Medical Case Manager
Medical Case Manager
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Salary Not Disclosed
1 Vacancy
Job Description
This position is in support of the Influx Care Facility located in Carrizo Springs TX. The purpose of the facility is to provide comprehensive care for migrant youths ages 13 to 17 in the Care of the Office of Refugee Resettlement (ORR) who are awaiting reunification or repatriation. This care will begin as soon as the youths arrive at the facility and last until their arranged departure with family or sponsors. The comprehensive care includes but is not limited to initial screening and exams identifications of prior conditions and allergies day to day care of routine urgent and emergency medical conditions.
The Medical Case Manager (MCM) will coordinate all onsite medical cases to ensure that appropriate and timely medical services are provided. This task will be achieved through liaising with local healthcare providers to identify the appropriate care service and location to manage the healthcare needs of patients and families.
The MCM will assure a comprehensive and effective Case Management process in support of patients to ensure functional care pathways are created. Case Pathways must promote effective communication with the medical care team in the identification of individuals requiring Case Management and the utilization of opportunities within the local healthcare system. The Lead MCM will utilize and maintain an approved data collection system in support of the program to demonstrate an effective endtoend case management process.
Key Responsibilities
- Establish and operate a new case management program that bridges the gap between the complex healthcare needs of the patients.
- Ensure appropriate oversight and direction for cases allocated to their respective teams.
- Facilitate the capacity and capabilities within the Onsite Medical Teams and the requirement for care within the local health care system.
- Responsible for the tracking trending and reporting of managed cases to support the defined reporting requirements of the client.
- Coordinate patient care throughout the healthcare continuum.
- Collaborate with social services to define patients needs and assist in plans for social service care.
- Reassess patient needs based on current evaluation of patient care.
- Serve as an advocate for the patient within the internal and external healthcare system.
- Serve as 24/7 POC for local hospitals to provide clinical instructions/discharge instructions.
- Communicate with clinicians regarding treatment requirements such as medications etc.
- Coordinate with evacuation services for patient pickup from local hospital.
- Coordinate and verify insurance eligibility and coverage for specified care with receiving facilities.
- Provide patient education on benefits services and other resources.
- Facilitate communication with patients providers and payers to secure successful outcomes.
- Ensure a comprehensive system to evaluate the healthcare needs of the individual and/ or family to facilitate their overall wellness and one that addresses health issues to enhance the short and longterm outcomes.
- Ensure input from the Quality Assurance and Medical Team/s is collated for reviews and revisions.
- Participate in Interdisciplinary Team Meetings as required with the onsite medical leadership.
- Maintain accurate case management documentation in accordance with HIPAAA and other local laws pertaining to confidentiality.
- Responsible for the creation and maintenance of a Case Management Standard Operating Procedure (SOP) IAW with client requirements.
Qualifications :
Experience Required:
- Minimum of 5 years fulltime experience in a medical care setting.
- Experience with the case management of ORR children.
- Knowledge of the nursing process teaching principles decision making and problemsolving techniques.
- Ability to multitask prioritize and meet demanding deadlines.
- Ability to provide competent comprehensive care under stressful situations.
- Results oriented and able to meet project deliverables.
- Cultural sensitivity and awareness with the willingness to work with a foreign national patient population.
- Effective oral written communication and interpersonal skills.
- Proficient IT skills including use of electronic medical records systems and software skills.
- Knowledge of ICE/DHS medical case review and care preferred.
Education Required:
- Graduate from and accredited Licensed Practical Nurse or Vocational Nurse Program.
- Current license to practice in the state of Texas.
- Current Basic Life Support (BLS) Certification.
- Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) preferred.
- Experience in Pediatrics Medical Pediatrics Family Medicine or Pediatric Emergency Room settings is strongly preferred.
- Proficiency in both English and Spanish is preferred.
- Case Management Certification by ANCC preferred.
Physical Requirements:
- Work is normally performed in a typical interior/office work environment.
- Work involves sitting and standing for prolonged periods of time.
- May require bending stooping and lifting up to 15 lbs.
Other Special Qualifications:
- Must be a US Citizen or possess a permanent resident card.
- Current MRPT Clearance preferred.
- Eligible to receive a federal tier II clearance and Pass a Child Abuse and Neglect Check.
- Must be able to relocate to site for duration of the contract.
Additional Information :
Pay range is based on several factors and may vary in addition to a full range of medical financial and/or other benefits. Final salary and offer will be determined by the applicants background experience skills internal equity and alignment with geographical market data.
Compensation Min: $27hr Max: $43hr
Benefits Fulltime positions are eligible for our comprehensive and competitive benefits package including medical dental vision and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus. International Health and Medical Services complies with all federal state and local minimum wage laws
International Health and Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race color religion gender sexual orientation gender identity national origin age disability genetic information marital status amnesty or status as a covered veteran in accordance with the applicable federal state and local laws.
International SOS Government Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race color religion gender sexual orientation gender identity national origin age disability genetic information marital status amnesty or status as a covered veteran in accordance with applicable federal state and local laws.
Remote Work :
No
Employment Type :
Fulltime
Employment Type
Full-time
