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:

1. 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.
2. Bachelor’s Degree in Health Care or related field preferred.
3. Knowledge of community and housing resources and government benefits/welfare system.
4. 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.
5. 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.
6. Possesses current CPR certification.
7. 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.

1. Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the Member and non-duplication of services.
2. 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.
3. Conducts comprehensive risk assessments and care planning in collaboration with the members to develop a Patient-Centered Care Plan.
4. Complete a bio-psycho-social assessment and a Care Plan for each member on their caseload.
5. Oversees the implementation of the client’s Care Plan.
6. 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.
7. Develop effective, trusting relationships with clients with a focus on facilitating their independence and long-term housing stability.
8. Facilitate linkage to community resources, mental health, substance abuse and medical services and provide transportation when needed.
9. Communicate with mental health, substance abuse and medical providers to ensure continuity of care for the client/member.
10. Connect members to other social services and support the member with other needs they may have, including transportation.
11. Advocate on behalf of Members with health care professionals, including accompaniment to doctor visits.
12. Use motivational interviewing, trauma- informed care, and harm-reduction approaches.
13. Coordinate with hospital staff on discharge plan.
14. Accompany member to office visits, as needed and according to Managed Care Plan (MCP) guidelines.
15. 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.
16. Monitors service delivery, adhering to the prescribed schedule of client contact.
17. Conducts face to face visit with Members twice a month or as requested/needed.
18. Maintains proper charting, progress notes and case records for each enrolled member in the company EMR system.
19. Track interventions and outcomes.
20. Handles complaints from clients, families or friends.
21. Driving may be required to geographical areas that are covered by the company.
22. Reports all signs of abuse or neglect.
23. Participates in Education, Training and Quality Improvement Activities.
24. Assists the Agency in maintaining compliance with Federal, State, Local and HIPAA Regulations or Joint Commission Standards.
25. Establishes and maintains good relationships with all Health Plans and other vendors.
26. 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.