Care Manager

Description

CLASSIFCATION SUMMARY:

Volunteers of America Southwest’s (VOASW) Enhanced Care Management (ECM) program provides a whole person approach to care for Medi-Cal beneficiaries. VOASW believes in individualizing services based on need and what works best for the member, thus through care management and care coordination we asses need and connect individuals to services and resources most appropriate for them. Through the delivery of these services, we hope every member can improve their quality of life, establish a support system and develop healthy living choices.

The goal of the Care Manager is to improve the well-being of individuals with complex health and social needs, including mothers who are expecting or have just given birth, through personalized care management and coordination. This involves assessing the needs of all individuals and families enrolled and connecting them with the most appropriate services and resources. By delivering these services, we strive to enhance the quality of life for each member, establish robust support systems, and promote healthy living choices.

The Care Manager is the primary point of contact for enrollees, providing direct care management and coordination services. Responsibilities include completing comprehensive assessments, developing individualized care plans, coordinating services and referrals, and offering education and support to help members achieve better health outcomes.

ESSENTIAL DUITES AND RESPONSIBILITES:

Client caseload management:

• Conduct assessments and reassessments, care planning, and care management

• Schedule in-person/home visits and electronic check-ins with members

• Maintain extensive knowledge of local community support services, inducing but not limited to health care, mental health care, housing, basic needs, etc.

• Coordinate care and services with external care providers including PCPs, Specialty Physicians, Nurses, Psychologists, Psychiatrists, etc.

• Document interactions with member including direct and indirect services

• Provide ongoing support and education to members regarding health lifestyle choices

• Regularly review and update care plan.

• Work with Medi-Cal and community providers to coordinate services for members

• Provide members with education and services to prevent ER visits, hospitalizations and readmissions.

Organizational and administrative duties:

• Participate in Care Team meetings and Care Conferences

• Document client services EHR. Track all services provided to member including direct and indirect services and time spent on each activity

• Establish and retain client referral systems from care coordination systems

• Complete reporting requirements according to organization standards

• Track client information, schedules, files, and forms in a confidential manner

• Maintain ongoing knowledge of program requirements, expectations and services

• Attend and represent the organization at professional conferences, in-service trainings, and meetings at the request of or with the approval of supervisor

• Participate quality assurance and monitoring activities for service delivery and documentation

STANDARDS OF EXCELLENCE:

• Processes requested or needed information on or before expected deadline. Information provided and received (operational and financial) is error-free and responsive to requests.

• Demonstrates and maintains competency in the specialty or discipline for which position is responsible.

• Demonstrates ethics, courtesy and respect, and creates an approachable environment.

• Identifies options and solutions to a problem when confronted with a challenge.

• Looks at rationale associated with each situation to determine and verify the logic and correctness based on historical or current data.

• Maintains confidentiality, uses good judgement and continually keeps Manager/Director updated on any unusual or emergency situations.

• Provides excellent customer services to internal and external customers

Qualifications

EDUCATION AND EXPERIENCE:

• BA, LMSW/LCSW/LMHC or RN/LPN degree

• 2 years minimum of case management experience

• Strong understanding of cultural competency with the target population

• Medi-Cal experience preferred

• Computer literacy necessary

Physical Requirements:

• Physical demands associated with office work

• Some travel required

Salary : $27 - $32