What are the responsibilities and job description for the Case Manager - Riverside position at Heritage Health Network?
Position Overview:
As a Case Manager at Heritage Health Network (HHN), you will play a pivotal role in providing comprehensive care coordination for members through our Enhanced Care Management (ECM) program. Working as part of a multidisciplinary team, you will ensure our members receive culturally responsive, person-centered care tailored to address their diverse health and social needs.
This role combines remote work, in-office responsibilities, and field engagements, with work arrangements tailored to meet program and member needs.
Requirements
Key Responsibilities:
As a Case Manager at Heritage Health Network (HHN), you will play a pivotal role in providing comprehensive care coordination for members through our Enhanced Care Management (ECM) program. Working as part of a multidisciplinary team, you will ensure our members receive culturally responsive, person-centered care tailored to address their diverse health and social needs.
This role combines remote work, in-office responsibilities, and field engagements, with work arrangements tailored to meet program and member needs.
Requirements
Key Responsibilities:
- Primary Point of Contact: Serve as the primary liaison for members, managing their care plans and ensuring seamless communication across the care team.
- Care Plan Development: Collaborate with members, their families, and healthcare providers to create, implement, and regularly update personalized care plans.
- Comprehensive Coordination: Work closely with other care managers, healthcare providers, and community resources to deliver integrated care and address social determinants of health.
- Member Engagement: Provide education, guidance, and emotional support to members and their families to improve health outcomes and self-management skills.
- Gap Identification: Identify gaps in care or services and collaborate with the ECM team to develop effective solutions.
- Documentation: Maintain accurate, timely records of all interactions and services provided in compliance with HHN and ECM program requirements.
- Team Collaboration: Offer guidance and support to other care team members, fostering a collaborative and cohesive approach to care.
- Education: Bachelor’s or Master’s degree in Nursing, Social Work, or a related field.
- Experience: Significant experience in care management, particularly in community-based settings, with knowledge of Medi-Cal benefits and ECM requirements.
- Person-Centered Approach: Strong empathy, cultural competence, and commitment to providing individualized care.
- Teamwork: Ability to work effectively within a multidisciplinary team environment.
- Communication Skills: Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations.
- Healthcare Knowledge: In-depth understanding of healthcare systems, community resources, and regulations.
- Mobility: Willingness to travel within Riverside and San Bernardino counties for home visits and community engagement.
- Bilingual Skills: Preferred to effectively communicate and serve our diverse member populations.
- Health Insurance: Eligible for medical, dental, and vision insurance from the first of the month following or coinciding with your start date.
- Paid Time Off: Sick time, paid holidays, and vacation time to support work-life balance.
- Compensation and Incentives: Competitive salary with annual merit increases and quarterly bonus opportunities.
- Flexibility: Work-from-home options several days a week.
- Professional Growth: Opportunities for career advancement and continued professional development.
