Case Manager
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Job Location:
Ringgold, LA - USA
Hourly Salary:
$ 19 - 26
Posted on:
09-10-2025
Vacancies:
1 Vacancy
Job Summary
Responsive recruiter
Benefits:
- Competitive salary
- Dental insurance
- Health insurance
- Opportunity for advancement
- Paid time off
- Training & development
- Vision insurance
Mission Statement: To serve God according to His will and purpose by serving our community to the best of our ability with a passion for healthcare and compassion for people.
General Job Description
We are seeking a compassionate organized and mission-driven case manager to join our team. The Case Manager plays a vital role in improving patient outcomes through chronic care management behavioral health integration and addressing social determinants of health (SDOH). This role combines direct patient support with resource coordination advocacy and education to ensure holistic and equitable care.
Qualifications:
Education & Work Experience:
Education: Bachelors degree in a health or social work-related field
Work Experience Required: Three to five years experience in healthcare or social work field preferred
Skills/Knowledge Required:
Negotiation skills
Superior communication skills
Organizational skills
Moderate computer/technical skills
Ability to create document and follow up with patients progression
Provide health education for individuals and groups
Develop educational materials like articles fact sheets and public service announcements for the community
Set up meetings with providers and patients as needed and informing all necessary parties of the processes involved in each patients treatment and the plans for ongoing treatment.
Keep updated records of each client collect and analyze data to evaluate all treatment and recovery programs and continuously improve patient offerings.
Essential Functions & Responsibilities:
Chronic Care Management
Manage a caseload of patients with chronic and complex conditions (e.g. diabetes hypertension COPD).
Conduct proactive outreach (phone or in person) to improve adherence reduce avoidable hospitalizations and support self-management.
Collaborate with healthcare providers to create monitor and update individualized care plans.
Document patient interactions goals and progress in the EHR using chronic care management tools and billing.
Serve as the central point of contact for chronic care management.
Case Management & Resource Navigation
Conduct comprehensive assessments addressing medical behavioral and social needs.
Link patients to community resources including food housing transportation and medication assistance.
Perform follow-up and ongoing service coordination to ensure barriers are resolved.
Complete PRAPARE screenings individualized care plans and crisis plans within required timeframes and update regularly.
Provide warm handoffs and immediate support for patients with urgent social needs.
Conduct Urine Drug Screens
Take vitals if needed
Complete GAD-7 at check-in
Complete PHQ-9 at check-in
Charting PHQ-9 and GAD-7 in smart forms in encounter notes
Complete AIMS testing (1:1 testing for side effects of anti-psychotic medications)
Follow up on telephone encounters (that may not require prescriptions)
Following up on prior authorizations
Referral Coordination
Facilitate initiate and track referrals for behavioral health primary care and community services.
Collaborate with referral specialists PCPs and external partners to ensure patients successfully access services.
Monitor referral completion troubleshoot barriers and follow up as needed.
Patient Advocacy & Education
Provide education about health illness medications and behavioral health in both individual and group settings.
Develop and share educational materials (fact sheets articles community resources).
Empower patients with skills to manage their care and advocate for their own needs.
Actively advocate for patients who face barriers to care ensuring equitable access to services.
Community Engagement & Collaboration
Represent the clinic at community events and outreach activities as requested.
Maintain strong relationships with community partners to strengthen referral networks.
Collaborate with behavioral health and medical teams for integrated patient care.
Participate in team meetings monthly supervision and interdisciplinary care planning.
Documentation & Compliance
Accurately and promptly document all patient interactions assessments and progress in the EHR.
Collect and analyze data to evaluate patient outcomes and improve programs
Ensure compliance with HIPAA and uphold the professional and ethical standards of social work.
Meet productivity standards as set by clinic policy.
Compensation: $19.23 - $26.44 per hour
Our Mission is to serve God by serving our community with a passion for healthcare and compassion for people.
TMFC provides healthcare services as a Federally Qualified Health Center (FQHC). FQHCs are community-based health care providers that receive funds from the HRSA Health Center Program to provide primary care services in underserved areas. They must meet a stringent set of requirements including providing care on a sliding fee scale based on ability to pay and operating under a governing board that includes patients.
The defining legislation for Federally Qualified Health Centers (under the Consolidated Health Center Program) is Section 1905(l)(2)(B) of the Social Security Act. TMFC has also been awarded recognition by the National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home Program. NCQAs PCMH Recognition program is the most widely adopted PCMH evaluation program in the country.
Tri-Med Family Care is a sub-recipient of a Georgia Family Planning System (GFPS) grant and is deemed a family planning service site. GFPS ensures access to high-quality pregnancy planning and prevention services integrated with other preventive health care for women men and adolescents with priority given to low-income and uninsured individuals who may otherwise lack access regardless of income and health insurance status.
TMFC is credentialed as a Community Provider in the VA Community Care Network (CCN). The CCN is the VAs direct link with community providers to ensure Veterans receive timely high-quality care.
TMFC provides healthcare services as a Federally Qualified Health Center (FQHC). FQHCs are community-based health care providers that receive funds from the HRSA Health Center Program to provide primary care services in underserved areas. They must meet a stringent set of requirements including providing care on a sliding fee scale based on ability to pay and operating under a governing board that includes patients.
The defining legislation for Federally Qualified Health Centers (under the Consolidated Health Center Program) is Section 1905(l)(2)(B) of the Social Security Act. TMFC has also been awarded recognition by the National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home Program. NCQAs PCMH Recognition program is the most widely adopted PCMH evaluation program in the country.
Tri-Med Family Care is a sub-recipient of a Georgia Family Planning System (GFPS) grant and is deemed a family planning service site. GFPS ensures access to high-quality pregnancy planning and prevention services integrated with other preventive health care for women men and adolescents with priority given to low-income and uninsured individuals who may otherwise lack access regardless of income and health insurance status.
TMFC is credentialed as a Community Provider in the VA Community Care Network (CCN). The CCN is the VAs direct link with community providers to ensure Veterans receive timely high-quality care.
What We Do
Primary Healthcare
We employ a staff of Medical Doctors and Nurse Practitioners to deliver comprehensive medical care services that help you maintain good health. These services generally include:
Routine physical exams
Routine physical exams
Screening for common health issues
Treatment of minor illnesses and injuries
Management of both acute and chronic health conditions
Immunizations
Prescribing of necessary medications
Pharmacy Services
Tri-Med Family Cares full-service walk-in/drive-thru pharmacy is conveniently located at the rear of our parking lot. Our on-site pharmacy participates in the 340B Drug Discount Program a federal government program requiring drug manufacturers to provide outpatient drugs at significantly reduced prices. These prescription drug price savings are directly passed onto you as an TMFC patient regardless of insurance status.
Our pharmacy is open to the general-public and offers over the counter products free self-blood pressure monitoring hassle-free prescription transfer and medication counseling and therapy management. We accept Medicare Medicaid and most private insurances and offer sliding fee scale pricing to patients who qualify.
Required Experience:
Manager
Key Skills
- Project Portfolio Management
- Motivational Interviewing
- HIPAA
- Computer Skills
- Intake Experience
- Lean Six Sigma
- Conflict Management
- Case Management
- Team Management
- Program Development
- Social Work
- Addiction Counseling
About Company
Tri-Med Family Care Doctors and Nurse Practitioners are board certified and well-trained professionals committed to delivering patient-centered care. We are a federally qualified healthcare center.
