Medical Case Manager - Chronic Care - UNM Medical Group, Inc.

UNM Medical Group, Inc. is hiring for a Medical Case Manager to join our Truman Health Services team. This opportunity is a full-time day shift opening located in Albuquerque, New Mexico.

Minimum $52,436 - Midpoint $65,561*

*Salary is determined based on years of total relevant experience.

*Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE.

We are looking for a compassionate and dedicated Medical Case Manager with a strong commitment to providing quality care and support to patients with chronic conditions. If you are a detail-oriented and empathetic professional with excellent coordination and communication skills, we encourage you to apply for this rewarding position.

Minimum Job Requirements of a Medical Case Manager:

• High School Diploma or GED plus 4 years of experience working with HIV diagnosed populations, chronic illness populations, or underserved populations.
• Associates and/or Community Health Worker Certification and/or Bachelor’s degree from an accredited college or university plus 2 years of experience working with HIV diagnosed populations, chronic illness populations, or underserved populations.

• Bachelors of Social Work (BSW) or Masters of Social Work (MSW).

Verification of education and licensure will be required if selected for hire.

About Truman Health Services:

Truman Health Services is a NCQA Patient Centered Medical Home which provides the highest level of care and latest treatment options for New Mexicans living with HIV, requiring gender services or seeking PrEP. We offer a variety of treatment services utilizing a holistic approach towards supporting our patients’ medical, social and mental health needs. Truman Health Services is seeking an experienced candidate to join our Case Management Team.

We are thrilled to announce our recruitment for a Medical Case Manager to join our highly experienced case management team. We are seeking an experienced individual to provide intense medical case management services to people living with HIV/AIDS and other chronic diseases. Core services provided by candidate may include coordination of case with a multidisciplinary team to ensure treatment compliance and evaluating/anticipating ancillary, wrap-around and support services. The chosen candidate must be focused, able to handle multiple activities at once, have excellent written and oral communication skills, exceptional computer skills and be very detail oriented.

Priority will be provided to candidates who are:

• Experienced providing medical case management services to medically and socially complex populations.

• Experienced providing social support services to people living with HIV/AIDS.

• Experienced working with the LGBTQ+ community.

• Experienced working in a community based multi-disciplinary setting.

• Bilingual English/Spanish.

Summary

Under indirect supervision, provides a full range of medical and supportive case management services to patients and their families in order to improve quality of life and maintain the highest possible ability to function within the community. Functions as a member of and facilitator for the patient’s care team to ensure comprehensive coordination of medical and psychosocial services.

Duties and Responsibilities of a Medical Case Manager:

1. Serves as liaison, manager and/or advocate for services, placements, referrals and ensures coordination of care, treatment and support within UNMHSC as well as community agencies, such as hospitals, nursing homes, hospices and rehabilitation facilities.
2. Assists clients in developing goals and areas of need, and when required, assists in developing treatment plans which are assessed regularly; conducts medication and mental status assessment and determines required level and frequency of services.
3. Assesses patients, evaluates effectiveness of care plan and progress made by client, participates in patient treatment planning, and case review with patient care providers, when applicable.
4. Coordinates and monitors services, including comprehensive tracking of client activities in relation to care plan.
5. Identifies and provides emergency crisis services as necessary and responds according to accepted crisis intervention methods and techniques; coordinates other services as appropriate.
6. Conducts home, hospital, nursing home and other facility visits to ensure appropriate care coordination and positive patient outcomes.
7. Ensures timely and accurate enrollment and recertification of all Ryan White programs in order to qualify and maintain eligibility for NM Department of Health, UNM Truman Health Services medical care and treatment and UNMTHS pharmacy services.
8. Identifies eligibility and support options for accessing care, treatment and community resources and programs; assists patients with the completion of applications for programs such as disability, SNAP, unemployment, insurance, emergency financial assistance.
9. Facilitates client access to community resources, including locating housing, food, clothing, legal services, school programs, vocational opportunities or services, providers to teach life skills, and relevant mental health services; assists client to develop natural resources and make contact with social support networks.
10. Acts as the patient’s retention specialist providing appointment scheduling, reminder calls, eliminating barriers to avoid missing appointments, including coordination of transportation, and following up regarding missed appointments.
11. Provides information, education, referrals and emotional support to patients in a compassionate, culturally sensitive and professional manner.
12. Documents all client encounters and contacts made on behalf of clients; completes and submits billing documentation as appropriate; maintains comprehensive client files, which may include documents held for safekeeping on behalf of the client.
13. Maintain current knowledge related to HIV and LGBTQ health and psychosocial issues and treatment options available.
14. Maintains and reports applicable statistics regarding programs and client services.
15. Participates in team and staff meetings, trainings and developmental activities as requested.
16. Maintains highest level of patient confidentiality.
17. Performs miscellaneous job-related duties as assigned.

About UNM Medical Group, Inc.

UNM Medical Group, Inc. (UNMMG) is the practice plan organization for physicians and other medical providers associated with the UNM Health Sciences Center. UNMMG is a New Mexico non-profit corporation and is an equal opportunity employer. UNMMG strives to mitigate health disparities brought about by technology; we aim to reach underrepresented populations, making healthcare more equitable and accessible for all of the people in New Mexico; we have a demonstrated commitment to diversity, equity, inclusion, and student success as well as working with broadly diverse communities.

Diversity, Equity, and Inclusion Commitment:

We will strive as an institution and as individuals to recognize, cultivate and promote all forms of diversity and to foster health and well-being throughout New Mexico by weaving cultural humility and respect for all people.

Benefits:

UNMMG offers a competitive salary and an attractive benefit package which includes medical, dental, vision, and life insurance as well as tuition assistance, generous paid time off plan and 403b retirement for benefits eligible employees.

Apply to our Medical Case Manager opportunity with UNM Medical Group, Inc. and a recruiter will contact you shortly!