Case Manager I

Case Manager I  

Passion for Patients, Equity, Kindness, Accountability, Respect and Excellence   

Are you ready to make a difference? 

About Us 

Patient Advocate Foundation (PAF), a national non-profit, headquartered in Hampton, VA, has been solving insurance and healthcare problems since 1996. Our mission is to actively advocate for patients living with chronic and critical illnesses, resolving the healthcare access and affordability challenges they face through the provision of case management services and financial aid. To read more about us, please visit our website at www.patientadvocate.org .

 The Ideal Candidate: 

 Do you have the drive and desire to help others? Are you a passionate advocate willing to improve our patients’ experience?  PAF is seeking an organized, self-starter, who is independent and comfortable: 

• Creating a welcoming and professional first impression by making sure patients feel comfortable and heard.
• Identifying problems, collecting data, establishing facts, and drawing valid conclusions.
• Working in a high-volume environment and dealing effectively with rapidly changing priorities.
• Utilizing a system of tools and IT platforms to support the rapidly changing needs of patients.

The Opportunity 

PAF is currently seeking a Case Manager I to join our team in Hampton, VA.  Case Managers actively engage to solve patient’s issues, identifying their root causes, developing a plan of action, and interacting with external stakeholders on their behalf to ensure access to care, workplace protections and preservation of their financial stability. 

 A Case Manager I will have expertise and knowledge of: 

• Ways to address a patient’s financial concerns include cost-of-living expenses, medical expenses, and other axillary costs. 
• Landlord or mortgage lender negotiations to work towards avoiding eviction or foreclosure. 
• Locating and securing lodging and transportation for patients traveling for treatment. 
• Mediating resolutions to utility shut off or delinquent payments.
• How to identify and help enroll in available local, regional, and national programs that offer financial assistance for cost-of-living needs.
• Address food insecurity.
• Providing critical education and help to access workplace protections including COBRA, FMLA, ADA and employer-based disability benefits.
• How to locate and link patients to available emotional support groups. 

In this role, a Case Manager I will:               

• Be the primary point of contact for patients with serious health conditions. 
• Provide timely contact and follow up to analyze the issue(s), investigate to determine the root cause and develop a plan of action and follow through. 
• Secure, complete and distribute appropriate forms to proper agencies.  Conduct timely follow-up with both the agency and patient to ensure processing and communicate outcome(s).
• Provide hands on intervention, utilize conference calling for discovery, negotiate with lenders, seek out financial assistance programs, screen patients for eligibility, and facilitate/complete appropriate applications to remove financial barriers patients face with their daily cost of living expenses and auxiliary costs as related to their diagnosis. 
• Creating and sending appropriate communications to patients, including follow up and closure letters, surveys and/or authorization forms, when applicable as well as supplemental educational materials.
• Entering and maintaining and accurate case related information into the program database throughout the engagement of the case  
• Actively engage with patients and their families over the phone in a timely and professional manner. 

Qualifications 

If you have worked in one of these areas and are ready to put your skills to use in a different way, this role could be for you!  The ideal candidate for a Case Manager I role with PAF will have:  

• 2 years of professional background in one of the following areas: financial navigation, health care navigation, health insurance, social work, social services, charitable programs, housing counseling, government office, or utility aid programs working with the financial needs of individuals, preferably with an understanding of serious health conditions and treatment. 
• Hands-on experience in one or more of the following areas:  
  1. Helped clients seeking various forms of financial assistance for daily cost of living expenses in a local, regional, state, national or disease specific charities.
  2. Worked with clients with food insecurities to get needed food or food supplements.  
  3. Worked with clients in the housing authority, other agencies or rental company helping with housing barriers to include search for affordable housing, rent delinquencies, eviction, and homelessness. 
  4. Helped clients determine eligibility, enrollment, and follow through to application decision with the department of social services on SNAP, WIC, general aid, utility assistance, and childcare.
  5. Worked in the mortgage setting addressing delinquencies, forbearance, and foreclosure.
  6. Helped clients apply for and address utility delinquencies and shut off notices. 
  7. Helped clients understand their employer protections such as FMLA, ADA and awareness of state and federal employment laws. 
• Customer service background essential, with understanding of and commitment to providing a consistently high-level of service to patients and their families. 
• Possess strong research and problem-solving skills.
• Demonstrates a high level of initiative and ability to self-direct to solve financial problems of patients, frequently working collaboratively with external entities. 
• Excellent organization, time management, conflict resolution and negotiation skills required.
• Maintain confidentiality and comply with patient privacy guidelines. 

Compensation and Benefits 

Offers are based on relevant experience, skills, certifications and/or licensure within a healthcare environment. The offer is contingent upon favorable background and credit checks.  PAF is pleased to offer our employees a comprehensive benefit package. Our benefits include health, dental & visions options, generous paid holidays, vacation, sick & personal leave, paid winter shut down, STD/LTD, group life & AD&D insurance, group cancer & accident plans, 401k with matching, and a compliment of wellness programs.     

This role qualifies for a hybrid work schedule, working 2 days a week from home and only 3 days a week at our Hampton, VA location after training and mentorship period. 

***Training Start Date: February 24, 2025 

Starting pay range is: $20 to $22 per/hr. 

To Apply 

This is an incredible opportunity to join an organization that makes a difference! To apply, please send your resume through Indeed for consideration. 

PAF is an Equal Opportunity Employer