What are the responsibilities and job description for the Case Manager III – Community Wellness and Coordinated Care position at Interface Children & Family Services?
2 Full time Positions
Exemption Status: Non-Exempt
Reports to: Project Manager, Community Wellness and Coordinated Care
Salary: $25 / hour $1.00 bilingual incentive upon passing certification
Summary: The Case Manager III is a key member of the Community Wellness and Coordinated Care team and assists the Community Wellness and Coordinated Care Project Manager in providing comprehensive care coordination services to high-need clients. This role involves direct client interaction, coordination with various healthcare and social service providers, and assisting in the implementation of person-centered care plans.
Key Responsibilities:
- Client Engagement and Support:
- Assist in outreach and engagement efforts to connect with coordinated care clients
- Conduct initial screenings and assist with comprehensive assessments under the guidance of the Community Wellness and Coordinated Care Manager
- Provide regular check-ins with clients and their care teams, to monitor progress and identify emerging needs
- Support clients in navigating the healthcare system and accessing community resources
- Care Plan Implementation:
- Assist the Community Wellness and Coordinated Care Manager in developing and updating client care teams and person-centered care plans
- Help clients understand and work towards their care plan goals
- Monitor client progress and report any significant changes or concerns to the Community Wellness and Coordinated Care Manager
- Care Coordination and Service Navigation:
- Schedule and coordinate medical appointments, transportation, and other support services for clients
- Accompany clients to healthcare appointments when necessary
- Assist in coordinating care across multiple providers and systems
- Help clients access community resources and support services
- Facilitate communication between clients and their care teams
- Prioritize tasks and manage time effectively to meet client needs and program requirements
- Health Education and Coaching:
- Provide basic health education and self-management support to clients
- Coach clients on medication adherence and lifestyle modifications
- Assist in implementing health promotion strategies developed by the Community Wellness and Coordinated Care Manager
- Documentation and Reporting:
- Maintain accurate and timely documentation of all client and care team interactions and services provided
- Use appropriate billing codes for services rendered
- Contribute to the preparation of reports and care summaries as required
- Care Transitions Support:
- Assist in managing care transitions, such as hospital discharges or changes in living situations
- Help ensure continuity of care during transitions by coordinating with various providers and support systems
- Team Collaboration and Communication:
- Participate in regular team meetings and case conferences
- Maintain open communication with the Community Wellness and Coordinated Care Manager and other team members
- Escalate complex issues or concerns to the Community Wellness and Coordinated Care Manager as appropriate
- Compliance and Quality Improvement:
- Adhere to all program policies, procedures, and contractual requirements
- Participate in quality improvement initiatives and training programs
- Maintain client confidentiality and follow all regulations
Qualifications:
- Bachelor’s degree in social work, public health, nursing, or related field preferred; or equivalent experience
- Minimum of 2 years of experience in care coordination, case management, or related field
- Knowledge of Medi-Cal, benefits programs, and community resources
- Strong interpersonal and communication skills
- Cultural competency and ability to work with diverse populations
- Proficiency in care management documentation systems
- Valid driver’s license and ability to travel within the service area
- Successful background and criminal clearance required and maintained, including but not limited to California Department of Justice (DOJ), Federal Bureau of Investigation (FBI), Child Abuse Index and Department of Motor Vehicles (DMV)
- Proof of valid California Driver’s License, reliable transportation, proof of automobile insurance (listed as covered), pass and maintain driving approval as required by our insurer
- Bilingual Preferred: upon passing certification, preferred for potential daily use
Salary : $25