Lead Medical Case Manager - Philadelphia, 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 Hope* · is a leader in community health, offering innovative care and support serv ...

Job description

Job Description
*Lead Medical Case Manager - Pharmacy Coordinator
"On-site" Role
Bebashi - Transition to Hope
Philadelphia, PA
(Full Time, Permanent Opportunity)
Bebashi - Transition to Hope*
is 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.

Responsibilities
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.

Required Experience
EXPERIENCE AND QUALIFICATIONS:
Bachelor's degree in Social Work, Human Services, Public Health, Health Administration, or a closely related field (required)

Master's 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 driver's license with an acceptable driving record (as applicable to job duties)

Willingness to complete pharmacy program training/certification and required continuing education

Skills
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

Disclaimer:
This information has been designed to indicate the general nature and level of work performed by employees in this role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications.

Bebashi is an equal opportunity employer. We do not discriminate based on race, color, religion, marital status, age, national origin, gender, sexual orientation, gender identity or expression, veteran status or any other status protected under federal, state or local law. We are committed to inclusion, equity and diversity.

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