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About the Role
Options for Community Living, Inc. is seeking a Medical Case Manager to provide training and assistance to residents, helping them attain and maintain optimal physical health by coordinating health care planning with residents’ health care practitioners.
Responsibilities
- Coordinate and act as a liaison with medical providers for residents in the community residence program, specifically those with additional medical needs.
- Problem-solve to manage acute and chronic medical conditions.
- Liaise with Home Health Aides and coordinate referrals to Home Health care agencies.
- Complete and follow through all steps related to the referral process for in-home care services.
- Arrange for group visits by certain providers who do house visits (podiatrists, dentists, etc.).
- Work with program staff to develop strategies to meet any special needs that a participant may have.
- Complete referrals for meal services based on medical need.
- Implement safety guidelines.
- Collect data on medically-oriented outcomes.
- Identify health-related training needs for staff and residents.
- Assist with referrals to medical day programs and maintain contact with providers.
- Maintain a directory of facilities and establish relationships at such facilities in the event of client discharge or acute stay.
- In collaboration with other team members, direct the establishment of short and long-term goals related to the management of healthcare.
- Assess the need for and implement special accommodations in accordance with Options’ Accessibility Plan.
- Provide restorative services related to health objectives and write progress notes.
- Complete and review service plans related to health objectives.
- Perform in-person site visits.
- Travel between sites as needed; coordinate with site supervisors while maintaining alignment with primary supervisory direction.
- Assist with discharge planning for residents requiring housing placement in a medical facility.
- Coordinate healthcare planning with the residents’ healthcare providers and ensure implementation of medical recommendations and follow-up care.
- Assist with obtaining prior authorizations from medical insurance companies and assist with any other health insurance related concerns.
- Develop and lead structured, interactive health-focused groups (educational sessions and engagement-based activities) to promote a healthy lifestyle.
- Provide direct support and transportation to medical appointments as needed.
- Assist with any referral and advocacy to ensure the resident understands their medical diagnosis, provider recommendations, testing, etc.
- Assist residents in understanding and navigating health insurance benefits, including access to services, referrals, and retrieving durable medical equipment.
- Collaborate with site supervisors to ensure coordination on resident health responsibilities and consistent staff follow-up.
- May be required to assist with coverage of caseloads, as needed.
- Other relevant responsibilities as assigned by management.
Requirements
- Associate's degree (OR 60 credit hours of college study) in health, human services or education, OR LPN and 2 years of qualifying experience.
- Bachelor's degree in health or human services (OR RN) preferred, and 1 year of qualifying experience.
- Valid driver’s license, safe driving record, valid auto insurance and access to a vehicle is required.
- Qualifying experience: Verifiable full or part-time case management or casework with persons with a history of mental illness, homelessness, or chemical dependence.
- An alternative combination of education, credentials, and experience may be substituted for a degree.
Skills
- Case management
- Casework
- Health care coordination
- Medical provider liaison
- Problem-solving
- Referral process
- Data collection
- Health-related training
- Discharge planning
- Prior authorization
- Health insurance navigation
- Advocacy
Location
- Ronkonkoma site
- Field visits required
Work Type
- In person
- Full-time
Experience Level
- 2 years of qualifying experience (with Associate's degree or LPN)
- 1 year of qualifying experience (with Bachelor's degree or RN)
Education Level
- Associate's degree (or 60 credit hours)
- LPN
- Bachelor's degree preferred
- RN preferred
Salary/Compensations
- $41,860 - $54,600
Benefits
- Medical Insurance
- Dental Insurance
- Vision Insurance
- 5 Wellness Days
- 10-22 Vacation Days
- 8 Sick Days
- 11 Paid Holidays
- 403(b) retirement plan with employer match
- Employee Assistance Program
- Tuition Assistance
- Wellness Initiatives
- Paid Training
- On-the-Job Training
- Promotional Opportunities
- Mileage reimbursement
- Life Insurance
- Flexible Spending Account
- $500 Sign-on Bonus
About the Company
- Options for Community Living, Inc. is committed to helping Long Island’s most vulnerable families and individuals live healthier, more stable, and productive lives.
- Established in 1982 to respond to the need for housing in the community for people with serious mental illness.
- Serves over 2,000 adults and children annually and manages more than 160 residential properties across Long Island.
- Incredible people doing meaningful work.
- People come to work at Options to help improve the overall quality of life for individuals within the community.
- Our welcoming workforce is dedicated to helping the most vulnerable Long Islanders reach their fullest potential.