Hybrid Manager, Case Management Services

at CAN Community Health

• Job title: Manager, Case Management Services
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $75,000 - $80,000 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Las Vegas, United States

About the role

• Manage Medical Case Management Services for CAN Community Health, supporting individuals impacted by HIV, Hepatitis C, and STIs. Oversee program operations and ensure compliance with guidelines.

Responsibilities

• Provides outpatient HIV medical case management services and patient advocacy through education, counseling, advocacy, benefits assessment and enrollment, and coordination of services.
• Ensures patient access to essential medications, medical care, and support services.
• Manage CAN Community Health’s Ryan White Case Management program across multiple locations.
• Day-to-day coordination of the Ryan White funded programs as assigned, including monthly billing, reporting and contract requirements to maintain complex with grant deliverables.
• Establish, evaluate, review, and/or revise policies and procedures for the provision of Ryan White funded case management services; assure that these services are compliant with HRSA and grantee guidelines.
• Monitor case management practices; participate in quality assurance and quality improvement effort related to case management.
• Mentor or otherwise support case managers, supervise case managers and case management team leads, oversee hiring and evaluation of case managers and team leads.
• Assure appropriate distribution of workload among the above.
• Respond to daily, routine questions and issues related to patient eligibility, appointments and scheduling/rescheduling, information in CAN’s EMR, CAREWare, and Provide Enterprise and other aspects of the Ryan White grant.
• Assure that new staff are appropriately trained and oriented to patient care programs and participate in screening and interviewing of candidates for new positions as they arise.
• Provide input to CAN Leaders concerning Staff Performance Reviews.
• Assure coordination of client services with other CAN departments.
• Report any staff performance issues or patient complaints to CAN leadership for appropriate action.
• Provide reports, invoices, and other documentation to the Sr. Director of Grants Management.
• Participate in the completion of quality assurance and quality improvement plans across multiple locations as directed by Ryan White grant guidance.
• Participate in local HIV planning activities including Ryan White Planning Council and/or its subcommittees.
• Oversee and coordinate with peer navigators, work with support groups, identification of patients lost-to-care, and other outreach.
• Assure that staff utilize the proper database program to accurately document all client encounters and services for clients and complete CAN billing sheets.
• Comply with all Bureau of HIV/AIDS eligibility and case management requirements, as well as keep up to date with program changes.
• Ensure integrity of case records through an audit review process.
• Promotes and practices CAN Community Health, Inc.’s mission and values and follows its policies and procedures.
• Ensures confidentiality is maintained by Ryan White funded staff regarding patient/client information in accordance with HIPAA, professional and departmental standards.
• Cross trains for effective client service and team participation.
• Practice safety, environmental and/or infection control methods.
• Participate in professional development activities to enhance knowledge and skills of HIV/AIDS and patient care programs to continually improve client services.
• Utilize resources and supplies in a cost-effective manner.
• Maintain professional, respectful and courteous relationships with clients, staff and visitors.

Requirements

• Bachelor’s degree in social services from an accredited school or equivalent years of case management/supervisory experience
• HIV prevention/intervention experience
• Ryan White eligibility, operations and case management training
• Basic Annual Safety Training, and Confidentiality Training
• Knowledge of Ryan White eligibility requirements, guidelines and manuals
• Knowledge of Social Security, Medicare and Medicaid eligibility and enrollment procedures
• Familiarity with state health and human service programs
• Familiarity with confidentiality requirements for handling client information

Benefits

• competitive pay with a bonus plan
• premiere benefits package
• retirement plan with a generous company matching contribution
• good quality of life with an excellent daytime schedule