ECM Lead Care Manager

Status: FullTime
Pay: $23.00/hour
Schedule: MondayFriday 8:30 am5:00 pm

Will include some weekend and evening work and the ability to respond to crisis situations as necessary.

Benefits

• 100 coverage of Kaiser Gold medical insurance
• Voluntary dental and vision insurance
• Paid Time Off Sick Days
• Flexible Spending Account
• Employee Assistance Program
• 403(b) savings plan with up to 3 company matching
• Paid onthejob training and orientation
• Mileage reimbursement
• Referral program
• Opportunities for career advancement

Job Summary: The Enhanced Care Management (ECM) Lead Care Manager is responsible for coordinating all covered medical and nonmedical supportive services the member needs including physical behavioral dental developmental oral health longterm services and supports (LTSS) Specialty Mental Health Services Drug MediCal/Drug MediCal Organized Delivery System services any Community Supports and other services that address social determinants of health (SDOH) needs regardless of setting. The ECM Lead Care Manager will work closely with the CalAIM Community Supports Program staff to provide teambased patientcentered care for clients experiencing homelessness and at risk of homelessness.

Essential Duties and Responsibilities:

Client/Service Delivery

• Maintain a minimum caseload of 1725 individuals and meet with members as needed to complete Health Needs Assessments and Care Plans which include short and longterm measurable goals

• Engage outreach and enroll eligible ECM members in services and help address barriers

• Offer services where the member lives seeks care or finds most easily accessible and within CalOptima Health guidelines

• Support and engage members in their treatment including coordination for medication review and/or reconciliation scheduling appointments providing appointment reminders coordinating transportation when needed for any medical appointments accompaniment to critical appointments and identifying and helping to address other barriers to member engagement in treatment

• Accompany members on office visits as needed and according to CalOptima Health guidelines

• Advocate on behalf of the member with health care professionals and work with hospital staff on discharge plans

• Collaborate with area hospitals behavioral health providers specialists dental providers providers of services for LongTerm Services of Support (LTSS) and other associated entities such as Community Supports as appropriate to coordinate member care

• Use motivational interviewing and traumainformed care practices

• Monitor treatment adherence (including medication)

• Provide health promotion and selfmanagement training to enrolled ECM members

• Report ECM patient progress concerns and needs to the multidisciplinary team to improve patient care

• Other duties may be assigned or may be modified

Team/Staff Relations

• Work as a Mercy House team member with all staff and volunteers to implement the mission and core values of the agency

• Attend regular internal and external agency meetings

• Work as part of a team to plan and develop resident programs

• Work in a team environment fastpaced environment be flexible be able to adapt to sudden changes be trustworthy be reliable be empathetic

• Communicate effectively with diverse populations

Administration

• Keep accurate uptodate documentation on all clients including but not limited to Health Needs Assessments and Care Plans

• Assist with all data collection systems

• Assure deadlines are met

• Utilize computers and appropriate software (e.g. Microsoft Word Outlook Excel PowerPoint) and/or specific systems applicable to the position

• Respond to calls and emails in a timely manner

• Perform tasks independently and prioritize workload

Knowledge of

• Confidentiality and the legal and ethical issues pertaining to case management

• Effective documentation and guidelines

Requirements:

Education and Experience

• Bachelors Degree in Social Work (or related field) with experience working in chemical health mental health and cooccurring disorders is preferred

• Persons with less than a BA/BS degree but with at least 2 years of direct life experience working with longterm homeless lowincome and diverse populations and have a working knowledge of mental health and addictions issues are welcome to apply

• Preferred skills related to outreach and engagement care planning care coordination health promotion transitional care support member and family education and social services coordination

• Preferred minimum of 1 year of experience in care coordination and case management for the following populations:

  • Individuals/Families experiencing homelessness

  • Individuals at risk for avoidable hospital stays (High Utilizers)

  • Individuals with Serious Mental Health and/or SUD

  • Adult Nursing Facility Residents transitioning to the community

  • Adults with intellectual or developmental disabilities

• Experience with HMIS Data Entry/CalOptima Health strongly preferred

  Preferred experience with Housing First and HarmReduction strategies Motivational Interviewing PatientCentered and TraumaInformed Care Crisis Intervention & Prevention strategies

• Preferred experience in engaging and assisting individuals/families with acute mental illness and substance use to access/navigate health care as well as other needed services

• Knowledge of how to use Microsoft programs and computer literacy are required

General

• Ability to work effectively with a diverse population; plan organize and prioritize duties; perform crisis intervention as needed; clearly communicate information and instructions verbally and in written form; maintain a positive professional and safe environment while on duty; and establish and maintain effective working relationships with others

• Dependability responsibility and the ability to communicate effectively and respectfully are mandatory skills

• Fluency in Spanish is of significant value

Physical Requirements

• Ability to lift items weighing up to 50 pounds

• Prolonged periods sitting at a desk and working on a computer

Mercy House must reserve the right to modify supplement rescind or revise all job descriptions to meet the overall needs of Mercy House except as to any language that establishes that the employment relationship is at the will of either the staff member or Mercy House.