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Empower U Community Health Center is seeking a compassionate, organized, and patient-focused Medical Case Manager to provide comprehensive care coordination and support services to individuals living with HIV/AIDS and other vulnerable populations.

The Medical Case Manager is responsible for assessing client needs, developing individualized care plans, coordinating medical and support services, advocating for patients, and promoting access to healthcare and community resources. The ideal candidate will have strong interpersonal skills, knowledge of community resources, experience working with diverse populations, and a commitment to improving health outcomes for underserved communities.

Case Management & Care Coordination

Conduct comprehensive client assessments to identify medical, psychosocial, financial, housing, transportation, and support service needs.

Develop and maintain individualized care plans based on client needs and program requirements.

Coordinate access to medical care, specialty services, behavioral health, dental care, pharmacy services, and community resources.

Assist clients with enrollment and recertification for Ryan White, ADAP, Medicaid, Medicare, and other benefit programs.

Monitor client progress and update care plans as necessary.

Provide crisis intervention, advocacy, and problem-solving assistance.

Conduct follow-up activities to ensure continuity of care and service delivery.

Assist patients in navigating healthcare systems and accessing available resources.

Maintain accurate, complete, and timely documentation in EPIC, PROVIDE, and other required systems.

Ensure compliance with Ryan White Program requirements, HRSA standards, organizational policies, and regulatory requirements.

Complete assessments, service plans, referrals, progress notes, and case closures within established timelines.

Participate in audits, quality reviews, monitoring activities, and performance improvement initiatives.

Educate clients on available resources, treatment adherence, preventive health services, and self-management strategies.

Promote patient engagement in medical care and support adherence to treatment plans.

Serve as a liaison between clients, healthcare providers, and community agencies.

Assist with reducing barriers to care, including transportation, housing, insurance, and social service needs.

Collaborate with physicians, nurses, behavioral health providers, peer educators, outreach staff, and community partners.

Participate in interdisciplinary case conferences, team meetings, and program activities.

Support organizational initiatives focused on quality improvement and patient-centered care.

Perform other duties as assigned.

Bachelor's Degree in Social Work, Psychology, Human Services, Public Health, Nursing, or a related field required.

Master's Degree preferred.

Minimum one (1) year of case management, healthcare, social services, public health, or related experience required.

Experience working with individuals living with HIV/AIDS preferred.

Experience with Ryan White-funded programs preferred.

Experience in a Community Health Center, Federally Qualified Health Center (FQHC), hospital, or healthcare setting preferred.

Experience utilizing Electronic Health Records (EHRs) and case management systems preferred.

Knowledge of case management principles, practices, and community resources.

Knowledge of Ryan White Program services and HIV/AIDS support programs preferred.

Strong organizational and time-management skills.

Ability to manage multiple client cases and competing priorities.

Excellent communication, interpersonal, and patient advocacy skills.

Ability to establish and maintain effective working relationships with clients, providers, and community partners.

Ability to maintain confidentiality and comply with HIPAA requirements.

Strong documentation and computer skills.

Bilingual English/Spanish or English/Creole preferred.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Paid Holidays

Professional Development Opportunities

Retirement Benefits

Empower “U”, Inc. is an equal opportunity employer and is committed to fostering a diverse and inclusive workplace. We prohibit discrimination and harassment of any kind in accordance with federal, state, and local laws.

All employees are expected to support and promote the mission, vision, and values of Empower “U”, Inc., with a strong commitment to improving access to quality healthcare for underserved communities.

Must be able to successfully pass a Level I and Level II Background Check as required by law. For additional information, please visit: https://info.flclearinghouse.com/

Empower U Community Health Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by applicable federal, state, or local law.

Shift Schedule: Not Included

Budgeted Hours: Not Included