ECM Lead Care Manager

Southern California Health and Rehabilitation Program (SCHARP)•Lynwood, CA

About The Position

The Lead Care Manager oversees care coordination and management for Members in a behavioral healthcare setting. Working with a team of professionals, this role helps ensure Members receive high-quality, safe, efficient, and effective care. The Lead Care Manager also manages the day-to-day operations of the care management team and ensures staff are trained and follow appropriate protocols. The position coordinates Enhanced Care Management (ECM) services, supports implementation of members’ care plans, and serves as the primary point of contact for members and their authorized supports and multidisciplinary care teams. Services are provided with a behavioral health recovery orientation, cultural sensitivity, and awareness of the needs of populations of focus, including people experiencing homelessness and co-occurring disorders and people transitioning from jail to the community. Local and out-of-state travel may be required for conferences, workshops, and training. Ongoing training is expected as appropriate.

Requirements

Pass a California State Department of Justice criminal background investigation, Live Scan, and/or fingerprinting.
Complete training in Person Centered Planning during the first three months of employment.
Have a bachelor’s degree in social services or a related field and at least two years of experience working with children and/or families; alternatively, be a Registered Nurse, LVN, or Behavioral Health or Social Services paraprofessional with a bachelor’s degree and at least two years of case management or related experience in the field.
Have at least one year of experience working with behavioral health populations, including homeless persons with co-occurring disorders.
Have experience working with low-income, diverse populations, including people affected by mental illness, substance use, and incarceration.
Have experience with and comfort working with CalAIM populations of focus: people experiencing homelessness, people with SMI/SUD, people transitioning from incarceration, people in Foster Care, and people with complex medical needs.
Lived experience.

Responsibilities

Conduct outreach to eligible health plan members and engage them in Enhanced Care Management according to protocols.
Coordinate with individuals and entities to provide members with a seamless experience and avoid duplication of services.
Oversee the provision of ECM services and implementation of care plans.
Offer services where members live, seek care, or can most easily access care, within SCHARP guidelines.
Conduct comprehensive client assessments, including demographic information, psychosocial history, and social determinants of health status.
Connect members to needed social services and supports, including transportation.
Advocate for members with health care professionals.
Use motivational interviewing, trauma-informed care, and harm-reduction approaches.
Coordinate with hospital staff on discharge plans.
Accompany members to office visits as needed and according to SCHARP guidelines.
Monitor treatment adherence, including medication adherence.
Provide health promotion and self-management training.
Assist with administrative duties, including developing reports and building and maintaining a contact network of agencies and local community members; perform other duties as assigned.
Meet weekly with the ECM Director and Clinical Supervisor to ensure timely, complete referral intakes, assessments, and reassessments for enrollees and enrollment candidates, coordinating with multidisciplinary team members.
Use ECM Model strategies to support member access to comprehensive and appropriate health, mental health, vision, and dental care.
Connect clients with systems of care and guide them through making and following through with appointments and aftercare.
Coordinate with multidisciplinary treatment teams, including case managers supporting targeted case management, in compliance with ECM practices; help individuals sustain recovery and access needed medical, social, legal, educational, and other services and supports.
Provide services with a behavioral health recovery orientation, cultural sensitivity, and awareness of the needs of populations of focus, including people experiencing homelessness with co-occurring disorders and people transitioning from jail to the community.
Ensure appropriate documentation of all services rendered.
Serve as the primary point of contact for the member, the member’s family, authorized representative, caregiver, other appropriate authorized support persons, and the multidisciplinary care team.
Travel locally and out of state as needed to participate in conferences, workshops, and training, and attend ongoing training as appropriate.
Manage the day-to-day operations of the care management team and ensure staff are trained and follow appropriate protocols.