights and responsibilities. The Case Manager will provide eligibility and enrollment assistance for a Qualified Health Plan (QHP) through the Federal Marketplace and or other health programs such as LA Medicaid and LaCHIP to uninsured patients of the health center and community residents. The Case Manager will conduct outreach and education activities to health center patients, community residents, and the underserved and under-represented population. Works with multi-disciplinary team and is responsible for coordinating care and resources for patients, ensuring they receive comprehensive and appropriate services to address their health and social needs. This involves assessing patient needs, coordinating with various service providers, and advocating for patients' well-being. Demonstrates knowledge of and commitment to the Patient-Centered Medical Home (PCMH) model, including evidence-based care, team collaboration, and whole-person health coordination. Ensures that patients, with complex needs or facing social barriers, receive the comprehensive care and support they require to achieve optimal health. The Case Manager will also assist with Performance Improvement.
QUALIFICATIONS:
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Bachelor’s Degree in Social Work, Public Health, Public Administration, Nursing, or a related field from an accredited college or university is preferred.
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Candidates with clinical credentials such as Certified Medical Assistant (CMA), Licensed Practical Nurse (LPN), or other comparable clinical certifications are also strongly encouraged to apply.
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Experience in Public Health, Outreach, Social Work, or a related field is preferred.
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Working knowledge of the Affordable Care Act (ACA), Louisiana (LA) Medicaid, and other Medicaid Managed Care programs is preferred.
Possess excellent oral and written communication skills. Person must have the ability to communicate various forms of center-related information to small and large audiences. Ability to work effectively and professionally in a fast-paced environment.
Person must have knowledge and expertise in effective communication. Person must have knowledge of and ability to work and engage with the uninsured, under-served and under-represented populations.
Person must also have working knowledge to effectively use a personal computer and general software. The person must have a positive attitude and a pleasant personality to relate to the patient population, business and community-at-large. S/he must be empathetic, patient and willing to be involved with a diverse patient population.
Work is primarily sedentary. Time may be spent in the field.
