Case Manager - Access Health

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