Case Manager @ ARCHES [E]

BOYS & GIRLS CLUBS OF GARDEN GROVE•Garden Grove, CA

6d•$23 - $26

About The Position

Assist in the coordination of care and services for at-risk CalOptima Health members with multiple medical and psychosocial needs in the Enhanced Care Management program. Work collaboratively with managed care plans, medical providers, social workers, community partners, and other members of interdisciplinary teams to ensure the delivery of safe and efficient care.

Requirements

Must be bilingual in Spanish or Vietnamese and at least 21 years of age
4 years relevant experience OR AA degree and 2 years relevant experience OR Bachelor’s degree and 1 year case management experience
Experience working with families and youth
Reliable transportation, safe driving record, CA driver license, 2 years of driving experience, and automobile insurance required
Position may require standing/sitting for extended periods of time, dexterity of hands and fingers to operate office equipment, reaching overhead, above the shoulders and horizontally, bending at the waist; seeing to review and analyze reports, documents or other reports; hearing and speaking to communicate and provide information to others; speaking to be heard before groups of people; position may require to lift, carry, pull or otherwise move objects between 10-20 pounds.

Nice To Haves

Medi-Cal experience preferred

Responsibilities

Conduct comprehensive intakes and assessments with clients and families
Develop comprehensive care plans by evaluating client needs, setting measurable goals, and conducting regular reassessments to ensure progress and relevancy
Manage client care in collaboration with other health professionals and members of client care team in order to make decisions about treatment and meet health goals
Provide community-based referrals and resources to clients and families that meet client needs
Coordinate discharge planning by working closely with hospital staff to ensure smooth transitions of care and continuity of support post-discharge
Assist clients in determining eligibility for and access to County, State, and Federal programs, and obtaining necessary documentation
Assist in creating and terminating files, completing all necessary documentation, and updating and documenting all client information and services rendered into database
Complete daily process notes for each client worked with and enter information into database
Be resourceful and possess a knowledge of social services and support community based mental health and family services
Participate in group, clinical, and multi-disciplinary case consultations when necessary
Attend staff/volunteer meetings and trainings
Ensure a productive work environment by working as a team member, contributing to team meetings and providing feedback to support decision making
Contribute to the quality of a high performing team and take on different roles as needed; continuously manage own time and resources
Be compassionate and committed to helping children and families reach their full potential; work with diverse populations in a culturally competent manner and work one-on-one with youth
Build partnerships with parents, families, and community partners
Maintain close, daily contact with staff, clients and supervisors to receive and provide information, discuss issues, explain or interpret guidelines and instructions
Effectively and with proficiency, use Microsoft Office applications - specifically Outlook, Excel, and Word, electronic scheduling, and database software
Ensure the ARCHES office meets health and safety standards and ensure the safety of all clients
Take action to prevent accidents and respond to injuries and signs of illness
Utilize strong organizational skills with attention to detail, follow-up, and manage demanding caseload
Prioritize and complete multiple tasks within expected deadlines; adapt and be flexible
Utilize strong communication skills - both written and verbal, and provide feedback regularly; speak in front of large and small groups
Utilize excellent documentation skills with demonstrated ability to write clearly, concisely, and descriptively
Maintain knowledge of HIPAA and confidentiality regulations; follow organizational procedures
Maintain experience in case management and knowledge in case management philosophy and function
Maintain skills and ability in project management, providing training, networking, and establish collaborative relationships
Maintain knowledge of administrative and clerical procedures and systems such as managing files and records, following up on phone calls, receiving and documenting payments, conducting meetings, completing reports, and tracking data
Attend trainings regarding Medi-Cal and CalAIM programs, including Enhanced Care Management and Community Supports updates regarding changing requirements
Act as a patient advocate for clients requiring assistance with access to healthcare, behavioral health, and other needs
Complete all documentation per Medi-Cal, Orange County, and BGCGG standards within expected deadlines
Arrange transportation for clients to access health services
Encourage health prevention and awareness
Participate in group, clinical, and multi-disciplinary case consultations
Provide information to and screen potentially Medi-Cal eligible children and family members to obtaining Medi-Cal health care coverage
Assist families in applying for Medi-Cal, if applicable, and discuss follow-up health care
Actively encourage parents regarding enrolling uninsured children in health insurance, including Medi-Cal/Healthy Families
Support with ARCHES food pantry, including but not limited to receiving deliveries, placing and coordinating food orders and purchases
Assist in screening, selecting and enrolling clients, and follow up with phone contact as needed
Attend coordination meetings, case management, and informational meetings in order to maintain and develop community partnerships; attend other meetings as necessary
Effectively support the planning, development, and implementation of ARCHES programs, services, and activities
Effectively monitor and evaluate programs, services, and activities through tracking referrals, phone calls, customer service, and any additional responsibilities; assist supervisor with training and supervision of volunteers
Continuously develop own knowledge and skills in each of the various Community Health Services programs
Assist in outreach activities at health fairs, community events, and other special events
Maintain contact as needed with external community groups, schools, members, BGCGG partners, and others to promote and ensure information and referral services for the Community Health Services Programs are successful
Report all child abuse cases to CAR and completes reports as necessary
Act as a translator when interpretation is needed for services and activities related to case management and facilitating Medi-Cal applications