ECM Care Manager, Behavioral Health

SAC Health • San Bernardino, CA

4d • $33 - $44 • Onsite

About The Position

As a member of the Care Management Team, the ECM Care Manager, Behavioral Health is responsible for clinical coordination of moderate- to high-risk patients, including people experiencing homelessness, chronic medical or behavioral health conditions, substance use conditions, social determinants of health issues, and post-incarceration, as well as children and youth. The role works collaboratively with an interdisciplinary care team to improve the health and wellbeing of enrolled patients, provide brief behavioral therapeutic interventions, connect patients with community resources, and educate them about chronic medical and behavioral health conditions.

Using evidence-based approaches, the Care Manager promotes ongoing patient engagement and collaborates with practitioners across the healthcare spectrum to provide integrated care management. The role also conducts crisis evaluations and interventions for patients on the Care Management Team. Individuals with ACSW licensure may work within their permitted scope of practice and receive clinical supervision.

The schedule is five days per week, eight hours per day, Monday through Friday, 7:30 a.m. to 4:00 p.m., with a 30-minute lunch. The position is located at the SBC Clinic in San Bernardino, California. Patient home visits may be required as necessary.

Requirements

• Master’s degree in Social Work (MSW) or a related field of study.
• Valid California driver’s license and auto insurance.
• Current CPR/BLS certification from an American Heart Association- or Red Cross-accredited program.
• Must obtain EPIC certification for the module hired into.
• Proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook.
• Ability to use widely supported internet browsers, electronic health records, and other databases.
• Ability to communicate positively and effectively with staff in a multidisciplinary environment; conduct meetings and present in a public forum; maintain a professional attitude in difficult situations; and work effectively on a team.
• Strong interpersonal, organizational, analytical, and problem-solving skills; flexibility, attention to detail, ability to prioritize and manage multiple assignments, and ability to work under pressure.
• Must be legally authorized to work in the United States on a full-time basis and must not now or in the future require employment visa sponsorship.
• Reliable vehicle required for necessary patient home visits.

Nice To Haves

• ACSW licensure is highly preferred.
• At least one year of experience providing case management and mental health services in a community setting with homeless and/or at-risk populations is highly preferred.
• Fluency in English and Spanish is preferred.

Responsibilities

• Provide intensive case management for a caseload of patients with complex behavioral and medical needs.
• Manage acute and chronic behavioral and mental health conditions; reevaluate psychosocial plans of care and ensure they remain appropriate as patients’ needs and conditions change.
• Conduct initial screening assessments and ongoing behavioral health and psychosocial assessments, and make recommendations based on assessment findings.
• Monitor for warning signs of decompensation or crisis and respond accordingly, including crisis evaluation and intervention.
• Work cohesively with the interdisciplinary care team and healthcare practitioners across the continuum.
• Participate in outreach and engagement of new patients and promote programs to patients, families, and staff.
• Meet daily, weekly, and/or monthly productivity expectations set by management.
• Prepare and present systematic case reviews in collaboration with the interdisciplinary team.
• Ensure implementation of and compliance with patient care as ordered by providers.
• Work with patients to identify health and wellness goals and incorporate them into a shared care plan that facilitates communication between patients and providers.
• Provide individual health education to patients, families, and caregivers about disease processes, using verbal education and written handouts.
• Make patient home visits as necessary.
• Perform other duties outlined in the official job description.

Benefits

• Industry-leading PTO accrual, accrued per pay period.
• Sick leave.
• Paid holidays.
• Paid jury duty.
• Bereavement leave.
• SAC Health covers approximately 85% of team member health premium costs, which may vary by benefit plan selection.
• Retirement plan with up to 8% employer contribution.
• Continuing education and learning benefits.
• Annual mission trip.

What This Job Offers

• Job Type: Full-time