ECM Lead Care Manager (Bilingual)

CASA PACIFICA CENTERS FOR CHILDREN & FAMILY•Santa Maria, CA

6d•$25 - $38

About The Position

Under the direction of the SBC Clinical Manager and Regional Director, the Lead Care Manager (LCM) provides direct services and coordinates care as a key member of the Enhanced Care Management (ECM) Care Team. The LCM oversees assigned cases, coordinates health care benefits, provides client education, and facilitates timely, cost-effective access to care. Working collaboratively with clients, caregivers, family supports, and service providers, the LCM promotes wellness, recovery, independence, resilience, and empowerment. The LCM also serves as a client advocate, an active member of the interdisciplinary team, and a liaison to internal programs and external health and social service providers within the community. The Lead Care Manager upholds Casa Pacifica’s Standards of Behavior and exemplifies the organization’s core values of respect, integrity, compassion, and courage. We are a diverse and inclusive team providing excellent services to all our surrounding communities. Our team members are empowered to share their identities, ideas, and perspectives. A culture built on diversity, equity and inclusivity is essential to creating a safe and healing environment at Casa Pacifica.

Requirements

Interpersonal savvy, demonstrated by the ability to interact with and influence people to establish trust and build strong relationships.
Ability to do home visits and outreach.
Experience with usage of EMR/EHRs/Care Management software.
Strong organization skills and ability to manage and maintain a personal schedule.
Ability to establish priorities and meet deadlines.
Ability to work independently within a virtual operating environment and as part of a team.
Excellent oral and written communication skills.
Ability to exercise judgment in the application of professional services.
Active listening skills and genuine compassion for others.
Enjoys collaboration within a team environment and working with people of different skills and experience.
Knowledge of community resources in the local market.
Able to maintain clear professional boundaries with patients and coworkers.
Commitment to represent the company with professionalism.
Demonstrates cultural competency and ability to work with diverse groups of community clients.
Comfortable using computer for documentation, communication, and organizing work.
At least 3 years of relevant work experience.
High school graduate or GED required.
Long-time resident of the community with good knowledge of the resources of this community
Ability to complete the training program and ongoing educational requirements as assigned.
Ability to work flexible hours, including occasional night/weekend work.
Valid California Driver's License with excellent driving record.
Use of personal car required; mileage reimbursement.
Must have proof of insurance.
Must maintain a positive driving record.
Ability to read and interpret documents such as insurance requirements, authorizations, and coverages, safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to calculate figures and amounts such as discounts, interest, percentages, and ratios.
Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations.

Nice To Haves

Bilingual in English and Spanish required.
Prior experience as a Community Health Worker, Peer Support Specialist, Medical Assistant or similar role a plus.
Understanding of commercial insurance regulations and practices.
Understanding of current utilization/quality management principles, techniques and procedures.
Possesses negotiation and advocacy skills and abilities.
Strong computer skills - Word, Excel, Outlook, Electronic Health Record.
Excellent written and verbal communication skills.
Ability to maintain professionalism and confidentiality in all aspects of position.
Strong interpersonal and organizational skills.
Self-starter, creative thinker with strong social and customer service skills.
Ability to manage several projects at one time.
Organized and able to function well in a busy environment including the ability to switch gears easily and multi-task.
Demonstrated ability to work collaboratively, yet function independently.
Ability to interact with children and their families in a nurturing way with a positive and patient demeanor.

Responsibilities

Assess client needs in the areas of physical health; mental health; SUD; oral health; trauma- informed care; social supports; housing; vocational/employment; wellness; and referral and linkage to community-based services and supports.
Oversees the development and implementation of the Individual Care Plan/Health Action Plan
Offer services where the client lives, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services.
Connect clients to other social services and supports that are needed (e.g., community support group).
With permission, coordinate/advocate on behalf of client with health care professionals (e.g., PCP)
May utilize evidence-based practices to maximize enrollee participation and engagement while promoting optimal lifestyle/behavioral changes.
Work collaboratively with hospital staff regarding Transitional Care Planning.
Conduct outreach and engagement activities to facilitate linkage to the ECM program. Outreach and Engagement consists of phone calls, mailed information, and field visits.
Accompany clients to office visits, as needed and appropriate.
Evaluate progress and update goals.
Provide mental health promotion.
Arrange transportation.
Complete all documentation within the timeframes established by the individual action plans
Attend weekly staff/team meetings and supervision.
Attend training as assigned (e.g., ACEs Certification).
May perform other duties as assigned from time to time.

Benefits

Competitive Wages
Comprehensive Benefits package, including 401k with up to 5% fully vested employer matching contributions made after first year of service
Medical, Dental & Vision Insurance options
Flexible Spending and Dependent care programs
Excellent Training opportunities
Education/Tuition Assistance programs
Group Discount Pet Insurance
Aflac Critical Illness, Accidental & Dental supplemental plan options
Employee Assistance Program
Free Confidential Crisis Line 24/7 (365 days a year)
4 face-to-face or telephonic sessions per issue, i.e., Stress, Anxiety, Depression
Life transitions Grief and Loss Divorce Conflict Resolution Substance Abuse Work-Life Counseling
Free Legal and Financial Consultations
Identity Theft Recovery Services