ECM Lead Case Manager

In person and Remote (Client schedule appointments and meetings)

Are you looking to do meaningful and impactful work in the world with people you enjoy? Are you well organized and a strategic problem solver, with an enthusiasm for owning and driving projects forward? Do you enjoy leading teams to accomplish meaningful goals? If so, we are looking for you to join our team as a Case Manager.

Why You'll Love It Here:
At The Good Seed CDC, we are committed to fostering an inclusive and equitable workplace where everyone feels valued, respected, and empowered to thrive. We believe that diversity of backgrounds, perspectives, and experiences enriches our ability to serve our community and achieve our mission. We welcome and encourage applications from individuals of all identities, including but not limited to race, ethnicity, gender, sexual orientation, age, disability, and veteran status. Together, we strive to create a culture of belonging where all voices are heard and celebrated. Our culture of doing meaningful work with people you enjoy through supporting and respecting each other. Countless opportunities to grow and learn new skills and competitive benefits.

Who We Are:
Our mission-driven organization focuses on doing meaningful and impactful work in the world. We believe that healthcare, housing, and a strong support network are crucial for everyone to thrive. It is our passion here to ensure that everyone has access to these essential services and support.

Our Core Values:
Dedication - We give our best and go above and beyond each and every day-to-day.
Collaboration - We work together as one team and respect our differences.
Honesty - We build relationships based on loyalty and trust.
Innovation - We experiment with new ways and methods to provide quality services.
Curiosity - We look at different angles to ask why? And how?

The ECM Program’s overall goal is to provide a whole-person, interdisciplinary approach to care that addresses the clinical and non-clinical needs of clients with the most complex medical and social needs. The program focuses on:

1. Outreach and Engagement

2. Comprehensive Assessment and Care Management Plan

3. Enhanced Coordination of Care

4. Health Promotion

5. Transitional Care Services

6. Member and Family Supports

7. Coordination of and Referral to Community and Social Support Services

The ECM benefit aims to improve care coordination, integrate services, facilitate community resources, address social determinants of health (SDOH), improve health outcomes, and decrease inappropriate utilization and duplication of services for high-need, high-cost beneficiaries in Medi-Cal.

Job Overview:
The ECM Lead Case Manager will assume responsibilities for community outreach and engagement. This position will determine eligibility, complete enrollment assessments and perform outreach to potential ECM members to offer enhanced case management program.

Duties:
A successful ECM Lead Care Manager knows the importance of empathy, advocacy, cultural competency and follow- up assistance to help clients access the services needed to build and sustain healthy lives. This position requires a creative intellectual with critical thinking skills and a desire to help those in need. ECM Lead Care Manager must be able to work under pressure; work independently and manage multi-task responsibilities; be willing and able to assist and educate the member; intervene effectively in crisis situation on behalf of an upset, distraught, dissatisfied, confused or angry member; solve complex and comprehensive problems; organize and set priorities; adhere to state and federal timelines; have excellent communication skills both written and verbal and work in a rapidly evolving work environment.

This position reports to the Enhanced Care Management (ECM) Program Manager this position provides support to the ECM Program to ensure engagement, enrollment and follow up on members related to the ECM as well as other clinical programs in which case management are central.

Under the supervision of the Enhanced Care Management Program Manager, the ECM Lead Care Manager is responsible for coordinating and implementing organization-wide Enhanced Care Management. Oversees and implements provision of the Enhanced Care Management (ECM) services; and identification and achievement of Care Plan goals and objectives with the member that meet their self-identified strengths and health care and psychosocial needs.

Requirements:

• Engages patients and offers and/or facilitates care management services where the patient lives, seeks care, or finds most easily accessible.
• Conducts comprehensive risk assessments and develops patient-centered Care Plans that includes goals based.
• on the patients’ physical and psychosocial health needs and considers their personal preferences.
• Oversees effective implementation of Care Plan, ensuring initial plan is drafted with 30 days from the patient’s.
• Enrollment and that it is updated as necessary, but no less than one per quarter, thereafter.
• Educates patients on self-management skills and/or recruits support from a caregiver/family member to support the accomplishment of the Care Plan.
• Supports health behavior change utilizing motivational interviewing and trauma informed care practices.
• Monitors treatment adherence.
• Regularly initiates or participates in case conferences with clinical providers.
• Connects patient to social services, including housing, transportation, etc., as needed to achieve patient’s goals and well-managed care.
• Coordinates with hospital staff on discharge plan and with other transitional care as feasible.
• Accompanies patient to office visits, as needed and according to health plan guidelines.
• Maintains a regular contact schedule with enrolled patients that includes at least one in-person encounter per month.
• Document care management encounters in the Electronic Health Record (EHR) with the appropriate billing codes and internal tracking logs.
• Perform other duties as assigned.
• Open to seeing patients in person or their location of preference.

Qualifications:

• High School Diploma, Bachelors in Social Services preferred.
• 2 – 3 years of experience in community health or social service setting required
• 2 - 3 years of case management / care coordination experience preferred.
• Bilingual required: English and Spanish or Armenian fluency required
• Proficiency in Microsoft Office Suite products
• Valid driver’s license and willing to drive to communities where ECM members live
• Must be able to work in interdisciplinary team setting
• Effective communication and interpersonal skills
• Experience with Electronic Health Records preferred
• Ability to independently seek out resources and work collaboratively

Growth Opportunities:
At The Good Seed CDC, we are committed to supporting the professional growth of our team members. This role provides a clear pathway for advancement, including opportunities to grow from Case Manager to Lead Case Manager and eventually to Program Manager. We believe in investing in our staff and providing them with the tools, mentorship, and resources needed to thrive and take on leadership roles within our organization.

Benefits:
Paid vacation and sick leave.
Paid holidays.
Competitive benefits, including health, dental and vision insurance, and a 403b Retirement Plan.

Job Type: Full-time

Pay: $23.00 - $30.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift

Work Location: In person

Salary : $23 - $30