Case Manager

Purpose : Provide social services case management to patients in order to connect patients with resources available through CMCF programs or community partners.

Responsibilities :

• Administration of the Sliding Fee discount program, in coordination with the billing office, including the uninsured / sliding scale fee payment plans / hardship program
• Assisting the front office staff to identify all uninsured patients and other patients in need of the Sliding Fee Discount program.
• Assisting billing staff in identifying patients who are eligible for insurance (Medicaid, Medicare) and assist patients in walking through the enrollment process
• Assist with patient care planning including helping providers create individualized care plans to address social determinants of health for chronic disease management through individual psychosocial assessment and social service interventions.
• Provide case management regarding available charity care programs to assist patients in obtaining additional / specialty medical care, such as Bibb Charity Care, UAB Charity Care, Cooper Green and Project Access
• Assisting providers during clinic / patient care hours with ongoing social issues affecting the patients' well-being including financial problems, housing issues, and other community resource needs.
• Maintain an active list of community resources in the area serving to use as a resource for patients
• Assisting clinic and staff and patients with problems in obtaining needed medications through enrollment in Patient Assistance Programs for medications and researching other options for low cost medications
• Management of the transportation program for CMCF patients for CMC related appointment assistance. Also assess and provide patients resources for additional transportation resources as available in the area the patient resides.
• Provides crisis intervention services to patients in need
• Refers clients to appropriate community resources and advocates for patients by contacting these agencies when necessary on the patient's behalf in coordination with the County and State in dealing with potential issues of abuse or misuse
• Complete training processes to become a Certified Application Counselor with the Marketplace and Medicaid
• Working with the RN / QIO on Case Management / Registry Management for patients
• Assist agency and social service team in any efforts regarding fundraising, community development or outreach
• Any other duties as assigned by the Social Service Coordinator

Required Skills :