Health Home RN Case Manager

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

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.