ECM Case Manager

1 week ago


Bakersfield, California, United States Libertana Home Health Full time

JOB DESCRIPTION

Position: ECM Case Manager

Pay Range: $24.00-$30.00 PER HR

Reporting To: CalAIM Program Manager

Work Type: Field/Remote

POSITION SUMMARY:

The ECM Case Manager is responsible for the care coordination of ECM Program clients. Care coordination includes identifying, organizing, coordinating, and monitoring services needed by a recipient. The ECM Case Manager assists ECM Program recipients in gaining access to services and other community resources.

QUALIFICATIONS:

  • Minimum of two years' experience working with homeless and/or low and mixed-income populations, as well as substance abuse, and severe mental health issues.

  • Bachelor's Degree in Health Care or related field preferred.

  • Knowledge of community and housing resources and government benefits/welfare system.

  • The individual in this position must have good verbal and written communication skills as well as the ability to make sound clinical judgments regarding client care.

  • Must be a licensed driver with an automobile that is insured and is in good working order, in accordance with state and/or organizational requirements.

  • Possesses current CPR certification.

  • Current and satisfactory report on pre-employment physical examination including TB Screening Test or chest X-ray as required by Agency policies and procedures. Must be free from signs of infection and illness.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

  • Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the Member and non-duplication of services.

  • Serves as the primary contact to members enrolled in the ECM Program and advocates for members to help them navigate the healthcare while managing their healthcare.

  • Conducts comprehensive risk assessments and care planning in collaboration with the members to develop a Patient-Centered Care Plan.

  • Complete a bio-psycho-social assessment and a Care Plan for each member on their caseload.

  • Oversees the implementation of the client's Care Plan.

  • Develop effective and professional relationships with property owners/managers, housing providers, service providers, care providers, or any relevant providers/partners in the clients continued care.

  • Develop effective, trusting relationships with clients with a focus on facilitating their independence and long-term housing stability.

  • Facilitate linkage to community resources, mental health, substance abuse and medical services and provide transportation when needed.

  • Communicate with mental health, substance abuse and medical providers to ensure continuity of care for the client/member.

  • Connect members to other social services and support the member with other needs they may have, including transportation.

  • Advocate on behalf of Members with health care professionals, including accompaniment to doctor visits.

  • Use motivational interviewing, trauma- informed care, and harm-reduction approaches.

  • Coordinate with hospital staff on discharge plan.

  • Accompany member to office visits, as needed and according to Managed Care Plan (MCP) guidelines.

  • Help clients maintain compliance with treatment plans given to them by medical professionals, this may include medication reminders, service linkages, ordering daily living essentials, and connecting client with DME providers.

  • Monitors service delivery, adhering to the prescribed schedule of client contact.

  • Conducts face to face visit with Members twice a month or as requested/needed.

  • Maintains proper charting, progress notes and case records for each enrolled member in the company EMR system.

  • Track interventions and outcomes.

  • Handles complaints from clients, families or friends.

  • Driving may be required to geographical areas that are covered by the company.

  • Reports all signs of abuse or neglect.

  • Participates in Education, Training and Quality Improvement Activities.

  • Assists the Agency in maintaining compliance with Federal, State, Local and HIPAA Regulations or Joint Commission Standards.

  • Establishes and maintains good relationships with all Health Plans and other vendors.

  • Performs other duties as assigned.

PHYSICAL REQUIREMENTS:

  • Stand, sit, talk, hear, and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis up to 20% of the time.
  • Reach, stoop, kneel and bend up to 15% of the time
  • Moderate amount of walking up to 15% of the time.
  • Moderate amount of driving up to 50%of the time.
  • Close vision requirements due to computer work on a frequent basis
  • Light to moderate lifting may be required up to 25lbs on a frequent basis.
  • Pushing and pulling up to 25lbs.

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