Care Manager - ECM, LA

HealthRIGHT 360•Santa Ana, CA
•Onsite

About The Position

HealthRIGHT 360 is a nonprofit organization providing comprehensive healthcare services to vulnerable populations, including mental health care, substance use treatment, primary health services, and transitional support. Its programs integrate physical and behavioral healthcare and address social determinants of health. The Care Manager supports Enhanced Care Management (ECM), a CalAIM service for Medi-Cal members. The role is the primary point of contact for members, families, caregivers, authorized representatives, and interdisciplinary care teams. The Care Manager connects members with appropriate healthcare and community services, including physical and mental healthcare, substance use services, employment support, legal resources, housing, and aftercare. This is an in-person, field-based position. The Care Manager meets members in settings such as their homes, homeless encampments, and service-provider locations, and conducts case management where it is most accessible and appropriate for each member. Reliable transportation is required. The role also includes documentation, meetings, training, and other assigned duties.

Requirements

  • High school diploma or equivalent.
  • Case 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.
  • Ability to meet clients in the field and travel to their locations.

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 for enrollment in CalOptima’s Managed Care Plan and engage them through in-person meetings, mail, email, texts, telephone, and community outreach.
  • Organize client care activities according to CalOptima’s Managed Care Plan, share information with multidisciplinary care teams, 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 clients’ progress toward treatment-plan goals and provide input on treatment plans.
  • Maintain regular contact with providers involved in each client’s care and support continuous, integrated services.
  • Refer clients to and follow up with primary care, mental health, substance use disorder treatment, and community-based services.
  • Collaborate with clients and families on community reintegration.
  • Work with outside agencies to obtain resources such as housing, sober living, recovery services, medical care, employment or education services, DPSS, and DMV resources.
  • Communicate collaboratively with behavioral health team members.
  • Meet ECM clients at their locations and conduct case management in places most attainable and desirable for them.
  • Use available office space for case management and attend required training and meetings.
  • Submit mileage for reimbursement for field-based case management activities.
  • Complete progress notes within 24 hours of service delivery.
  • Write client progress letters and court reports.
  • Participate in assigned group supervision, agency and team meetings, and training; complete assigned training on time.
  • Perform other duties as assigned.
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