ECM (Enhanced Care Management) Case Manager

MUST BE BILINGUAL IN SPANISH!!!

My organization is partnered with an amazing homeless services organization who have been helping the homeless population in Southern California for over 40 years. They are currently hiring for a bilingual in Spanish ECM (Enhanced Care Management) Case Management positions in the downtown Los Angeles area. This is an AMAZING opportunity to join an established organization with a ton of opportunity for growth!

Position:

ECM (Enhanced Care Management) Case Manager
Schedule:

Monday-Friday 8am-4:30pm
Location: 340 North Madison, Los Angeles 90004
Pay:

$23.50-$26 DOE
Driving is an essential function of this position. To meet the requirements of for this position, the incumbent:
Must hold a valid CA Driver's License.
Must possess their own vehicle and provide proof of ownership.
Must provide proof of insurance coverage.

MAKE A DIFFERENCE THROUGH ACTION
The ECM Care Manager guides members with complex healthcare needs through the health care system by assisting with access challenges, developing relationships with service providers, and tracking interventions and outcomes. The ECM Care Manager acts as the primary point of contact for assigned members, providing direct services to members, including the completion of needs assessments, development of patient-focused care plans, periodic reassessments, and comprehensive service coordination. They also function as an advocate for members, both within PATH and with external service providers, and as a primary conduit of information between and among the member and providers. They are responsible for the overall provision and coordination of services for the entire assigned caseload.
· Provide all necessary and indicated direct and referral services (including crisis intervention and health education) to a caseload of approximately 20-40 members and any members and their families.
· Conduct initial assessments and periodic reassessments of members’ needs, including medical, mental health, substance use, financial, housing, and support needs as specified by program and funder requirements.
· Develop patient-focused care plans with documented input and approval from other providers and the member in compliance with CalAIM standards.
· Work with medical staff to develop, implement, and coordinate the care plan for members with chronic illnesses, such as diabetes, asthma, congestive heart failure, hypertension, behavioral health conditions, and HIV, among other illnesses.
· Conduct home/field visits and maintain member engagement in accordance with program standards.
· Coordinate member services with internal and external service providers through regular case conferencing, including CalAIM colleagues or partners.
· Request and maintain authorization for Community Supports, as applicable, to support member need.
· Document member outcomes from the care plan in the case record and ensure appropriate record documentation for entire caseload.
· Assist in coordinating care with pharmacies, insurance companies, hospital discharge planning, and other providers in the network.
· Ensure that information sharing is timely, and that it goes when and where it is needed.
· Handle appointments and non-appointment related calls from patients, as well as providers, and keep patients informed regarding scheduled appointments and ensure adherence to their medical appointments.
· Support members and providers in the medication refill process.
· Schedule and document care conferences with member’s care team to ensure that the care team members are well-informed of the required care plan implementation for each patient and to obtain necessary updates and paperwork.
· Provide member with general information on healthy lifestyle, prevention and primary care for their chronic condition(s).
· Work collaboratively and professionally with all PATH staff members.
· Monitor patient satisfaction surveys/complaints and appropriately follow-up and respond to the same, as necessary.
· Serve as a back-up to other ECM Care Managers and/or other care team members as needed.
· Use and maintain program directory of resources in the service area to meet basic health and human needs.
· Participate in Quality Assurance activities, designated or required programs and staff meetings, including internal and external trainings.
· Meet weekly with Program Manager and the CalAIM team for supervision and case conferencing.
· Provide regular feedback to Program Manager regarding progress toward program enrollment goals.
· Maintain documentation standards as set forth by the program contract and PATH policies.
· Document member assessments, encounters, and outcomes in the client case record within specified timeframes and ensure appropriate record documentation for the entire caseload.
Preferred qualifications
Training in Motivational Interviewing, Trauma Informed Care, and other related trainings.
Intermediate to advanced Microsoft Excel skillset.
Bachelor’s Degree preferred but can also take some with an Associates or GED
One (1) year of case management experience highly vulnerable populations, particularly those with health, mental health, and substance use issues.
One (1) year of experience working in healthcare, case management, and/or homeless services
Demonstrated proficiency with computers and technology used for work outputs, particularly with Microsoft Office Suite and electronic health record systems.

MANDATORY REQUIREMENTS
Employment Eligibility Verification
Reliable Transportation
Updated Tuberculosis Test
Successful completion of background screening & drug test.
Clean driving record

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