Case Manager - Justice-Involved (JI) - ECM

Duties And Responsibilities

The Justice-Involved (JI) Case Manager works with individuals who are transitioning from incarceration. Justice-involved individuals—those who are currently, or have previously been, in jails, youth correctional facilities, or prisons—face a higher risk of injury and death compared to the general population. The Case Manager will assist patients to understand recommendations given by their health care providers, perform patient care functions, answer, and screen medical calls; post patient information to medical records and provide support in planning continuity of treatment.

Essential Functions

The functions performed by employees in this job family will vary by level or the area(s) to which assigned but may include (and not be limited to) the following. Employee must perform all duties and responsibilities in accordance with Via Care’s care standards.

• Discharge and arrange referrals or follow-up appointments.
• Perform as a patient advocate and liaison for specialty providers and social service referrals.
• Arrange patients’ appointments for continuity of care and other referrals.
• Provide health education to patients per provider request.
• Adhere to HIPPA guidelines.
• Document follow-up was done on providers’ recommendations.
• Documents pertinent patient data.
• Assure timeliness of services rendered to patients.
• Assist with the collection of transportation vouchers/tokens.
• Assist with translation when necessary.
• Assist when necessary with back-office functions.
• Maintain activity/referral logs.
• Maintains data/logs for mammograms, Paps, STD, etc.
• Generate and route data forms to the appropriate destination (billing, medical records, etc.).
• Review superbill forms.
• Maintain and observe ergonomics safety precautions.
• Attend in-services and/or training.
• Performs clerical duties as assigned.
• Maintains complete and accurate patient records, including entering data into the computer, ensuring proper documentation of all procedures, and assisting with processing and billing of Managed Care, Family PACT, Medicare, Medi-Cal, CHPD, CPSP, or MHLA for patient services.
• Assists with patient flow including receiving/greeting patients; locating charts; checking/making appointments; answering the telephone; and referring patients to appropriate person.
• Follows daily/weekly/monthly assignments as directed by supervisor (Clinic Manager/LVN).
• Utilization of CAIR, and VFC and other systems as directed by supervisor.
• Assist with immunization inventory, ordering and reporting as directed by supervisor.
• Assist in ordering supplies, maintaining inventory log and supply destruction log.
• Participate in cross-training for Front Office duties, assisting Referral Coordinator and Pharmacy Technician if needed and as directed by supervisor.
• Electronic lab ordering and processing lab test results per clinic policy.
• Assist in glucometer training for diabetic patients, as ordered by the provider.
• Receives and treats all patients with the utmost respect and professionalism.
• Performs a wide variety of clerical duties including preparing routine correspondence, filing, photocopying, faxing, answering the telephone, and directing calls as needed.
• Attends and actively participates in all team and staff meetings and related continuing education programs.
• Participate in ongoing training as required by supervisor.
• Performs other duties as required by supervisor.