Case Manager - ECM Lead Care Manager (2201)

Status: Full-Time, Non-Exempt
Pay: $23.00-$24.00/hour
Schedule: Monday-Friday 8:30 AM - 5:00 PM

Job Summary: The Enhanced Care Management (ECM) Lead Care Manager is responsible for coordinating all covered medical and non-medical supportive services the member needs, including physical, behavioral, dental, developmental, oral health, long-term services and supports (LTSS), Specialty Mental Health Services, Drug Medi-Cal/Drug Medi-Cal Organized Delivery System services, 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 team-based, patient-centered care for clients experiencing homelessness and at risk of homelessness.

Mission Statement: "To be a leader in ending homelessness by providing a unique system of dignified housing opportunities, programs, and supportive services."

Essential Duties and Responsibilities:
Client/Service Delivery

• Maintain a caseload of 17–25 individuals, meeting with members as needed to complete Health Needs Assessments and Care Plans, including the development of measurable short- and long-term goals
• Engage, outreach, and enroll eligible ECM members into services and assist in addressing barriers to care
• Provide services in locations that are most accessible to the member—where they live, seek care, or feel most comfortable—within CalOptima Health guidelines
• Support and engage members in their treatment by coordinating medication reviews and/or reconciliations, scheduling and reminding members of appointments, arranging transportation as needed, accompanying members to key appointments, and helping address additional barriers to treatment engagement
• Accompany members to office visits as needed and in alignment with CalOptima Health guidelines
• Advocate on behalf of members with healthcare professionals and collaborate with hospital staff to support effective discharge planning
• Coordinate care in collaboration with hospitals, behavioral health providers, specialists, dental providers, LTSS providers, and other relevant entities such as Community Supports
• Utilize motivational interviewing techniques and apply trauma-informed care practices
• Monitor treatment adherence, including adherence to prescribed medications
• Provide health education, including health promotion and self-management support, to enrolled ECM members
• Communicate member progress, needs, and concerns to the multidisciplinary team to enhance care coordination and quality
• Other duties may be assigned or modified as needed

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, fast-paced environment, be flexible, adaptable to sudden changes, trustworthy, reliable, and empathetic
• Communicate effectively with diverse populations

Administration

• Keep accurate, up-to-date 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
   

Benefits Offered:

• 100% coverage of Kaiser Gold medical insurance
• Voluntary dental and vision insurance
• Paid Time Off
• Flexible Spending Account
• Employee Assistance Program
• 403(b) savings plan with up to 3% company matching
• Paid on-the-job training and orien