Lead Coordinator for Enhanced Care Management - Room for Advancement

Lead Coordinator for Enhanced Care Management (ECM)

POSITION SUMMARY

Under the direction of ECM Program Manager, the Lead Coordinator will manage and supervise all aspects of their given team (8-12 Lead Case Managers) and assist with patient care and program needs. This position will provide lead coordination of care for their teams and patients. Patients with points of focus such as: multiple chronic medical & mental health conditions, homelessness, substance abuse, and patients that have just been released from incarceration.

The Lead Coordinator provides training, leadership, coordination, and paraprofessional support to assigned staff, Lead Care Manager’s, (LCM’s), providing direction and guidance. Lead Coordinators are also responsible for auditing and reviewing documentation to ensure compliance with managed care and ensure quality of care. The Lead Coordinator is distinguished from Lead Care Managers by the increased level of independence in decision-making and initiative expected, as well as the complexity of problem-solving and public interaction needed.

As Lead Coordinators, they will also promote, outreach, and enroll patients into SJWCFC Enhanced Care Management Program (ECM). They will be expected to carry a caseload of 35 patients. They will do this by determining the needs of high acuity, vulnerable patients and provide basic housing assistance, patient tailored intensive case-management, developing a care/service plan; provide linkages to medical, psychiatric, social, educational, and other services as needed. Lead Coordinators have the ability to literally meet the patient where they are to conduct the needed case-management services. Work with medical/behavioral providers and patients to implement and perpetuate treatment and chronic disease self-management for patients enrolled in ECM within as well as outside of the clinic. They will develop and maintain Care Management Plan’s and review the team for compliance. Assist with crises within their teams, and their caseload. Coordinate support services and reviews progress toward goals for patients. Completes scales and assessments as appropriate, needed and as directed by Program Manager / Director of ECM.

BENEFITS

• Free Medical, Dental & Vision
• 13 Paid Holidays + PTO
• 403 ( 403 (B) retirement match
• Life Insurance, EAP
• Tuition Reimbursement
• SEIU Union (if applicable)
• Flexible Spending Account
• Continued workforce development & training
• Succession plans & growth within

QUALIFICATIONS/LCENSURE:

• Bachelor's Degree (Preferred) and / or 2-4 years’ experience in similar field
• Bilingual English & Spanish (Preferred)
• Familiar with working with managed care plans and / or Medi-Cal
• Experience working with an Electronic Health Record system; eCW preferred.
• Must be able to work independently and alongside a team in assisting clients meeting their goals.
• Available to work Monday-Friday, and some Saturday’s when needed. As well evenings to program and clinical needs.

RESPONSIBLITIES

• Conduct assessments and coordinate all aspects of care, transportation, referrals, and scheduling for patients.
• Promote and aid patient in establishing self-management skills, linking them to resources in the community including public benefits and social services.
• Crisis management and patient advocacy
• Maintain patient file/record of appointments, services, follow ups and assessments based on DHCS requirements of ECM Program and SJCH requirements.
• Liaison between client and community resources, medical / specialty offices and / or when support is needed.
• Work with Medical providers, specialists, therapists, social workers etc. internally and externally, to determine health priorities and develop managed care plans that includes smart goals, and actions to resolve barriers and access to services.
• Attend on going staff meetings, clinical and non-clinical case conferences, team meetings and trainings per program needs.
• Strengthens the individual/family’s ability to access and meet education, health and social/behavioral service needs.