Lead Care Manager

Amity Foundation•Los Angeles, CA

2d•$31 - $31

About The Position

The Enhanced Lead Care Management (ECM) is responsible for the and coordination, improving health outcomes, enhancing satisfaction, and reducing unnecessary healthcare utilization. ECM is a comprehensive, patient-centered approach to healthcare that aims to improve outcomes for high-need populations. This involves the coordination of medical, behavioral, and social services to address the full range of patient needs, focusing on those with complex and chronic conditions. ECM programs are designed to optimize care delivery, reduce unnecessary hospitalizations, and improve the overall quality of life. The intention of our services is to help people who have not been able to get the needed help in terms of Housing, Mental Health, Substance Abuse treatment, and linkages to community resources to help minimize recidivism. The role of the ECM Advocate is to help create a supportive network of services and resources for the client to prevent reincarceration and support long term permanent housing goals.

Requirements

Bachelor’s degree in social work, psychology, public health, or related field; or associate’s degree And minimum of two years’ experience in client-related field, providing case management and community outreach.
OR The equivalent of a high school diploma and three cumulative (3) years of experience of administrative responsibility in providing outreach, substance abuse counseling, reentry services, and case management within a culturally diverse population.
Strong communication and interpersonal skills, capable of building relationships with students, families, team members, and community partners.
Understand various ethnic and socioeconomic backgrounds within a multicultural environment.
Knowledge on how to administer assessments, substance abuse counseling, reentry services, and case management within a culturally diverse population, preferably with both men and women.
This position requires local travel and the ability to navigate public transportation with students.
Required to use company vehicle as well as personal vehicle to visit county jails and transport clients to and from appointments and other locations as needed.
Required to have car insurance, vehicle, and valid driver’s license

Nice To Haves

Bilingual, fluent Spanish/English oral and written skills are highly desirable.
Community Health Worker certification through California’s HCAI Department.
Driver’s License

Responsibilities

Conduct outreach to identify and engage eligible in ECM services, using multiple strategies and modalities for engagement.
Train case managers as they onboard and ensure proper guidance related to compliance-based items
Take lead on outreaching and training aspects of case management
Interview and conduct assessments of students’ needs, including medical, behavioral, and social factors.
Develop, implement, and monitor personalized care plans in collaboration with students, their families, healthcare providers, and community resources.
Monitor and evaluate the effectiveness of care plans and making adjustments as needed to student goals.
Serve as the primary point of contact for the student, relevant family members, and other supports.
Operate as part of the student’s multi-disciplinary care team.
Coordinate care across multiple providers and services, ensuring seamless integration of medical and social care.
Act as a student advocate, ensuring the student’s needs and preferences are central to care decisions.
Facilitate regular team meetings to review patient cases, address challenges, and share successes.
Travel locally to deliver services to students in the community where they live, work, or frequent.
Document services in the agency’s Electronic Health Record within 72 hours of each service and in compliance with agency policy, as well as contractual, state, and federal regulations.
Coordinate and link the client to needed mental health, substance abuse, and housing resources.
Maintained concise and comprehensive case records on all participants seeking services.
Provide accurate daily and monthly documentation and case notes as per funding source guidelines.
Attend workshops, meetings, and trainings as requested by supervisor.
Performs other related duties as assigned.