ECM Lead Care Manager (Bilingual)

Job DetailsJob Location: SM Location - Santa Maria, CA 93455Position Type: Full TimeSalary Range: $25.00 - $38.00 HourlyJob Category: Nonprofit - Social ServicesWage band range $25.00 - $38.00; however, starting pay is ultimately determined by the scope of the position, the candidate's relevant experience, and internal equity. Bilingual in Spanish is required, and position is eligible to test for a bilingual pay incentive.

Under the direction of the SBC Clinical Manager and Regional Director, the Lead Care Manager (LCM) provides direct services and coordinates care as a key member of the Enhanced Care Management (ECM) Care Team. The LCM oversees assigned cases, coordinates health care benefits, provides client education, and facilitates timely, cost-effective access to care. Working collaboratively with clients, caregivers, family supports, and service providers, the LCM promotes wellness, recovery, independence, resilience, and empowerment. The LCM also serves as a client advocate, an active member of the interdisciplinary team, and a liaison to internal programs and external health and social service providers within the community.

The Lead Care Manager upholds Casa Pacifica’s Standards of Behavior and exemplifies the organization’s core values of respect, integrity, compassion, and courage.

We are a diverse and inclusive team providing excellent services to all our surrounding communities. Our team members are empowered to share their identities, ideas, and perspectives. A culture built on diversity, equity and inclusivity is essential to creating a safe and healing environment at Casa Pacifica.

DUTIES AND RESPONSIBILITIES:

Assess client needs in the areas of physical health; mental health; SUD; oral health; trauma- informed care; social supports; housing; vocational/employment; wellness; and referral and linkage to community-based services and supports.
Oversees the development and implementation of the Individual Care Plan/Health Action Plan
Offer services where the client lives, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services.
Connect clients to other social services and supports that are needed (e.g., community support group).
With permission, coordinate/advocate on behalf of client with health care professionals (e.g., PCP)
May utilize evidence-based practices to maximize enrollee participation and engagement while promoting optimal lifestyle/behavioral changes.
Work collaboratively with hospital staff regarding Transitional Care Planning.
Conduct outreach and engagement activities to facilitate linkage to the ECM program. Outreach and Engagement consists of phone calls, mailed information, and field visits.
Accompany clients to office visits, as needed and appropriate.
Evaluate progress and update goals.
Provide mental health promotion.
Arrange transportation.
Complete all documentation within the timeframes established by the individual action plans
Attend weekly staff/team meetings and supervision.
Attend training as assigned (e.g., ACEs Certification).
May perform other duties as assigned from time to time.

KNOWLEDGE, SKILLS & ABILITIES:

Interpersonal savvy, demonstrated by the ability to interact with and influence people to establish trust and build strong relationships.
Ability to do home visits and outreach.
Experience with usage of EMR/EHRs/Care Management software.
Strong organization skills and ability to manage and maintain a personal schedule.
Ability to establish priorities and meet deadlines.
Ability to work independently within a virtual operating environment and as part of a team.
Excellent oral and written communication skills.
Ability to exercise judgment in the application of professional services.
Active listening skills and genuine compassion for others.
Enjoys collaboration within a team environment and working with people of different skills and experience.
Knowledge of community resources in the local market.
Able to maintain clear professional boundaries with patients and coworkers.
Commitment to represent the company with professionalism.
Demonstrates cultural competency and ability to work with diverse groups of community clients.
Comfortable using computer for documentation, communication, and organizing work.

MINIMUM REQUIREMENTS

At least 3 years of relevant work experience.
High school graduate or GED required.
Long-time resident of the community with good knowledge of the resources of this community
Ability to complete the training program and ongoing educational requirements as assigned.
Ability to work flexible hours, including occasional night/weekend work.

PREFERRED QUALIFICATIONS: Bilingual in English and Spanish required. Prior experience as a Community Health Worker, Peer Support Specialist, Medical Assistant or similar role a plus.

OTHER SKILLS AND ABILITIES:

Understanding of commercial insurance regulations and practices.
Understanding of c