Associate Case Manager

Marin Community Clinics is looking for a mission-driven Associate Case Manager to join our dynamic, multidisciplinary, Complex Care team to advance our goal of improving health outcomes for individuals with complex medical, behavioral health, and psychosocial needs.  Our Complex Care team is committed to increasing health equity among Marin’s most vulnerable patients through person-centered, trauma-informed, case management support.  Working collaboratively with primary care, behavioral health, and other members of the clinical care team, the Associate Case Manager works as a member of an expert team of professionals to provide patient-centered, outcome- driven care that promotes independence and dignity.

To this end, The Associate Case Manager will provide comprehensive case management support to a panel of patients with the goals of minimizing barriers to care, improving health outcomes, and helping patients increase capacity to manage their needs with greater independence.  The Associate Case Manager role is a patient-facing role that aims to build engagement and trust with our Complex Care patients.  The Associate Case Manager will report to the Complex Care Clinical Supervisor. 

We are looking for an Associate Case Manager who:

• Understands the interplay between chronic conditions and psychosocial issues. 
• Demonstrates compassion for and understanding of issues related to homelessness.
• Is comfortable working with individuals with complex behavioral health presentations and/or substance use disorders.
• Has passion for helping individuals navigate a complex system of care.
• Is a team player and welcomes guidance from multidisciplinary team members.
• Demonstrates initiative, creativity, and enjoys problem solving.
• Is comfortable working with community partners including community-based organizations (CBOs), Marin County, medical/BH specialists, and insurance providers.
• Ascribes to the tenets of person-centered, trauma-informed, housing-first care.
• Demonstrates compassion and respect for individuals served in all interactions.
• Has excellent organizational skills.
• Demonstrates a willingness to be flexible and adaptable in all aspects of this work.
• Experience/familiarity with housing resources/housing navigation in Marin highly preferable.

• Support a minimum caseload of 15-30 Complex Care patients.
• Implement comprehensive patient care plan in partnership patients.
• Triage and respond to tasks/care needs.
• Becoming familiar with community resources – particularly housing resources.
• Assist Patients to complete necessary forms/applications.
• Work with Patients to address social determinants of health (SDOH).
• Assist patients in getting connected to community resources.
• Track referrals and provide follow-up to ensure service delivery.
• Assist patients to schedule/attend medical, BH, and specialist appointments.
• Administrative support including records retrieval and review, eligibility screening, goal tracking, and more.
• Assist patient to coordinate all necessary care.
• Conduct home/community  visits as needed.
• Consult/coordinate with interdisciplinary care team, including behavioral health, care navigation MAs, nursing, medical providers, and external partners.
• Document all Patient interactions and services using MCC’s electronic health record AND secondary database.
• Attend internal and external meetings (i.e. case conferencing, administrative).
• Attending trainings such as health coaching, engagement techniques, etc.
• Timely and accurate reporting of data as requested to MCC CM programs.
• May travel between clinics or meet Patients in the community as needed.
• Provide frank and considered opinions regarding case management services and quality improvement measures;
• Provide services to satellite clinics as needed; may be asked to work variable schedule during extended-hour clinics (e.g., 10am-7pm on one or more days).
• Other duties may be assigned.

Education and Experience:

• MA, CHW, Bachelor of SW or equivalent case management experience
• 1-2 years’ experience (and passion for) providing support to individuals with chronic and complex BH needs, complex medical conditions and/or substance-using individuals highly preferable.
• Experience/familiarity with housing resources/housing navigation in Marin highly preferable.
• Knowledge of state regulations and legal/ethical standards related to patient rights, and client/patient confidentiality required.
• Training in motivational interviewing highly desired/or willingness to learn.

Required Skills and Abilities

• Must be fluent in English with the ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write reports and business correspondence in English.
• Must be able to communicate with patients and partners in Spanish: effectively present information and respond to questions from clients, customers, and the public in Spanish.
• Must be able to conduct clinical assessment interviews and case management interventions with patients in Spanish.

Computer Skills:                                                    

• To perform this job successfully, an individual must be computer literate and knowledgeable in Microsoft Office software programs, and how to conduct searches on the Internet.

Certificates, Licenses, Registrations:

• CPR Training Current.
• Valid Driver’s License.

Physical Requirements and Working Conditions: 

• Prolonged standing and walking.
• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift to 15 pounds at times. 
• Will drive among clinic locations as needed.

Benefits:

Our mission informs our approach to your benefits program. Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits.

All employees are required to be fully vaccinated for COVID-19, including current booster as a condition of employment, subject to limited exemptions. New employees are required to provide proof of being fully vaccinated for COVID-19 and boosted before the first day of employment. If you completed your primary series and early boosters, but have not received the most recent booster, you will be required to get the most recent booster and mask until completed.

MCC is an equal opportunity employer.  We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.