Case Manager I-II

North Coast Opportunities, Inc.•Clearlake, CA

55d•$20 - $29•Onsite

About The Position

The Case Manager (CM) assists clients with coordination of necessary benefits, services and resources to address their complex needs as defined by the client. The CM is a direct service position working with individuals and families, including participants with undiagnosed mental health and substance use disorders. The CM utilizes crisis response/intervention, harm reduction, and trauma informed care principles to build trusting relationships to provide case management. The CM conducts client intake, individual assessment, case planning, goal setting, individualized assistance and maintains deep knowledge of local, state and federal resources for housing, disaster recovery and other needs. This position requires a collaborative nature, and high levels of professionalism and emotional intelligence.

Requirements

Must be at least 18 years of age.
Employment is contingent on receipt by program of a completed background check that includes CA DOJ, FBI, and CSAR that does not exclude the candidate from working with at risk individuals.
Because driving is required for this position, employment is contingent upon receipt by program of proof of a driving record that is within the Agency’s established criteria.
For work-related driving, must have a valid California driver’s license, a verifiable good driving record, and access to a vehicle with insurance that covers the employee as a driver OR reliable transportation with proof of automobile insurance.
Must have successfully completed all grant-required case management specific curriculum training or do so as provided within one year of hire.
Interact with others in a culturally and emotionally sensitive manner.
Communicate effectively and appropriately verbally and in writing in English is required.
Maintain cooperative, professional working relationships.
Operate standard business office equipment.
Organize duties and tasks to meet established deadlines, delegating tasks as appropriate.
Understand and carry out oral and written instructions.
Be effective working independently and as a collaborative team member.
Perform above average math calculations and data analysis functions in an accurate manner (i.e. addition, subtraction, multiplication, division, percentages, and ratios).
Accurately collect and analyze data and perform data entry for extended periods of time.

Nice To Haves

Case management experience is preferred.
Whole person care and trauma informed care is preferred.

Responsibilities

Maintain the highest level of confidentiality regarding client information, ensuring compliance with all Homeless Management Information System (HMIS) regulations and Health Insurance Portability and Accountability Act (HIPAA) regulations and any signed release of information forms.
Perform culturally and linguistically competent outreach and collect information to identify and prioritize potential clients.
Perform entry of client data into tracking forms and program databases to support appropriate prioritization of clients and required outcomes of tracking and fiscal reporting.
Conduct comprehensive intake of client(s).
Develop collaborative relationships with internal and external partners including individuals, organizations, businesses and government agencies.
Advocate for client and serves as a liaison with other service providers.
Develop and maintain resource lists.
Provide education and information to assist clients in accessing resources, including public benefits.
Use a strengths-based approach to assist clients to define goals and create plans for stabilization.
Continuous monitoring of client progress.
Maintain thorough, accurate and up to date case records and documentation of service encounters.
Respond to calls, emails, update requests and other inquiries in a professional and timely manner.
Prepare, review, and submit claims for CalAIM-related services, including Enhanced Care Management (ECM) and Community Supports.
Ensure compliance with Medi-Cal billing guidelines and CalAIM-specific requirements.
Monitor claim status and follow up on denials, rejections, and underpayments.
Collaborate with case managers, and program staff to ensure accurate documentation and coding.
Maintain up-to-date knowledge of CalAIM billing codes, modifiers, and DHCS updates.
Reconcile payments and generate reports for internal tracking and audits.
Assist with training and support for staff on CalAIM billing procedures.
Participate in quality improvement initiatives related to billing accuracy and efficiency.
Follow all best practice standards of care.
Utilize coordinated entry when applicable.
Exercise sound professional and case management judgement, maintain case records with minimal documentation errors.
Organize and prepare information and reports for meetings, briefings, and conversations with clients, staff and external partners.
Participate in team and case management meetings; collaborate with other teams and NCO staff members.
Perform other duties as assigned or required.
Align work behaviors in conformance with NCOs Purpose, Vision and Values.
Report to work on time and obtain approval from supervisor for any changes in work schedule or absences.
Maintain a strict commitment to confidentiality, in accordance with Agency and project policies and procedures.
Follow the NCO Injury Illness and Prevention Plan, as well as all Agency and program safety protocols, procedures, and policies.
Maintain focus on the assigned tasks.
Take pride in creating a positive, efficient work environment.
Treat co-workers and clients with respect.
Represent NCO and its programs to the community in a positive light.
Dress appropriately according to assigned job duties and responsibilities.
Adapt constructively to change.