ECM Case Manager
3 weeks ago
We are seeking a highly skilled ECM Case Manager to join our team at Integrated Practice Management LLC. The successful candidate will be responsible for addressing the clinical and non-clinical needs of high-cost and/or high-need members through systematic coordination of services and comprehensive care management.
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, 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, enroll and dis-enroll members into and out of the ECM program, and complete comprehensive assessments
- Promote health and work with members regarding provider's health plan, take lead with the inter-disciplinary team to complete needed program requirements, and complete documentation of encounters-notes for all care coordination services
- Bachelor's degree in social work, sociology, psychology, or a related field, or 3 years of experience in a case management/care coordinator role
- At least 2 years in a clinic service delivery or managed care environment in the capacity of care coordination role
- Possession of a valid driver's license and proof of state required auto liability insurance
Up to 20% travel may be required
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