Medical Case Manager I

Coordinate and deliver comprehensive case management services to clients, ensuring access to care and support in compliance with local, state, and federal guidelines. Screen clients for program eligibility, conduct biannual reassessments, and verify insurance coverage while coordinating required pre-authorizations. Develop individualized care plans based on patient needs and establish goals in collaboration with the patient aimed at increasing level of functioning and self-sufficiency. Perform comprehensive assessments to identify individualized needs in the areas of health, mental health, social support, addiction, financial resources, benefits, legal, language/culture, and employment. Evaluate client medical acuity to establish individualized care priorities and implement evidence-based standards of service delivery. Submit timely and accurate monthly billing documentation in accordance with grant standards and accurately document all client encounters within software applications within 48-72 hours.