Medical Case Manager
Cornell Scott-Hill HealthAbout the Role
We are seeking a dedicated Medical Case Manager to join the Infectious Disease Department at Cornell Scott Hill Health Center. In this role, you will provide client-centered case management services for individuals living with HIV who are receiving Ryan White-funded services. The Medical Case Manager will develop and implement clinical treatment plans, coordinate access to medical, mental health, and dental care, and connect clients with essential community resources and support services. This position plays a critical role in advocating for clients, promoting continuity of care through ongoing assessment of needs, supporting engagement in treatment, assisting with access to entitlements and basic needs, and participating in discharge planning. This role is ideal for someone who is passionate about infectious disease care, health equity, and improving outcomes for vulnerable populations through coordinated, compassionate service delivery.
Key Responsibilities
- Conduct comprehensive bio-psychosocial assessments of clients’ needs and create service plans required to meet those needs utilizing input from the client, medical provider, clinical support staff, and others as appropriate
- Perform client intake and needs assessment including completion of all required documentation
- At least twice annually (every 6 months), evaluate and update the client care plan based upon changes to health status and other factors detailed in the reassessment or acuity scale
- Refer and link clients to the needed medical and/or social services. Monitor the clients’ follow-through with these services in a timely fashion
- Complete and track applications for basic needs, transportation, housing, treatment programs, and other services in a timely fashion
- Serve as clients’ advocate in the procurement of benefits and services. Actively advocate on behalf of the clients with community resources
- Responsible for participating in discharge planning as needed
- Organize and participate in clinical quality management (CQM) programs per the Ryan White Program requirements. Conduct monthly CQM meetings per Ryan White Program requirements.
- Track and report all case management activities through the CAREWare system and electronic health record system. Collect and accurately document all required data elements in CAREWare and electronic health record system
- Perform HIV and Hepatitis C point of care testing as needed and maintain competencies in the same.
- Perform all other duties as assigned by the ID Program Manager and/or ID Medical Director
Required Qualifications
- High School Diploma/GED required. Associate’s Degree or Bachelor’s Degree preferred.
- Human Service experience is preferred. Excellent working knowledge of New Haven community social and health service agencies is preferred.
- Excellent organizational skills are required to maintain the caseload. Ability to complete assignments in a timely manner.
- Ability to interact with patients, staff and outside agencies appropriately. Ability to generate high level of client satisfaction.
- Knowledge and skills related to individual, group, and family system dynamics are essential. Ability to work as a team member.
- Knowledge of and demonstration of professional ethics are necessary.
- Ability to work well with multi-disciplinary service providers. Must demonstrate age-specific and population/cultural-specific competencies in the provision of services to patients living with HIV/AIDS. Must demonstrate cultural competence.
- Bilingual ability is desirable.
Why Join Us
Cornell Scott–Hill Health Center offers a competitive and mission‑driven environment with outstanding benefits, including:
- Above‑market, competitive salaries
- Sign-on bonus available for eligible positions and qualified candidates.
- Medical, Dental, Vision, Life Insurance, Short/Long‑Term Disability
- License reimbursement
- Eligibility for HRSA Loan Repayment Program may be available for qualified candidates.
- Public Service Loan Forgiveness (PSLF) eligibility is available through qualifying employment.
- Generous paid time off
- 401(k) with up to 5% match
CS-HHC is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.