Why work for Ampla Health? Β 28675
Ampla Health provides the individuals and communities we serve with high quality, comprehensive, community health care that is accessible to all and culturally and linguistically appropriate.
Job Summary:
The Transgender and Gender Expansive Case Manager provides patient-centered medical and psychosocial case management in support of individualized care plans. This role focuses on care coordination, prior authorizations, advocacy, and linkage to internal and external resources for transgender, gender expansive, and nonbinary patients.
Key Responsibilities:
Provide case management and care coordination for transgender and gender expansive patients
Coordinate prior authorizations for medications, including tracking, appeals, and collaboration with providers, pharmacy, and insurance
Develop psychosocial care plans in collaboration with medical and behavioral health teams
Identify patients in crisis and refer to Behavioral Health Clinicians as needed
Assist with surgical letters, name changes, and legal documentation support
Advocate for patients to ensure affirming, respectful, and responsive care
Maintain logs, documentation, and confidentiality in compliance with regulations
Build and maintain referral networks and community resources
Participate in team meetings, trainings, and interdisciplinary coordination
Qualifications:
Experience in medical and/or psychosocial case management
Experience working with transgender, gender expansive, and LGBTQ+ communities (required)
Knowledge of healthcare regulations, confidentiality, and community resources
Strong communication, organizational, and advocacy skills
Ability to manage a caseload and work collaboratively in a team environment
Bilingual (Spanish or other languages) preferred
Education & Experience:
Certified Medical Assistant preferred
Bachelorβs degree in Social Work or related field or 2 years of relevant experience
Case management and prior authorization experience preferred
Physical Requirements:
Ability to sit, stand, walk, and use hands frequently
Ability to lift up to 25 lbs occasionally