Case Manager III

This opportunity is open to current Tepeyac Community Health Center Case Managers only.

JOB SUMMARY: The focus of this position is to ensure the efficient delivery of quality case management services in English and Spanish to meet the needs of Tepeyac patients. If a language other than English or Spanish is preferred by the patient, Case Managers refer to the use of the Limited English Proficiency (LEP) Language line for assistance. CMs provide services focused on patients with chronic health condition (i.e. diabetes, HIV), a behavioral health challenge, substance use concern, pediatric/OB patients, etc. The most common case management tasks are connecting patients with valuable community resources, assistance with medication adherence and monitoring, transportation coordination, food assistance, referral to legal services, etc. 

A. MINIMUM QUALIFICATIONS:

At least three years of experience working as a case manager. Certified Case Manager preferred.  Experience in medicine, psychology, social services and particularly working with marginalized populations highly desired. Patient Navigation and/or Motivational Interviewing Training preferred. Demonstrated specialty expertise (Ryan White, refugee, etc.).  Must have or obtain a valid BLS card while in this role.

All Case Managers are required:

• Education: BA/BS required in social work, human services, or related field. Master's preferred.

• Language: Oral and written fluency in English and oral fluency in Spanish required.

• Supervision: No direct supervision of staff. May support learning and consultation for staff navigating patient needs. May mentor, train, and report on CM students.

• Ideal Candidate: Strong initiative and passion to provide healthcare to low income, diverse populations. Creative thinking and is open to working in common workspaces.

B. ESSENTIAL DUTIES & RESPONSIBILITIES:

• Participate as key member of an integrated care model of health care delivery.

• Coordinate client care with external service providers and ensure patient needs have been met to the best of your ability. Monitor client stability and self-sufficiency to provide other services as identified.

• Develop therapeutic relationships with clients and work from a trauma-informed, strength-based, and client-centered perspective. Focus on what people can do, not on what they cannot do.

• May participate and facilitate groups that support patients’ commitment to their health.

• Provide referrals and link clients to agencies, community and government services and monitor referral completion.

• Provide primary case management to patients including intake, assessment, development of a comprehensive individualized care plan (evaluation at least every 6 months), and service delivery with focus on entry and retention into medical care, treatment adherence, harm reduction, and chronic disease self-management.

• Assure client awareness of all Tepeyac programs and available community services. Advocate for appropriate services for patients when indicated.

• Develop outcomes and reports to measure services, as needed. May participate as member of a quality committee.

• Identify and monitor patients’ Social Determinants of Health (SDOH) via the Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) screener.

• For patients living with HIV/AIDS, CMs provide self-management support, work collaboratively with patients to create care plans, coordinate medication adherence, provide lab results and input information into Careware, as required by The Ryan White HIV/AIDS Program (a HRSA Grant) Ryan White HIV/AIDS Grant.

• Follow procedures for the electronic health records system for accurate and timely clinical documentation consistent with organizational standards.

• Observe safety and security procedures; report potentially unsafe conditions; use equipment and materials properly. Maintain a secure and trusting environment as required by the Health Insurance Portability and Accountability Act (HIPAA).

• Demonstrate cross-systems relationship development skills. Creative, positive approach to communication and problem-solving.

• Participate in team meetings, in-services and supervisory sessions as required.

• Ability to execute work plans and manage caseload independently and with flexibility. Ability to multitask, prioritize work and meet deadlines.

• Perform other responsibilities as assigned.

C. KNOWLEDGE, SKILLS & ABILITIES: 

• Respect: Value a culturally competent approach when working with low income and ethnic minoritized communities.

• Teamwork: Contribute to building a positive and successful multidisciplinary team.

• Customer Service: Strong customer service skills exhibited in a culturally appropriate manner; ability to handle difficult customers constructively.

• Interpersonal Skills: Excellent written and verbal communication; focus on solving conflict in a cooperative manner; keep emotions under control.

• Cost and Time Consciousness: Manage time and prioritize activities accordingly.

• Diversity: Show respect and sensitivity for cultural diversity.

• Ethics and Professionalism: Treat people with respect regardless of their position; accountable for own actions.

• Organizational Support: Follow policies and procedures established by Tepeyac Community Health Center; offer support and model service behaviors.

• Attendance/Punctuality: Consistently at work and on time.

• Engagement: Required to attend annual all staff retreat and encouraged to participate in Tepeyac’s fundraisers throughout the year.

Vaccinations: Tepeyac Community Health Center requires certain vaccinations for all employees as a condition of employment, in compliance with applicable federal and state laws. Proof of required vaccinations must be provided prior to starting employment. Exemptions may be granted as required by the Americans with Disabilities Act (42 U.S.C. § 12101 et seq.), Title VII of the Civil Rights Act (42 U.S.C. § 2000e et seq.), the Colorado Anti-Discrimination Act (C.R.S. § 24-34-401 et seq.), and other relevant laws.