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Outreach Lead Care Manager

4 months ago

Cerritos, United States Illumination Foundation Full time
Job DescriptionJob Description"Every person deserves compassion, dignity, and the safety of a place to call home.”

Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care centers, emergency shelters, housing services and children's and family programs. IF currently has 13+ facilities with 22+ micro-communities scattered across Orange County, Los Angeles County and the Inland Empire.

Job Description

The Outreach Lead Care Manager will review multiple Medi-Cal Managed Care Plan Member Information Files (MIF) and strategize engagement methods to evaluate Members’ health and managed care needs. This candidate functions as an extension to the Lead Care Manager team by providing a foundation of Client Care through detailed information of health vulnerabilities and disparities during enrollment.

The pay range for this position is $22.00 - $24.00 per hour, depending on experience.

Responsibilities

  • The Outreach Lead Care Manager will use a variety of communication modalities, community-resources, rhetorically appropriate approaches, and triage-oriented screening methods to performing outreach & engagement to prospective members across 
    social determinants of health and in culturally and linguistically competent ways.
  • An Outreach Lead Care Manager will have an expert understanding of how to utilize different communication modalities when trying to reach their assigned Member list.
  • The Outreach Lead Care Manager will be accomplished in the form of time-utilization and will field high amounts of communications and enrollment conversion rates.
  • Outreach Lead Care Manager will be able to use rhetoric effectively when speaking to Members, affiliate parties, care team members, PCP’s, etc.
  • Outreach Lead Care Manager will have familiarity with techniques such as trauma-informed care, motivational interviewing, cultural and linguistic competency, and de-escalation.
  • Ability to enroll 5% of assigned caseload.

Documentation:

  •  Outreach Lead Care Manager will be responsible for appropriately navigating and documenting all engagement frequency and content in Illumination Foundation’s EMR and other documentation platforms as required by contracting entities, in accordance with standards of practice as required by Illumination Foundation and associative contracting entities. These practices include:
    • Documenting level of engagement such as frequency and duration of encounters within 24 hours.
    • Documenting evaluative Member details which factor into decisions made to refer clients to alternative resources.
    • Documenting client disengagement as well as engagement.
    • Completing the social determinants of health screening tool for each client, so as to triage them into the most appropriate case-load environment.
    • Proficiency in double-documenting in EHR, external platforms (such as Molina CCA and Blue Shield Care Connect), and the assignment roster.
    • Documenting on any other such desirable reporting metrics as outlined and required by contracting entities.

Preferred Experience/Minimum Qualifications

Required:

  • High School Diploma or equivalent.
  • 2 years relevant experience.
  • Basic computer skills, including the ability to send and receive emails and summarize data in spreadsheets. 
  • Valid CA Driver’s License and eligibility for company vehicle insurance. 

Preferred:

  • Bilingual in English and Spanish.
  • Proficiency in Microsoft Office Suite (Outlook, Word, Excel, Teams)
  • Minimum of 1 year of sales and/or marketing experience.
  • Some knowledge of Medi-Cal Managed Care Plan delivery systems

Benefits

  • Medical Insurance funded up to 91% by Illumination Foundation (Kaiser and Blue Shield), depending on the plan
  • Dental and Vision Insurance
  • Life, AD&D and LTD Insurance funded 100% by Illumination Foundation
  • Employee Assistance Program
  • Professional Development Reimbursement
  • 401K with Company Matching
  • 10 days vacation PTO/year
  • 6 days sick PTO/year
  • 10 days holiday PTO/year
  • Potential eligibility for the Public Service Loan Forgiveness Program (PSFL) for federally qualified loans

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