Medical Case Worker II

SUMMARY

The Medical Case Worker II supports Medi-Cal–eligible adults involved in the justice system as part of California’s Medicaid 1115 JI Reentry Initiative. This role supports individuals transitioning from incarceration in state prisons, county jails, back into the community. The Medical Case Worker II works with clients during incarceration and post-release to ensure continuity of Medi-Cal coverage, access to comprehensive health services, medications, and supportive resources, including linkages to Enhanced Care Management (ECM). The position plays a critical role in improving health outcomes, supporting successful reentry, and reducing recidivism through coordinated, client-centered care.

ESSENTIAL FUNCTIONS

• Provides release planning services to clients with forensic history, mental illness and/or dual diagnosis.
• Receives and reviews referrals for release planning from an electronic generated list; to identify release planning needs and identifying information.
• Meets with clients to introduce and explain program services and offer release planning services.
• Utilizes applications and databases to research client historical information, location of client, court date, housing, health status and level of observation.
• Makes referrals and works with various county departments and community programs, such as Department of Mental Health, Public Defender, Public Guardian, Housing for Health, Justice Care and Opportunities, and various substance use treatment providers.
• Facilitates interviews with community providers for program placements and coordinates releases to programs.
• Collaborates with jail entities to facilitate program placement and client release.
• Documents client encounters and finalization of client’s release plan in client’s medical chart.
• Updates team shared client tracking spreadsheets.
• Uploads documents to team’s folder.
• Places resources in client’s property
• Assists program development in training and orienting onboarding staff.
• Completes DHS-CHS department trainings in a timely manner.
• May act as team lead, reviewing team assignments, and triaging assignments to team members.
• Maintains a consistent level of face-to-face contact and care coordination, delivering timely services using PRCM workflows.
• Assists PRCM teams as needed.
• Assists with other tasks as needed.

JOB QUALIFICATIONS

Ability to follow oral and written instructions. Ability to exercise sound judgement while working in a stressful environment. Able to lift up to a 10-pound limit and some bending, stooping, or squatting.

Education/Experience

• One (1) year experience as a Medical Case Worker

OR

• A bachelor’s degree from an accredited college or university AND one (1) year of professional casework experience interviewing, counseling, and assisting patients/clients.

Certificates/Licenses/Clearances

• Successfully clear the LA County Live Scan process.
• Successfully clear the Health Clearance

Other Skills, Knowledge, and Abilities

• Willing to work in Correctional Health Facilities

PHYSICAL DEMANDS

Stand: Frequently

Walk: Frequently

Sit: Frequently

Handling / Fingering: Occasionally

Reach Outward: Occasionally

Reach Above Shoulder: Occasionally

Climb, Crawl, Kneel, Bend: Occasionally

Lift / Carry: Occasionally - Up to 10 lbs

Push/Pull: Occasionally - Up to 10 lbs

See: Constantly

Taste/ Smell: Not Applicable

Not Applicable = Not required for essential functions

Occasionally = (0 - 2 hrs/day)

Frequently = (2 - 5 hrs/day)

Constantly = (5+ hrs/day)

WORK ENVIRONMENT

General Office Setting, Indoors Temperature Controlled

EEOC STATEMENT

It is the policy of Heluna Health to provide equal employment opportunities to all employees and applicants, without regard to age (40 and over), national origin or ancestry, race, color, religion, sex, gender, sexual orientation, pregnancy or perceived pregnancy, reproductive health decision making, physical or mental disability, medical condition (including cancer or a record or history of cancer), AIDS or HIV, genetic information or characteristics, veteran status or military service.