Case Manager (ECM-CM)

Position Summary:

Provides direct service, as well as coordinates care management and functions as a part of a "Care Team" for the Enhanced Care Management Program (ECM). The Care Manager (CM) oversees specific cases, coordinates health care benefits, provides education and facilitates client access to care in a timely and cost-effective manner. The CM collaborates and communicates with clients, caregivers/family support persons, and other providers to promote wellness, recovery, independence, resilience, and empowerment, while ensuring access to appropriate services and maximizing client benefit. The CM also serves as an advocate for clients, an active client of the interdisciplinary team, a liaison with other programs and external health and social service providers in the community.

Education / Experience Required

· HS Graduate or GED required, BA/BS preferred

· Minimum of three (3) years working directly in the community with the populations of fucus.

· ECM experience preferred

· Care Managers assigned to mono-lingual clients must be proficient in the client’s primary language (if Spanish) or must be able to work effectively through interpreters.

Clearances and Requirements

· Must be at least 21 years of age.

· Must possess and maintain a valid, unrestricted California driver’s license and provide safe, reliable transportation of young   adults to necessary appointments and activities.

· Current auto insurance.

· Must be able to successfully complete and maintain required certifications and training.

Essential Duties

· Assess client needs in the areas of physical health; mental health; SUD; oral health; trauma- informed care; social supports; housing; vocational/employment; wellness; and referral and linkage to community-based services and supports.

· Oversees the development and implementation of the Individual Care Plan/Health Action Plan

· Offer services where the client lives, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services.

· Connect clients to other social services and supports that are needed (e.g., community support group).

· With permission, coordinate/advocate on behalf of client with health care professionals (e.g., PCP)

· Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction Techniques, and Trauma- Informed Care principles.

· Work collaboratively with hospital staff regarding Transitional Care Planning

· Conduct outreach and engagement activities to facilitate linkage to the ECM program. Outreach and Engagement consists of phone calls, mailed information, and field visits.

· Accompany clients to office visits, as needed and appropriate.

· Evaluate progress and update goals.

· Provide mental health promotion.

· Arrange transportation

· Complete all documentation within the timeframes established by the individual action plans

· Attend weekly staff/team meetings and supervision.

· Attend training as assigned (e.g., CANS, Shared Core Practice Model).