Enhanced Care Management Lead

Responsibilities

• Training and mentoring of staff and responding to daily questions.
• Supporting and overseeing the daily operational and administrative activities of the care management teams.
• Working with leadership, providers, and managed care teams to determine the needs of high-utilizer and vulnerable patient populations.
• Developing care and service plans with linkages to medical, psychiatric, social, educational, and other services.
• Providing support to the ECM Supervisor by managing staffing schedules, calendaring, and liaising with community partners.
• Building positive staff relationships, inspiring others to perform at a higher level, and retaining an accountable workforce.
• Facilitating meetings and trainings with ECM teams to provide updates and develop strategies for program quality assurance, quality improvement, and compliance.
• Assessing training needs and promoting developmental activities.
• Overseeing, reviewing, and auditing case files; providing prompt/actionable feedback to ECM team members.
• Conducting outreach, enrollment, monthly reporting, and accurate completion of comprehensive risk assessments and care plans.
• Assisting members in navigating the healthcare system by finding and following up with eligible ECM members.
• Helping members participate in their medical and/or behavioral healthcare by overcoming barriers to care.
• Documenting and sharing member barriers with ECM team and PCP to improve care and outcomes.
• Collaborating on member care issues with other ECM team members.
• Participating in weekly case reviews and consulting with the member's PCP before taking any clinical action.
• Ensuring documentation is accurate, helpful, and compliant with regulatory requirements and accreditation standards.
• Participating in required staff meetings or other activities.
• Contributing to the success of the organization by participating in quality improvement activities.
• Documenting in eClinicalWorks (eCW) for all care coordination, including services or teachings provided.
• Prioritizing activities according to intensity, need, and required follow-up.
• Providing accurate and timely reports to supervisor and manager, as required.

Requirements

• High school/GED required.
• Two years community outreach or behavioral health experience working with high-risk populations required.
• Experience working with the patient centered medical home preferred.
• Experience working within behavioral health, integrated primary care, or federally qualified health center (FQHC) settings preferred.
• Bilingual (English/Spanish) preferred.
• Lead experience preferred; completion of LEAP preferred (internal).
• Valid CA driver’s license and proof of auto insurance required.

Qualifications

• Excellent verbal and written communication skills, including superior composition, typing, and proofreading skills.
• Knowledgeable about and experience with various characteristics of homeless adult populations, seniors, or other vulnerable populations.
• Knowledgeable about and experience with issues of mental illness and/or chemical dependency.
• Knowledgeable about and experience with computer programs, such as Microsoft applications and electronic medical records.
• Sensitive and understanding of the emotions of others.
• Ability to manage own emotions and impulses.
• Ability to train and develop staff.
• Ability to successfully manage multiple tasks simultaneously.
• Ability to work with people of all social and ethnic backgrounds.
• Excellent planning and organizational ability.
• Ability to work as part of a team as well as independently.
• Ability to work with highly confidential information in a professional and ethical manner.

Physical Requirements

• Ability to lift/carry 25 lbs/weight.
• Ability to stand for long periods of time.

Pay Range

Pay Range: $27.2100 to $38.0900 per hour, depending on experience.