ECM Lead Care Coordinator

Community Action Partnership of Orange County•Garden Grove, CA

16h•Hybrid

About The Position

Community Action Partnership has an exciting opportunity for an ECM Lead Care Coordinator. In this role, the Enhanced Care Management (ECM) Lead Care Coordinator will assist with the development and implementation of program procedures and ensure that requirements are aligned to build sustainable support in impacting the lives of hundreds of residents, playing a critical part in the work and dedication of Community Action Partnership of Orange County’s initiatives. It’s leadership with a cause and the rewards are immeasurable! Community Action Partnership Orange County (CAP OC) is a trusted resource for Orange County community members who face obstacles such as food insecurity, unemployment, economic turmoil and more. We walk alongside the people we serve, and we act to meet immediate needs without delay. Our programs help empower people to improve their lives and their communities. We see poverty as an unacceptable reality for our neighbors and rally with key partners to help facilitate change. CAP OC hires professionals who support and embody the EPIC values: Excellence, Proactiveness, Innovation, and Collaboration. The work we do is deeply rooted in the collaboration we have with our community and its citizens. We care about the legacy of community action partnership and go above and beyond to ensure we support each other in bringing forth the services and resources that will positively change generations forever. Our mission is “We seek to end poverty by stabilizing, sustaining and empowering people with the resources they need when they need them. By forging strategic partnerships, we form a powerful force to improve our community.”

Requirements

Proficient in medical terminology for effective communication with healthcare providers and accurate interpretation of medical records.
In-depth knowledge of health insurance plans, including Medicare, Medicaid, and private insurance, along with claims processes.
Proven ability to create tailored care plans for individual member needs.
Experienced in conducting thorough assessments to identify member’s medical, social, and psychological needs.
Expertise in managing cases, understanding housing services, and addressing poverty issues.
Effective in coordinating with healthcare providers to cover all aspects of member care.
Competent in using various assessment tools and methodologies.
Excellent verbal and written communication skills for interacting with members, families, and healthcare providers.
Strong organizational abilities to manage multiple members and coordinate their care.
Efficient in prioritizing tasks and ensuring timely service delivery.
Capable of identifying issues, developing solutions, and implementing changes to improve member care.
Strong critical thinking skills for quick, informed decision-making.
Empathetic and skilled in building trusting relationships with members and families.
Understanding of member privacy laws, such as HIPAA, to ensure confidentiality.
Ability to work both independently and collaboratively within a team.
Customer service oriented: Establish and maintain effective working relationships with CAP OC’s staff, clients, and representatives of other organizations.
Ethically Focused: Understand ethical behavior and business practices and ensure own behavior and the behavior of others are consistent with these standards and align with the values of the organization.
Inclusive: Work cooperatively and effectively with others to set goals, resolve problems, and make decisions that enhance organizational and program effectiveness.
Leader: Positively influence others to achieve results that are in the best interest of the organization and participants.
Work focused: Being detail-oriented while working accurately and efficiently on a consistent basis without assistance. Strong organizational skills.
Flexible: Work locations will vary between an office environment and working in the community which can include working outdoors in varying temperatures and weather conditions. May require working weekends/ evenings/ holidays when/if needed to meet client/production demands. Workdays and hours of work are subject to change.
Demonstrate clear, concise, and effective communication skills both orally and in writing in English and Spanish.
Promptly correctly create, compose, and complete mathematical equations on a computer and/or to complete forms for reports and/or presentations. Compile numbers, statistical data, and obtain other information for forms, reports, and presentations.
Competently use the Internet, Web based databases, Microsoft Office (Word, Excel, PowerPoint, Outlook, Publisher and Access) and other applications. Experience with virtual communication platforms. Use a variety of computer databases to ensure that client records, statistics and reports are completed.
Bachelor’s degree in Nursing, Social Work, Public Health, Healthcare Administration, or a related field (Master’s degree preferred).
A minimum of 3-5 years of experience in care coordination, case management, or a related healthcare role.
Proven track record working with individuals experiencing homelessness or individuals with chronic conditions.
Possess a valid California Driver’s License with a driving record that meets minimum standards established by CAP OC insurance carrier, proof of vehicle insurance, access to a vehicle and willingness to drive/travel when required.
The incumbent will use their personal vehicle.

Nice To Haves

Master’s degree preferred.
Advanced certifications in care management such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) are a plus.
Bilingual in English/Spanish, both written and oral forms.

Responsibilities

Conduct client screenings and assessments; develop, implement, and monitor individualized care/service plans; provide crisis intervention; connect clients to health, mental health, employment, housing, and other community resources, including CalAIM community supports and transportation.
Supervise the provision of Enhanced Care Management (ECM) services, including the development and implementation of care plans.
Maintain accurate records of service objectives, outcomes, and other services in line with established guidelines.
Facilitate clear communication among interdisciplinary care team members to ensure awareness of clients’ care plans.
Collaborate with clients’ providers, including but not limited to medical, behavioral health, specialists, and housing navigators.
Accompany clients to office visits as needed.
Coordinate with individuals and entities to ensure a seamless client experience and avoid service duplication.
Employ motivational interviewing, trauma-informed care, and harm-reduction approaches.
Monitor clients’ adherence to treatment plans, including medication.
Provide health promotion and self-management training.
Complete and submit program reports as scheduled or needed.
Engage with eligible members.
Perform other duties as assigned.