Medical Case Manager

General

Summary

The Medical Case Manager provides culturally competent, trauma-informed care to consumers through assessment, care coordination, advocacy, and person-centered planning. Under the direction of the Supervisor of Integrated Health Services, this role coordinates medical, behavioral health, and community services to ensure timely, appropriate, and goal-oriented care. The position supports the LifeWays Substance Use Disorder Health Home (SUDHH) model and upholds LifeWays’ mission, vision, and values.

Internal position name: Nurse Care Manager.

Key Responsibilities

• Engage consumers with empathy, professionalism, and a non-judgmental approach
• Conduct assessments, reassessments, and person-centered service planning
• Coordinate referrals and care within and outside the provider network, including Outpatient Psychiatry
• Collaborate with psychiatrists, primary care providers, specialists, and community partners
• Monitor caseloads and ensure ongoing medical necessity and appropriate levels of care
• Support transitions across levels of care and life stages
• Assist with crisis and after-hours planning
• Provide services in person, by telehealth, and by phone
• Perform care management functions for the SUDHH program

Required Education/Certification/Licensure

• Nursing Care Manager I: Associate degree in nursing. Licensed as RN.

• Nursing Care Manager II: Bachelor’s degree in nursing. Licensed as RN.

Preferred Education/Certification/Licensure

• Master’s degree in human services related field.

• Nursing Case Management Certification (CMGT-BC)