ECM Lead Care Manager
About The Position
GET TO KNOW US: For over 100 years, Vista Del Mar Child & Family Services (VDM) has taken great pride in providing exceptional programs and services for children and families throughout LA County. VDM envisions a community where all children and families are equipped and prepared to live productive, fulfilling lives. We serve the most vulnerable in Los Angeles, many of whom have faced multi-generational inequities. Vista Del Mar is guided by core values of empowerment, equity, and excellence. CULTURE: Folks who are Black, Indigenous, people of color, LGBTQ+, of a marginalized gender, disabled, parents, are/have been system-impacted, are immigrants, and anyone who has experienced systemic oppression, and/or gender-based violence are encouraged to apply. MISSION: Vista Del Mar provides a trauma-responsive continuum of services to empower children, youth, and families in Southern California to lead fulfilling lives. Role Overview: The Lead Care Manager – Enhanced Care Manager (ECM) provides direct service, as well as coordinates care management and functions as a part of a "Care Team" for the Enhanced Care Management Program (ECM). The Lead Care Manager will be responsible for the overseeing of specific cases, coordinating health care benefits, providing education, and facilitating client access to care. Accountable to: ECM Clinical Consultant
Requirements
- BA and/or relevant experience as determined by Supervisor
- Two or more years of direct practice experience working with seriously emotionally disturbed children, adolescents, and families.
- Experience in engaging parents/caregivers as partners and working successfully with families from diverse ethnic and cultural groups.
- Ability to work flexible hours, including occasional night/weekend work.
- Excellent person relationship, facilitation, and service management skills.
Nice To Haves
- Experience in crisis management is helpful.
Responsibilities
- Oversee the development and implementation of Individualized Care Plans/Health Action Plans to ensure comprehensive and person-centered care.
- Regularly communicate with other service providers to ensure continuity and integration of care across all involved parties, including primary care, mental health, substance use disorder treatment, and necessary community-based and social services.
- Provide support to engage clients in their treatment, including medication review and reconciliation, appointment scheduling, transportation coordination, accompaniment to critical appointments, and addressing barriers to client engagement in treatment.
- Communicate clients' needs and preferences promptly to all members of the care team in a manner that ensures safe, appropriate, and effective person-centered care.
- Maintain regular contact with clients and their families, guardians, caregivers, or authorized support persons to ensure consistency of care plan implementation.
- Engage in patient interaction per eligibility requirements and standards as set by the program.
- Participates in the development of clinical strategic and operational plans along with social workers, and medical providers and provides leadership needed to achieve medical goals.
- Completes timely reports and coordinates with insurance companies for approval and authorization.
- Able to perform complete enrollment evaluations.
- Provides regular communication with the staff regarding pertinent organizational and patient issues.
- Communicates with all members of the multidisciplinary team to improve the quality of patient care.
- Participates in patient care conferences and makes regular entries in inpatient care logs.
- Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the patient and non-duplication of services.
- Offer services where the patient lives, seeks care, or finds most easily accessible and within Managed Care plan guidelines.
- Utilize EMR/EHR/Care Management Software effectively to document and track client interactions and progress.
Benefits
- Full benefits offered (Medical, Dental, Vision)
- FSA/Dependent Care and Supplemental benefits through The Standard
- 403(b) – 3% Employer contribution based off annual salary
- 4 Mental Health Days
- Up to 12 Paid Holidays
- Up to 25% for Cell Phone Discounts with 3 Major Carriers (AT&T, Verizon, Sprint)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
101-250 employees
