ECM Case Manager

3 days ago


Bakersfield, California, United States Integrated Practice Management LLC Full time
Job Description

Integrated Practice Management LLC is seeking a highly skilled ECM Case Manager to join our team. As a key member of our care coordination team, you will play a vital role in addressing the clinical and non-clinical needs of high-cost and/or high-need members.

Key Responsibilities:
  • Teach and assist members to better manage their chronic diseases using realistic and SMART goals
  • Provide as-needed teaching to members during medical appointments to assist in understanding disease knowledge, medication compliance, and specialty services
  • Assist members and their families in problem-solving potential issues related to the healthcare system, financial or social barriers
  • Conduct home visits or meet clients in community-based locations to engage and assist with ECM-related services
  • Use a step-by-step process when teaching skills and employ positive reinforcement and encouragement
  • Attend mandatory in-service trainings and related conferences to support a fundamental and expanded knowledge of Enhanced Care Management services and strategies
  • Advocate on behalf of members as needed, with medical, behavioral, substance abuse, and treatment teams
  • Manage own caseload while providing monthly care to all members as needed and reducing barriers to care
  • Provide community-based resources to members and enroll and dis-enroll members into and out of the ECM program
  • Complete Comprehensive Assessments and promote health and work with members regarding provider's health plan
  • Take lead with inter-disciplinary team (ICT) to complete needed program requirements and complete documentation of encounters-notes for all care coordination services on member's EHR
  • Utilize computer for detailed data entry in multiple applications, including Microsoft Office and Excel, and follow-up with member's missed appointments and referrals
  • Collaborate with ECM providers, including physicians and nurse practitioners, and use motivational interviewing skills to engage and help members and their support system
  • Schedule, appointment reminders, and coordinate transportation and assist with ECM Outreach: contacting ECM eligible members to initiate services
  • Complete required interagency and other necessary paperwork and maintain confidentiality in accordance with clinic policies and HIPPA regulations
Requirements:
  • Bachelor's degree in social work, sociology, psychology, AA in related field, Certified Nursing Assistant, or bachelor's degree in related field (recreational therapy, human development, etc.) is preferred
  • At least 2 years in clinic service delivery or managed care environment in the capacity of care coordination role is preferred
  • Possession of valid driver's license and proof of state required auto liability insurance
  • Up to 20% travel may be required

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