ECM Case Manager-REACH Program

Job DetailsLevel: ExperiencedJob Location: CARE Center - Redding, CA 96001Position Type: Full TimeSalary Range: $22.00 - $25.00 HourlyJob Shift: DayJob Category: Health Care
                       


Job Title:  Enhanced Care Management- Case Manager – REACH Program 

Department:  Community Programs 

FLSA Status:  Non-Exempt 

Reports To: ECM Program Manager 

Hours:  M-F, 8am-5pm, varies 

  

  

POSITION SUMMARY: 

Hill Country Health and Wellness is identified as a Transitions Clinic Network Program. This position is best served by a case manager with a history of incarceration and will be working with an integrated team.   

The REACH ECM Case Manager will provide outreach, advocacy, navigational, and case management services to individuals that have recently been released from incarceration with chronic medical conditions, including those affected by psychiatric and/or substance use disorders. A shared history with the re-entry population helps with engagement and building trust, which leads to improved health outcomes for patients.   

  

The ECM-REACH Case Manager works as part of a team to support participants in learning skills to make behavioral changes to improve their health and wellness. Under minimal supervision, work independently and in close collaboration with Hill Country’s medical staff, behavioral health staff, case management staff and other community agencies to provide outreach, navigational services and direct case management services to maximize health outcomes. Learns and uses a harm reduction approach to promote change. 

  

ESSENTIAL DUTIES AND RESPONSBILITIES 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Other duties may be assigned which may become essential to the position.  

  

Under the supervision of the ECM Manager and in collaboration with the Transitions Clinic Network team, the ECM-REACH Case Manager is responsible for maintaining the REACH caseload by performing the following essential job functions:

 


Recruits’ individuals by conducting outreach activities in the community.   
Provides support, empowerment, education and case management services to recently released individuals. 
Advocates for participants as needed to access services within the community. 
Serves as liaison between the professional staff and the community, including developing relationships with various stakeholders in the re-entry community. 
Conducts periodic assessments of participants’ strengths, basic needs, social determinants and any barriers to care. Identifies problem areas that affect daily functioning and are barriers to engage in recommended services. 
Provides education to participants about the health care system and facilitates access to services. 
Collaboration with community resources for referrals and coordination of services. 
Maintain close communication with medical, behavioral health and other support staff as needed to meet participant’s needs. 
Work closely with participants to develop individualized care plans to meet individual needs. 
Collaborates with medical and behavioral health to provide health and behavioral interventions. 
Advocate for participants as needed to obtain housing.   
Make referrals for needed services and facilitate access to community resources. 
Assists participants in utilization of services, maintains follow up contacts and coordination of care. 
Assist in arranging appointments as needed to support access to care. 
Provides education of chronic health conditions, substance/alcohol related disorders and standards of care and self-management of their conditions. 
Provides education and training of substance/alcohol related disorders, including but not limited to substance refusal skills, relapse prevention and recovery planning. 
Provides brief intervention to address alcohol/substance use, and/or behaviors to assist patients to gain strategies to overcome obstacles that interfere with the recovery process. 
Continually monitor and evaluate patient’s progress on goals, treatment and/or care plans. 
Adheres to strict boundaries and professional ethics in the care of others. 
Maintains accurate and timely documentation of all interactions, including telephone calls. 
Meets regularly for clinical supervision for consultation with clients and additional support. 
Attends required TCN Program meetings and work in collaboration with partners of the TCN network.   
Participate in ongoing education and training for professional development. 
Attend program-related community, coalition and committee meetings as assigned by supervisor 
May transport ambulatory participants to medical, behavioral health appointments as well as other social service agencies. 
Assists to gather and evaluate data concerning the TCN Program.   
Performs other duties as assigned. 


 

Minimum Qualifications