TITLE: Case Manager

DEPARTMENT: Administration

REPORTS TO: Eligibility Specialist

FLSA STATUS: Non-Exempt

EMPLOYEE STATUS: Full-Time

SHIFT: 40 hours/week

WAGE: $18/hour

POSITION SUMMARY

The All Nations Health Center Case Manager will be responsible for coordinating and

implementing events for the All Nations Connecting Kids to Coverage program, assisting All Nation’s

clients and prospective clients with Medicaid eligibility and renewal, and connect clients to other

All Nations and community resources. The Connecting Kids to Coverage program is specifically

aimed at getting Native children, families, and pregnant people enrolled under Montana State

Medicaid, Healthy Montana Kids (HMK), and Children’s Health Insurance Program (CHIP).

This position will coordinate outreach and public awareness events, local training, and other

project goals, as well as aid in data collection, analysis, and reporting. As an integral member of

the team, the Case Manager assists All Nation’s patients and clients in learning about

Medicaid/CHIP/HMK benefits, eligibility requirements, and renewal deadlines, as well as understanding

and addressing barriers to health and wellness. The Case Manager helps All Nations achieve its

vision of a community that is proactive in reaching and maintaining sustainable, optimal

wellness.

HEALTH EDUCATION DUTIES & RESPONSIBILITIES:

1) Under the guidance of the Eligibility Specialist, develop and implement programming

and events to educate people about topics regarding access to health coverage.

2) Assist with the provision of preventative care and wellness services, such as insurance

screenings for adults, children, and pregnant people.

3) Document activities, number of clients enrolled in health insurance coverage, number

of clients retained in health insurance coverage, etc. in an effective manner while

strictly adhering to the policies and procedures in place.

4) Provide education and social support to clients and the community, via outreach efforts, to

discuss health care concerns.

5) Assist clients in finding health services and/or information to ensure clients have access

to the healthcare services they need.

6) Assist in internal and external resource connections for patients and clients.

7) Work with Finance Department to understand how to better target one-on-one

interactions with Medicaid/CHIP/HMK eligible patients.

8) Evaluate the effectiveness of programs and educational materials through internal and

external data collection.

9) Provide training programs for other health professionals or community health workers

Work closely with the Connecting Kids to Coverage team, including internal health

informaticists and research evaluators, to assess project goals, barriers, and milestones to

assure grant deliverables are met.

11) Other duties as assigned.

GENERAL DUTIES:

• Conduct outreach to engage community residents, assist residents with health system

navigation, and provide patient education to improve care coordination.

• Serve as a member of the interdisciplinary team of health care providers and participate

as a member of committees, as needed, as well as contribute to the success of All Nations

and fellow employees.

• Follow All Nations Employee Policies and Procedures, as well as individual position and

department procedures and protocol.

• Perform other duties, as assigned, to support All Nations integrated team.

PREFERRED SKILLS:

§ Demonstrated understanding of health education duties and responsibilities.

§ Experience with navigating insurance options.

§ Attention to detail with proficient planning and organizational skills, sufficient to

prioritize and successfully complete job demands.

§ Ability to work independently and/or with minimal supervision, as well as ability to

clearly follow supervisor and/or providers instructions.

§ Ability to provide outstanding customer service.

§ Ability to politely communicate with staff and patients, in a clear and effective manner,

as well as work cooperatively with other staff.

§ Ability to interact with patients and understand cultural differences and apply skill in

working with people of varied social, ethnic, and economic backgrounds.

§ Ability to exercise tact and diplomacy, to gain confidence, support and cooperation of

individuals and groups in accomplishing objectives.

§ Flexibility and adaptability to stress and ability to work and make decisions under

stressful situations, when necessary; and apply conflict resolution skills for effective

outcomes.

§ Attend meetings, training, and conferences, as indicated by the All Nations Health

Center, which may require additional hours and overnight travel.

MINIMUM QUALIFICATIONS:

§ Associate’s degree, or equivalent professional experience, in health education, health

promotion, community or public health, or a related field is required.

Valid MT Driver’s License and clean driving record.

Willingness to travel, sometimes out-of-area and/or overnight, to participate in training,

conferences, and other meetings as required.

§ Be willing to consent to a criminal background checks.

ADDITIONAL REQUIREMENTS:

• Must pass a pre-employment criminal background check with fingerprinting, and

subsequent clearance as verified by the U.S. Dept. of Health and Human Services

Office of Inspector General (OIG).

• Proficient computer skills, including Microsoft Office (specifically Word and Excel),

electronic medical records, email, and database software.

• Excellent leadership, organizational, written, and verbal communication, and

interpersonal skills.

• Demonstrate sound judgment, decision-making, critical thinking, and problem-solving

skills.

• Ability to maintain confidentiality and privacy consistently and constantly with all

aspects of information in accordance with practice, state, and federal regulations.

• Practice, develop, and endorse strong internal and external customer service skills.

• Basic knowledge of managed care.

• Ability to work with a high-risk, minority population, and maintain emotional

stability to cope with human suffering, emergencies, and other stressors.

• Ability to work effectively at all levels in a collaborative, customer service oriented,

team environment.

PHYSICAL DEMANDS:

Essential job duties may require occasional lifting, pushing, and pulling of medical or

educational supplies and equipment. The ability to occasionally stoop, kneel, crouch, and

utilize reaching, handling, fingering, and feeling movements is required.

DISCLAIMER:

The above statements are intended to describe the general nature and level of work being

performed by people assigned to this job. They are not intended to be construed as an exhaustive

list of all responsibilities, duties, and skills required of people in this job.

Employees may be asked to stay or report to work when needed to complete tasks to

the benefit of the organization. This may require working a nontraditional work

schedule or working outside normally assigned duties to complete mandatory tasks or

community activities.

Benefits: Health Insurance, Retirement, Dental Insurance