Lead Care Manager

Job Summary:

Coordinate and navigate various services and aspects of chronic disease, primary care, behavioral and mental health and social determinants of health centers and aid those members as needed.

Duties/Responsibilities:

• Take initiative in instituting care coordination policies and communicating with members and providers.
• Assist with enrollment into applicable assistance programs (such as Medi-Cal or Covered CA), preregistering members with health plans and connect members to resources within BHS and in the community.
• Complete ECM assessment and care plan for members.
• Serve as the main point-of-contact for member intake into care management services offered by BHS ECM members.
• Must be available for consultations for high-acuity members at any one of the BHS outpatient sites.
• Oversee intake, transfer of care and discharge activities for members enrolled in specialty care management.
• Provide care management of specialty referrals and linkages to and from community-based partners and other needed services related to a given program/member.
• Communicate regularly with members and their families/support systems about plans of care and protocols.
• Answer members’ questions about their care, care plans, and all other issues so they feel safe and secure while receiving our services.
• Monitor and adjust member care plans based on changing needs and conditions.
• Coordinate referrals related to ECM member needs to and from BHS and providers.
• Address any member concerns with appropriate BHS/ECM staff.
• Coordinate case coordination with relevant care providers and resources.
• Report all care management activities and outcomes to executive management.
• Maintain and foster relationships with community providers, agencies and organizations involved in care transitions and continuity of care for members.
• Works collaboratively as a team member with all staff members.
• Promote and believe in BHS mission statement.
• Other duties as assigned.

Required Skills/Abilities:

• Possession of current California Driver’s License.
• Ability to relate to the public regardless of racial, ethnic, economic, sexual orientation, and gender identity status.
• Ability to work independently and as part of a team.
• Ability to demonstrate/convey respect for cultural and lifestyle diversities of members and staff.
• Ability to present to diverse communities/populations, at all levels of internal/external organizations.
• Ability to recognize personal issues that may have an impact on job performance and interactions with members.
• Ability to note documentation in electronic medical record system(s).
• Strong verbal and written communication skills.
• Proven track record of, and ability to demonstrate ethical and professional standards of behavior.
• Basic knowledge of referrals, both in and out of the healthcare system.
• Basic knowledge and Experience in utilizing Microsoft Office, specifically MS Word and Excel.
• Ability to speak, understand, and read Spanish (preferred), especially Medical Spanish.
• Knowledge of behavioral health and 12-Step/recovery resources in the community (preferred).

Education and Experience:

• High School diploma, GED or equivalency.
• Associate’s degree or higher in healthcare or a related field (will consider experience in lieu of degree)
• Experience using behavioral strategies including motivational interviewing and self-management support.
• Experience working for a community agency, with Medi-Cal (Medicaid) and Medi