Lead Medical Case Manager Pharmacy Coordinator Bebashi Transition to Hope Phila., PA

Job Description:

Lead Medical Case Manager - Pharmacy Coordinator

On-site Role

Bebashi - Transition to Hope

Philadelphia PA

(Full Time Permanent Opportunity)

Bebashi Transition to Hopeis a leader in community health offering innovative care and support services to meet the needs of underserved populations.We are committed to diversity equity and creating lasting health outcomes within Black and Brown communities.

We are seeking a full time permanent Lead Medical Case Manager - Pharmacy Coordinator. This role will report to the Director of Clinical Services.

The Lead Medical Case Manager Pharmacy Coordinator provides leadership and oversight for integrated medical case management and medication access services to persons living with HIV/AIDS. This role ensures clients receive comprehensive coordinated care through individualized service planning medication adherence support and linkage to critical health and social services.

The Lead serves as a clinical and operational resource to staff ensures regulatory compliance and collaborates with internal teams and external partners to improve client outcomes and program effectiveness.


MAJOR DUTIES AND RESPONSIBILITIES:

Conduct comprehensive client needs assessments within program timeframes and develop individualized service coordination plans aligned with medical and psychosocial needs.
Provide lead medical case management including home visits as required crisis follow-up within mandated timelines and ongoing reassessment of client progress and service effectiveness.
Oversee pharmacy program education eligibility and enrollment integrating medication adherence strategies into individualized care plans.
Lead and coordinate medication adherence efforts collaborating with case managers pharmacy partners and providers to identify risks address barriers and ensure continuity of care.
Facilitate and coordinate linkages to supportive services including medical care housing transportation behavioral health nutrition and emergency resources.
Ensure timely accurate documentation and reporting in CareWare and other required systems in compliance with agency funder HIPAA and regulatory standards.
Monitor program outcomes and service utilization data to identify high-risk clients recommend interventions and support continuous quality improvement.
Provide leadership guidance and support to assigned staff serving as a clinical and operational resource and acting in a supervisory capacity when needed.
Prepare and submit required statistical linkage and performance reports (including Part A and Part D) to leadership.
Participate in continuing education and required trainings to maintain professional competence and program compliance.
Collaborate cross-functionally with internal teams and external partners to streamline workflows and enhance integrated client-centered care delivery.
Perform other related duties consistent with the scope and level of the role.

Experience and Skills:

EXPERIENCE AND QUALIFICATIONS:

Bachelors degree in Social Work Human Services Public Health Health Administration or a closely related field (required)
Masters degree in a related discipline (preferred)
Minimum 3 years of progressive experience in medical case management care coordination or community health social services
At least 1 year of experience in a lead supervisory or program coordination role demonstrating responsibility for oversight decision-making or staff guidance
Demonstrated experience supporting medication adherence treatment coordination or pharmacy-related services within a clinical or community health setting
Working knowledge of pharmacy program requirements eligibility or compliance standards or ability to obtain required training within 90 days of hire

Licensure / Certifications:
Valid drivers license with an acceptable driving record (as applicable to job duties)
Willingness to complete pharmacy program training/certification and required continuing education

Knowledge Skills & Abilities:
Strong knowledge of medical case management models client-centered care planning and health equity principles
Ability to exercise independent judgment in assessing client needs prioritizing interventions and resolving complex service barriers
Experience ensuring regulatory compliance documentation accuracy and audit readiness
Proficiency with electronic health records and case management systems (e.g. CareWare) and Microsoft Office 365
Demonstrated leadership communication and cross-functional collaboration skills

Physical Demands & Work Conditions:
Position requires prolonged periods of sitting working at a computer and using standard office equipment.
Ability to travel locally to client homes medical facilities and community partner sites as required which may involve walking standing and navigating varied environments.
Must be able to lift and carry up to 20 pounds occasionally.
Requires the ability to communicate effectively with clients staff and external partners in person and by phone.
May involve irregular hours including occasional evenings or weekends to meet client and program needs.
Work is performed in a combination of office community and client-based settings and may involve exposure to varied environmental conditions.

Benefits

We offer Excellent Benefits beginning the 1st day of the following month after 30 days employment:

Medical Insurance with Employer paying a good percentage of coverage for the Employee

Vision Prescriptions

Dental is 100% Employer paid for Employee

STD/LTD disability and life insurances 100% Employer Paid for Employee

401K with discretionary match

PTO

Holidays - 10 paid

HRA - Fully Employer funded

Student Loan Pay Down program

Hours are:

Monday - Friday 8:30 am - 4:30 pm OR 9:00 am - 5:00 pm