About the role
Medical Case Manager
Department: Health Home
Employment Type: Full-Time
Reports To: Health Home Director
Location: Arundel Lodge, Inc.
About Arundel Lodge
At Arundel Lodge, we are committed to supporting individuals on their recovery journey through compassionate, person-centered care. Our services are grounded in the Recovery Model, which emphasizes hope, empowerment, self-determination, respect, peer support, and the use of strengths-based approaches. We foster a culture where every interaction supports the dignity and well-being of the individuals we serve.
Position Summary
Arundel Lodge is seeking a dedicated and organized Medical Case Manager to support the coordination and delivery of high-quality healthcare services for individuals enrolled in our Health Home program. The Medical Care Manager serves as a key liaison between consumers, healthcare providers, pharmacies, hospitals, and community resources to ensure continuity of care and positive health outcomes.
The ideal candidate will possess strong clinical coordination skills, knowledge of medical terminology and healthcare systems, and a commitment to recovery-oriented care.
Key Responsibilities :Clinical Care Coordination
- Schedule and manage laboratory testing, including Clozapine monitoring and medication level testing.
- Monitor and manage toxicology screenings, including random and scheduled testing.
- Obtain and document vital signs.
- Assist prescribers and nursing staff with prior authorization requests.
- Advocate for individuals served regarding psychiatric, medical, and medication-related needs.
- Coordinate care with physicians, hospitals, pharmacies, nursing facilities, and specialists.
- Assist consumers in locating providers who accept their Managed Care Organization (MCO) or Medicare Advantage plans.
- Manage Clozapine services and serve as REMS designee.
- Act as Medication Agent for the Medical Director and other providers.
- Conduct medication box and Medication Management Record (MMR) audits.
- Perform medication reconciliation and assist with medication refill processes when necessary.
- Clarify medical and psychiatric provider orders as needed.
Program & Administrative Support
- Assist the Health Home Director with assigned projects and operational tasks.
- Manage scheduling and communication with Anne Arundel County Health Center (AACHC) providers and staff.
- Complete Health Home documentation and clinical notes as required.
- Support Primary Care Clinic operations, including vital signs collection, appointment coordination, and provider support.
- Provide consultation to providers during the absence of the Health Home Director.
- Assist with psychiatric and medical hospital admissions, discharges, and transitions of care.
- Maintain accurate documentation, including treatment summaries, contact notes, and health records.
- Manage office supplies, equipment, and administrative resources.
- Monitor and manage care alerts.
- Participate in on-call responsibilities.
- Perform additional duties within the scope of the Medical Care Manager role as assigned by nursing staff, physicians, nurse practitioners, or agency leadership.
Work Expectations
Employees are expected to:
- Adhere to all Arundel Lodge policies, procedures, and ethical standards.
- Maintain compliance with mandatory training requirements.
- Follow policies related to attendance, punctuality, overtime, timesheets, and time-off requests.
- Comply with health, safety, infection control, fraud prevention, and abuse prevention standards.
- Maintain professional boundaries and positive relationships with persons served.
- Use agency vehicles and equipment responsibly.
- Attend required meetings and trainings.
- Demonstrate reliability, accountability, and professionalism in all work activities.
Qualifications
Education
- Bachelor's Degree (BS/BA) or Associate Degree (AA) in Health Administration, Human Services, Nursing, or a related field preferred.
- Current Registered Nurse (RN) license in the State of Maryland preferred.
Experience
- Minimum of one (1) year of experience in the Human Services, Behavioral Health, Healthcare, or related field preferred.
Knowledge, Skills, and Abilities
- Knowledge of medical terminology, healthcare practices, and clinical protocols.
- Ability to provide education and support to consumers and staff.
- Strong care coordination and advocacy skills.
- Ability to collaborate effectively with multidisciplinary healthcare teams.
- Strong organizational, documentation, and time-management skills.
- Proficiency in Microsoft Office and electronic health record systems.
- Ability to work independently with minimal supervision.
- Ability to prioritize and complete tasks in a fast-paced environment with frequent interruptions.