About this role
Job Requirements Position Summary The Case Manager supports AccessHealth clients by facilitating enrollment, recertification, and connecting them to health and social resources. Using motivational interviewing and evidence-based strategies within their professional scope, the Case Manager helps clients set and achieve health goals, overcome barriers, and improve overall well-being. This role collaborates with healthcare providers, community organizations, and the AccessHealth team to ensure coordinated care and optimal outcomes. Minimum Requirements Education
• ADN or Bachelor’s Degree (other than nursing) or an accredited school of Social Work (MSW) Experience
• 3-5 years healthcare experience or 1-3 years Case Management experience (Care Coordination, Transitions of Care or case management), or related field License/Registration/Certifications
• For RN applicants--Current R.N. licensure in the state of SC Preferred Requirements Preferred Education
• BSN or MSW Preferred Experience
• 5+ years experience in case management, care coordination, community health or related field Preferred License/Registration/Certifications
• LMSW or RN Core Job Responsibilities Client Enrollment & Assessment
• Enroll and recertify clients in the AccessHealth program. • Conduct Social Drivers of Health screenings and develop individualized care plans. • Assess clients and their families on ability to self-engage and support development of self-management skills. • Use motivational interviewing and risk stratification tools to assess readiness for change and self-sufficiency. Care Coordination & Navigation
• Facilitate integration of primary care with specialty services, behavioral health, and community resources. • Collaborate with Community Health Workers to evaluate care plan effectiveness. • Ensure timely access to appointments and services. Education & Support
• Collaborate on the development of individualized education plans for clients and families focused on chronic condition management and medication adherence. • Provide education within professional licensure scope to build self-management skills. • Encourage client-directed goals aligned with health and social needs. Documentation & Compliance
• Communicate clear, complete, accurate, and timely documentation in the health record to support care planning and evaluation. • Meet productivity and documentation standards set by the department and supervisor. • Ensure compliance with HIPAA and HITECH regulations for patient information. Professional Development & Team Collaboration
• Participate in ongoing education and competency requirements. • Collaborate with team members and community partners to improve care coordination. • Contribute to continuous improvement initiatives and other duties as assigned. • Team Lead support of community health workers Other duties as assigned