Pay Range: $25.00 to $32.00 Per Hour, Depends on Experience (DOE)
Location: City Heights
Status/Hours: Full Time/Non-Exempt
Summary
The Case Manager is responsible for providing comprehensive case management for patients and programs in the Mobile Clinic. Receives referral reports from physicians and medical assistants, calls and responds to patients’ needs in person or by telephone.
Performs in-reach with La Maestra patients due for services, coordinates the schedule of medical appointments and mammogram services in the Mobile Clinic.
Support the Mammogram Coach team by coordinating medical appointments with contracted vendor to provide mammograms screenings to patients.
Take the necessary healthcare information into the community by: contacting groups and individuals delivering pertinent information, and screening groups and individuals, with the goal of increasing awareness of the health care services, mental health and dental services available through the programs offered at La Maestra Community Health Centers.
Tiers
Tier I:
Entry-level professional with limited or no prior experience in Case Management; learns to use professional concepts to resolve problems of limited scope and complexity; works on developmental assignments that are initially routine in nature, requiring limited judgment and decision making. Knows fundamental concepts, practices and procedures of field.
Tier II:
Professional with 3-5 years of experience and proficient in EMR (such as NextGen, Epic, eclinicalworks etc.). Applies acquired job skills, policies, and procedures to complete substantive assignments/projects/tasks of moderate scope and complexity; exercises judgment within defined guidelines and practices to determine appropriate action.
Tier III:
Professional with 5 or more years of experience and proficient in EMR (such as NextGen, Epic, eclinicalworks etc.) Knows how to apply theory and put it into practice with in-depth understanding of the professional field; independently performs the full range of responsibilities within the function; possesses broad job knowledge; analyzes problems/issues of diverse scopes and determines solutions.
Responsibilities
Plan, facilitate, care coordination, evaluation and advocacy for options and services for each individual patient.
Aids with Medical applications and official document requests (IDs, birth certificates)
To schedule medical appointments (including but not limited to) Establish Care, Preventive Exams, Annual Gyn Exams, follow-ups, and mammogram appointments.
Perform patient reminder calls, verify kept appointments, and document into EHR communications with patient
Arrive at 7am to MCRP set up table. Review list of members that need services before their release. At 730am attend the inmate meeting where La Maestra will speak to the inmates and offer services
Advocate for individual and community needs
Verify periodicity for patient appointments to comply with insurances and programs
Review patient chart for any notes and/or follow-up referrals and coordinate with Specialist offices the referrals for patients
Responsible for assessment, case plan development and advocacy
Interviews patients to ascertain nature of referral visit. Records information on electronic health record
Communicates with physicians or medical offices to which the patient is being referred for medical care. Routes form to appropriate physician or office for action.
Compiles referrals for records, by category, department office, and disposition
Notifies supervisors of patterns of poor provision of service
Maintains up to date reference materials and files
Communicates with patients to make appointments
Meet minimum requirement of 20 referrals/appointments per day
Covers for MA when short staffed (See MA I Job Description for tasks)
Submits weekly report on-time
Performs other duties as assigned
Verify mammogram referrals for accuracy
Uploads referral into the DR System
Verify insurance eligibility
Document calls into…