ECM Lead Care Manager

Central Neighborhood Hlth Fdn • Santa Fe Springs, CA

30d

About The Position

The Enhanced Care Management program provides a whole-person approach to care that addresses the clinical and non-clinical circumstances of high-need members enrolled in Medi-Cal managed care. The Lead Care Manager will work with leadership, providers, and managed care to determine the needs of high acuity, vulnerable patients. This will include providing basic housing assistance, patient-tailored intensive case-management, developing a care/service plan; provide linkages to medical, psychiatric, social, educational, and other services as needed. The Lead Care Manager will also work with the Community Supports Program staff to provide team-based, patient-centered care management for homeless and at-risk of homelessness patients. The goal of the ECM program is to effectively manage high utilizers and homeless patients during their continued care to ensure that their medical and psychosocial needs are met and to minimize the likelihood of preventable hospital admissions and emergency department utilization.

Requirements

• Bachelor’s degree preferred.
• Three years of experience in the health care, case management, or related field.
• Knowledge and experience with Electronic Medical Records.
• Ability to communicate effectively in both written and verbal form to patients, the public, medical staff, and physicians.
• Excellent counseling skills and ability to relate to multi-ethnic community and varied income levels.
• Strong interpersonal skills to establish productive working relationships with a multidisciplinary team and support services.
• Ability to work independently, collaboratively, and possess strong time management skills.
• Knowledge of the Care Process and ability to apply all steps.
• Knowledge of insurance coverage and the insurance eligibility process.
• Knowledge of the functions and services of local community health agencies and community organizations.
• Excellent organizational skills and attention to detail.

Responsibilities

• Conducts initial screening, assessments, and reassessments to determine the continued needs of the client.
• Conducts outreach, enrollment, monthly reporting, and accurate completion of comprehensive risk assessments and care plans.
• Conducts proper intake steps such as patient data collection, eligibility, program enrollment, care plan development, and assessment of needs.
• Works with leadership, providers, and managed care to develop and implement patient-focused care plans for clients with chronic conditions.
• Provides direct care management services to ECM participants in their assigned case load in line with ECM guidelines and recommended services.
• Conducts regular reviews of patient’s chart to ensure quality services are provided and documented by Lead Care Managers consistently and accurately.
• Responds to patient inquiries and refers members to other departments, social services, or support services as needed.
• Works with the Housing Navigation team to ensure enrolled patients, who are experiencing homelessness or are at risk of homelessness, receive proper services.
• Performs other related duties as assigned

What This Job Offers

• Job Type: Full-time