ECM Lead Care Manager

Job Overview

The Enhanced Care Management (ECM) Lead Care Manager is responsible for coordinating care and services among the physical, behavioral, dental, developmental, and social service delivery systems ensuring individuals receive the right care at the right time and become, or remain, able to live successfully in their communities. The ECM Lead Care Manager supports program growth by making initial contact in engaging with potential patients, providing information ECM services, and enrolling patients. The ECM Lead Care Manager will determine eligibility, complete enrollment assessments and work with our program partners to oversee the eligible patient population for the ECM Program.

Qualifications:

· Excellent verbal, written and interpersonal communication skills.
⦁ Organization/Time management skills
⦁ A positive attitude, desire to learn and grow and aspirations to lead.
⦁ A focus on the growth and well-being of people and the communities to which they belong.
⦁ High level of proficiency in web-based systems, real-time communication systems (i.e., chat), Microsoft Office, and other Client Record Management systems.
⦁ Familiarity and experience in the areas of community outreach, behavioral health, and working with high-risk populations.
⦁ CA driver’s license and proof of car insurance are required.

Responsibilities:
⦁ Accompany member to office visits, as needed and according to Managed Care Program (MCP) guidelines.
⦁ Connect member to other social services and supports needed.
⦁ Educate members about MCP Member benefits, including crisis services, transportation services, etc.
⦁ Distribute health promotion materials.
⦁ Advocate on behalf of MCP members with health care professionals
⦁ Use motivational interviewing, trauma-informed care, and harm-reduction practices.
⦁ Work with hospital staff on discharge plan
⦁ Contact MCP member to schedule in-person visit with the contract provider.
⦁ Responsible for accurate and timely documentation, which includes but is not limited to program enrollment, assessment, updated activity/progress notes, resource access applications, releases of information, and any other forms necessary to document services.
⦁ Provides ongoing monitoring of the Targeted Engagement List (TEL).
⦁ Conducts regular telephonic outreach and follow-up with ECM Patients.
⦁ Complete comprehensive Intake assessments.
⦁ Assist members in accessing additional benefits and related documentation such as, Social Security Insurance (SSI), Cal Fresh, cash aid, and housing.
⦁ Carries a caseload of 50 patients and assists with any health or social needs they may have until the Patient can maintain their overall needs on their own.

⦁ Responsible for assisting patients with care coordination needs, including, but not limited to, referral support, community resource connection, health care navigation, and tracking all referrals in the designated logs and/or electronically.
⦁ Ensures the privacy and security of Protected Health Information (PHI) as outlined in the policies and procedures relating to HIPPA compliance.
⦁ Other duties as assigned, including, but not limited to verification of insurance eligibilities, submission of treatment authorizations, and other duties as assigned.

Experience

· High School Diploma or GED.

· Medical Assistant, CNA, EMT, other healthcare experience.

· 1-3 years of experience in Case Management in a healthcare setting, involvement in volunteering initiatives.

· Familiar with Motivational Interviewing.

· Equivalent combination of education and experience that provides the skills, knowledge, and ability to perform the essential job duties, and which meets any required state or federal certification requirements.

· Language: Fluent in English (written and verbal). Bilingual Spanish highly preferred.

Job Type: Full-time

Pay: $23.00 - $26.00 per hour

Expected hours: 40 per week

Benefits:

• Health insurance
• Paid time off

Work Location: In person