ECM Lead Care Manager

Whole Person Care Clinic•Heber, CA

7h•Onsite

About The Position

National Healthcare & Housing Advisors (NHHA) is creating this role to support the coordination, oversight, and delivery of Enhanced Care Management (ECM) services for members with complex medical, behavioral health, and social needs. The ECM Lead Care Manager provides direct care management while guiding day-to-day care coordination activities, supporting Lead Care Managers and care team members, and ensuring services align with program requirements, established workflows, and whole-person care principles. The role oversees member engagement, comprehensive assessments, individualized care plans, care transitions, and coordination with healthcare providers, community-based organizations, and social service resources. It monitors caseload activity, documentation quality, service delivery, and program performance while providing guidance, coaching, and support to care management staff. The ECM Lead Care Manager also helps identify and address or escalate barriers to member engagement, service access, and continuity of care.

Requirements

Medical background with appropriate training and oversight.
Knowledge of medical terminology and client care practices.
Excellent verbal and interpersonal communication skills.
Strong organizational skills for coordinating care between clients and their care team.
Ability to work independently and make decisions in a fast-paced environment.
Proficiency in care coordination.
Experience with electronic health record (EHR) systems.
Cultural responsiveness and trauma-informed care.
Professional communication and interpersonal skills.
Time management and organizational ability.
Basic computer literacy, including Microsoft Office and EHRs.
Confidentiality and compliance awareness.
Ability to stand for prolonged periods and walk between units or facilities.
Ability to lift up to 25 lbs., assist clients with mobility, and perform basic physical tasks as needed.
Ability to use personal protective equipment (PPE) in accordance with infection control protocols and safety guidelines.
Ability to respond calmly and appropriately to possible emotional or behavioral outbursts.
Ability to travel locally to partner sites, client homes, and meeting places.

Responsibilities

Coordinate with individuals and entities to ensure seamless client experiences and avoid duplication of services.
Conduct outreach to clients for ECM services and provide care coordination as needed, where services are most accessible to clients and within applicable health care plan guidelines.
Connect clients with needed social and support services, including transportation.
Develop and oversee comprehensive care plans addressing clients’ medical, mental health, and social needs.
Coordinate and advocate for clients with healthcare providers, social services, and community resources to support care transitions and continuity of care.
Conduct regular assessments of client progress and adjust care plans as needed.
Monitor client care outcomes and implement quality improvement initiatives.
Accompany clients to office visits as needed and according to applicable health care plan guidelines.
Monitor client treatment adherence, including medication adherence.
Use motivational interviewing, trauma-informed care, and harm-reduction approaches.
Provide health promotion and self-management training.
Build relationships with healthcare providers, community organizations, and other stakeholders to support collaborative care.
Act as a liaison among clients, families, and healthcare teams to facilitate communication and client advocacy.
Participate in multidisciplinary team meetings and case conferences to discuss client care and coordinate services.
Identify opportunities for program development and implement care management strategies to improve client outcomes.
Guide day-to-day care coordination activities and support, coach, and provide guidance to Lead Care Managers and care team members.
Monitor caseload activity, documentation quality, service delivery, and program performance.
Identify barriers to member engagement, service access, and continuity of care, and address or escalate concerns appropriately.