Case Manager, ECM - West Fairfield

OLE Health • Fairfield, CA

2d • Onsite

About The Position

Enhanced Care Management (ECM) is a whole-person, interdisciplinary approach to care that addresses the clinical and non-clinical needs of eligible members with complex medical and social needs. ECM uses a comprehensive care management model that is community based, interdisciplinary, high touch and person centered. The Behavioral Health Case Manager ECM: provides case management and coordination of services to target populations. The case manager is a part of a collaborative team working to provide stability and resources to individuals living with a variety of complex physical and mental health circumstances. The case manager facilitates communication between the patient and their care team across departments and outside agencies.

CommuniCare+OLE provides an inclusive workplace that promotes and values diversity and life experience.

CommuniCare+OLE encourages people of all backgrounds to apply including, but not limited to, Black, Indigenous Peoples,

people of color, immigrants, refugees, women, LGBTQIA+, people with disabilities, veterans, individuals of

all ages and religions, and individuals who have been affected by the legal system.

YOU ARE WELCOME HERE.

The following reflects requirements and essential functions of this position but does not restrict tasks that may be assigned. Essential functions include basic job duties, core elements, or fundamental responsibilities that an employee must perform to hold the position. Employees must be able to perform these essential functions with or without reasonable accommodation (accommodation may be requested). Duties and responsibilities are not all-inclusive, and they may be assigned or reassigned to this job at any time, due to reasonable accommodation or any other reason.

Requirements

• High school graduate or equivalent required.
• Strong interpersonal and customer service skills required; ability to manage difficult and emotional patient situations.
• Ability to adapt to change; approach challenges with an innovative and proactive attitude; and investigate resources.
• Strong collaborative skills: ability to engage members of the care team, other disciplines, leadership, and external community partners effectively and appropriately.
• Must have initiative, strong analytical and problem-solving skills.
• Strong verbal and written communication skills required.
• BLS Certification Required.
• Drivers License Required.

Nice To Haves

• Bachelor’s degree in related field preferred.
• Bachelors in social work or another related field preferred.
• Experience providing direct services to patients as a case manager or other member of the health care team preferred.
• Experience working in a social service, health related organization or medical office/clinic.
• Experience working with co-occurring disorders preferred.
• Bilingual (English/Spanish) preferred.

Responsibilities

• Provide care coordination to clients with multiple medical needs and/or those determined to be at high risk for complication
• Provides consistent encouragement, hope, and non-judgmental support to patients with various challenging circumstances.
• Motivates ECM Members to be active and engaged participants in their health and overall wellbeing.
• Maintains a caseload of approximately 35-40 ECM Members
• Maintains updated ECM Member status and uploads Releases of Information, and Care Plans onto Point Click Care.
• Develops a care plan and works with the ECM Member to formulate and execute realistic, time specific and measurable goals.
• Comply with all Enhanced Care Management operating procedures and reporting requirements.
• Assists ECM Members in utilizing community services, including scheduling appointments with social services agencies, and assisting with completion of applications for programs for which they may be eligible.
• Identifies and addresses social determinants of health. Develops relationships with local community organizations to implement interventions that address social determinants of health
• Experience working successfully with issues of substance use, mental health, criminal background, and other potential barriers to economic self-sufficiency.
• Accompanies ECM Members to medical and other service-related appointments when necessary.
• Maintain clerical duties: medical record documentation, patient tracking forms and data collection.
• Work with all members of the care team and other departmental staff to expedite proactive solutions to issues, serving as primary patient contact for issues concerning care access and service.
• Participates in staff meetings. Assists with coordination of care offering input on patient progress.
• Collaborates with ECM team and CommuniCare+OLE staff including nursing, medical, dental, behavioral health, and care coordination to ensure the full spectrum of ECM services and benefits are implemented
• Performs other duties as assigned.

Benefits

• Medical, Dental, Vision Coverage
• Employer covers 90% of employee medical, dental and vision premium and 50% of dependent premium
• 18 days of PTO (Vacation & Sick)
• 10 Paid Holidays + 1 Float Holiday
• 2% employer match with employee 4% Contribution 403(b) retirement plan
• Tuition Reimbursement of up to $2,000 per Calendar Year for part-time and full-time employees (prorated per Full-Time Equivalent)
• Life & Accidental Insurance Coverage
• Employer contribution for Health Savings Account

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED