Enhanced Care Manager

SCOPE AND PURPOSE OF POSITION

Enhanced Care Manager is the direct point of contact for Medicaid Members with ongoing HRSNs (health-related social needs). Care Manager is responsible for providing service to the Member throughout the social care journey including conducting screening, eligibility assessments, managing referrals, completing direct assistance and follow-ups to address outstanding needs. This position is community and office based, requires collaboration and engagement within and outside the Salvation Army, coordinating closely with community agencies, and significant interface with the client database.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Provide case/care management to Medicaid Members seeking assistance from Salvation Army Centers, including screening, assessment, social care plan, and direct service delivery related to specific health-related social needs as identified by Social Care Network.
• Manage incoming referrals for enhanced HRSN services, within required timeframes, to ensure successful and timely connections are made for community members.
• Assess clients for Level 1 and Level 2 services.
• Conduct and document outreach to Members in alignment with required frequency, modality, and timeframe.
• Maintain caseload levels to sustain position through SCN billable activities within 3 months.
• Conduct HRSN screening using the Accountable Health Communities (AHC) screening tool to assess member HRSNs.
• Manage Member consent and attestation as required.
• Assess eligibility and refer Members to eligible programs and services, including enhanced HRSN services (Level 2) and/or existing federal, state, and local resources (Level 1).
• Develop social care plans that include a summary of Member needs, eligibility, and services to which they are referred.
• Update the service plan throughout engagement.
• Document progress notes and action taken with each referral and service provision.
• Operate out of the primary location and provide Care Management support to Salvation Army centers across the SCN footprint; some/minimal travel to other Salvation Army sites as needed.
• Engage Corps leadership team, case management staff and food program staff as needed.
• Communicate regularly with Divisional Headquarters Social Services team to discuss program progress, solve problems, share detailed feedback on successes and challenges of the project, and continually look for opportunities to enhance the community member experience.
• Complete all initial and ongoing trainings as required for SCN; participate in annual professional development training.
• Represent The Salvation Army at SCN and other community meetings as appropriate or assigned; attend Salvation Army staff meetings.
• Adhere to Salvation Army Policies and Procedures.

SPECIAL SKILLS, CERTIFICATES, LICENSES, REGISTRATIONS

• Strong communications skills (both written and verbal), positive attitude, initiative, flexibility, collaborative and cooperative approach and dependability required.
• High level of confidentiality and discretion, good judgment and critical/proactive thinking are essential.
• Able to maintain patient, professional demeanor when dealing with diverse community of clients, colleagues, volunteers, community members, and others.
• Demonstrate empathy and compassion through action and speech.
• Good organizational skills and attention to details.
• Good computers skills including Microsoft Word, Outlook, and Excel.
• Able to work effectively with minimal daily supervision and guidance.
• A valid driver's license that meets The Salvation Army insurance requirements.