Case Manager

About the role

We're seeking an exceptional Lead Care Manager (LCM) to join our team. Under the direction of the Director of Enhanced Care Management, ECM Clinical Manager and/or ECM Program Manager, the LCM serves as the client’s primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client’s needs and care.

Responsibilities

• Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports
• Oversees the development of the client care plans and goal settings
• Connects clients to other social services and supports that are needed
• Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)
• Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles
• Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system
• Evaluate client’s progress and update SMART goals
• Provide mental health promotion
• Arrange transportation (e.g., ACCESS)
• Complete all documentation, including outcome measures within the timeframes established by the individual care plans
• Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems
• Complete monthly reporting to ensure program compliance
• Attend training as assigned

Qualifications

• 2+ years experience as a care manager, care navigator, or community health worker supporting vulnerable populations
• Willing and able to work Monday-Friday 8:30am-5:00pm Pacific Time with flexibility for potential evenings and weekends
• Working knowledge of government and community resources related to social determinants of health
• Clean driving record, valid driver's license, and reliable transportation
• Excellent oral and written communication skills
• Positive interpersonal skills required
• Must have general computer skills and a working knowledge of Google Workspace, MS Office and the internet
• Bilingual (English/Spanish), highly preferred