ECM, SM - Care Manager I

HealthRIGHT 360•San Mateo, CA
•Onsite

About The Position

The Care Manager I facilitates care by connecting clients with suitable services to meet their needs, including physical and mental health, substance use issues, employment, legal concerns, housing, community resources, and aftercare. This is an in-person, field-based role working directly with members in diverse settings such as their homes, homeless encampments, service-provider locations, and other areas requiring outreach. Reliable transportation is required. The role supports Enhanced Care Management (ECM), a CalAIM initiative that provides person-centered, community-based care management for Medi-Cal members. Care Managers meet members where they are and coordinate health-related care and services to support their overall well-being. ECM may also connect members with community-based support for health-related social needs, such as housing assistance and medically tailored meals.

Requirements

  • High school diploma or equivalent.
  • Two years of care-management experience.
  • Experience working with clients experiencing acute withdrawal from substances.
  • Valid First Aid and CPR certification, or ability to obtain certification within 30 days of hire.
  • Valid California driver’s license and access to registered and insured transportation.
  • Reliable transportation for field-based work.

Nice To Haves

  • Experience working with the criminal justice population.
  • Experience working with Medi-Cal, Medicare, and private medical insurance plans.
  • Experience providing trauma-informed services.

Responsibilities

  • Identify eligible individuals from various locations for enrollment in ECM and use in-person meetings, mail, email, texts, telephone, and community outreach to engage them.
  • Organize client care activities according to Managed Care Plan requirements, share information with the multidisciplinary care team, and implement activities identified in the plan.
  • Support clients’ treatment engagement through medication review, appointment scheduling, transportation coordination, and addressing barriers to engagement.
  • Assist with intake by completing required assessments; connect clients to benefits, healthcare services, employment, housing, and community resources.
  • Monitor client progress toward treatment-plan goals and provide input to treatment plans.
  • Maintain regular contact with providers and promote continuous, integrated care among service providers.
  • Refer clients to and follow up with primary care, mental health, substance use disorder treatment, and necessary community-based services.
  • Collaborate with clients and families on community reintegration and work with outside agencies to obtain needed resources, including housing, recovery services, medical care, employment or education services, DPSS, and DMV resources.
  • Communicate collaboratively with members of the behavioral health team.
  • Meet ECM clients at their physical locations and conduct care-management activities in locations that are attainable and desirable for them.
  • Use available office space for care-management activities and attend required training and meetings.
  • Submit mileage for field-based care-management activities for reimbursement.
  • Complete progress notes within 24 hours of service delivery and write client progress letters and court reports.
  • Participate in assigned group supervision, agency and team meetings, and training; complete assigned training in a timely manner.
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