Lead Care Manager

Job Details
Job Location:    Glendale - Glendale, CA
Salary Range:    $ $35.03 Hourly

Description

Title of Position:
Lead Care Manager (LCM)

Location:
Gateways Glendale Administration Office

Exempt/Non-Exempt:
Non-Exempt

Union/ Non-Union:
Non-Union

Supervisor:
Program Director

Gateways Hospital and Mental Health Center's Enhanced Care Management (ECM) program is a newly certified program serving Managed Care Plan members with chronic mental health and social support needs. Candidates will have the opportunity to be a part of an exciting startup phase which will include new program operations infrastructure development and implementation, recruiting, hiring and training program staff, interface with managed care plan managers, supporting in-community client outreach and engagement, and establishing collaborative partnerships with community stakeholders to enhance closed loop referrals and whole person client services.

SUMMARY OF POSITION

The Lead Care Manager (LCM) is responsible for providing Enhanced Care Management (ECM) and supportive services to members and families who qualify for the ECM Medi-Cal benefit under CalAIM through the completion of comprehensive assessments and the development of individualized care plans. The LCM is responsible for helping members and their families navigate and access community services, other resources, and to adopt healthy behaviors. The LCM supports the care team through an integrated approach to care management and community outreach. As a priority, activities will promote, maintain, and improve the health of members and their family. Works in collaboration with: Care coordinators, care navigators, program director, medical/health care providers (primary care physicians, nursing staff, mental health works), community support organizations.

ESSENTIAL DUTIES

• Educating members about ECM services, assisting them with enrollment and serving as the primary liaison between them and any services they may need
• Support individuals and family as they navigate the health care system and transition to improvement in self-care and health care management
• Responsible for establishing trusting relationships with members and their families while providing general support and encouragement
• Provide ongoing follow-up, basic motivational interviewing, and goal setting with members/families
• Meeting members in the clinic, facility or at home to help identify social determinants of health impacting their overall health and general well-being
• Collaborate with the full care team to create an individualized, linguistically, and culturally appropriate care plan for every enrolled member
• Assists members in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms
• Facilitate communication between all parties (members, families, colleagues, and community-based organizations) as needed
• Help members set personal health related goals and attend appointments.
• Provide referrals for services to community agencies as appropriate
• Help members connect with transportation resources and provide appointment reminders in special circumstances
• Work closely with medical providers to help ensure that members have a comprehensive and coordinated care plan
• Act as a member advocate and liaison between the member/family and community service agencies
• Monitor treatment adherence and informs teams of any changes or lack of adherence.
• Record member care management information in the Care Management and other software no later than 24 hours after member contact.
• Manage assigned caseload of members
• Participate in community outreach activities to bring visibility to the program and services as needed
• Performs other additional tasks as directed.

ESSENTIAL SKILLS

• Demonstrable knowledge and skill in case management and supervision, social services, and organization skills
• Ability to organize and prepare documentation in a timely manner, can handle multiple priorities while remaining professional and calm.
• Possess initiative, flexibility, and ability to work under pressure without direct supervision
• Ability to work collaboratively with others and a willingness to participate fully in the team process
• Ability to work with many diverse people, including children and teenagers
• Effective telephone skills
• Strong level of confidentiality due to the sensitivity of materials and information handled
• Ability to make suggestions on workflow or system efficiency and effectiveness
• Ability to work independently and be self-directed and flexible
• Ability to work at a high-volume level of accuracy

Qualifications

EDUCATION & CERTIFICATES

Minimum Education Required:

• High School Diploma/GED with comparable years of experience in related field

Desired Education:

• Bachelor's degree in social work or a related field
• Community Health Worker certification

EXPERIENCE/QUALIFICATIONS

Minimum Experience Required:

• 2+ years case management experience required
• 1+ years experience working with Justice-Involved/Re-Entry populations & Serious Mental Illness (Youth & Adult)
• Written and oral fluency in English and Spanish is preferred
• Willing to learn and understand a variety of different cultures, perspectives and norms
• Experience working in a community-based setting for at least 1 to 2 years
• Basic computer skills required; electronic medical record (EMR) experience
• Understand the community served, community connectedness
• Good communication skills, such as listening well, and using language appropriately
• Ability and willingness to provide emotional support, encouragement and motivation to members

Desired Experience:

• 2+ years care coordination within CalAIM system of care (community-based and/or medical setting)
• Lived experience related to serious mental illness, justice-involvement, and/or substance use disorders

REQUIREMENTS

• Must pass Department of Justice (DOJ), Federal Bureau of Investigations (FBI), and Community Care Licensing (CCL) background clearance.
• Valid California Driver's license.
• TB clearance.
• Driving record acceptable for coverage by Gateways insurance carrier.

PHYSICAL REQUIREMENTS

• To perform this job you must be able to carry out all essential functions successfully. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the job.
• Employee will be required to lift and/or move unassisted up to 25 pounds.

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