Overview Job Location: Glendale - Glendale, CA
Salary Range: $31.84 - $35.03 Hourly
Title of Position: Lead Care Manager (LCM)
Location: Gateways Glendale Administration Office
Exempt/Non-Exempt: Non-Exempt
Union/ Non-Union: Non-Union
Supervisor: Program Director
Gateways Hospital and Mental Health Center's Enhanced Care Management (ECM) program is a newly certified program serving Managed Care Plan members with chronic mental health and social support needs. Candidates will have the opportunity to be part of an exciting startup phase which will include new program operations infrastructure development and implementation, recruiting, hiring and training program staff, interface with managed care plan managers, supporting in-community client outreach and engagement, and establishing collaborative partnerships with community stakeholders to enhance closed loop referrals and whole person client services.
SUMMARY OF POSITION
The Lead Care Manager (LCM) is responsible for providing Enhanced Care Management (ECM) and supportive services to members and families who qualify for the ECM Medi-Cal benefit under CalAIM through the completion of comprehensive assessments and the development of individualized care plans. The LCM is responsible for helping members and their families navigate and access community services, other resources, and to adopt healthy behaviors. The LCM supports the care team through an integrated approach to care management and community outreach. As a priority, activities will promote, maintain, and improve the health of members and their family. Works in collaboration with: Care coordinators, care navigators, program director, medical/health care providers (primary care physicians, nursing staff, mental health workers), community support organizations.
ESSENTIAL DUTIES
Educating members about ECM services, assisting them with enrollment and serving as the primary liaison between them and any services they may need
Support individuals and family as they navigate the health care system and transition to improvement in self-care and health care management
Responsible for establishing trusting relationships with members and their families while providing general support and encouragement
Provide ongoing follow-up, basic motivational interviewing, and goal setting with members/families
Meeting members in the clinic, facility or at home to help identify social determinants of health impacting their overall health and general well-being
Collaborate with the full care team to create an individualized, linguistically, and culturally appropriate care plan for every enrolled member
Assists members in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms
Facilitate communication between all parties (members, families, colleagues, and community-based organizations) as needed
Help members set personal health related goals and attend appointments
Provide referrals for services to community agencies as appropriate
Help members connect with transportation resources and provide appointment reminders in special circumstances
Work closely with medical providers to help ensure that members have a comprehensive and coordinated care plan
Act as a member advocate and liaison between the member/family and community service agencies
Monitor treatment adherence and informs teams of any changes or lack of adherence
Record member care management information in the Care Management and other software no later than 24 hours after member contact
Manage assigned caseload of members
Participate in community outreach activities to bring visibility to the program and services as needed
Performs other additional tasks as directed.
ESSENTIAL SKILLS
Demonstrable knowledge and skill in case management and supervision, social services, and organization skills
Ability to organize and prepare documentation in a timely manner, can handle multiple priorities while remaining professional and calm
Possess initiative, flexibility, and ability to work under pressure without direct supervision
Ability to work collaboratively with others and a willingness to participate fully in the team process
Ability to work with many diverse people, including children and teenagers
Effective telephone skills
Strong level of confidentiality due to the sensitivity of materials and information handled
Ability to make suggestions on workflow or system efficiency and effectiveness
Ability to work independently and be self-directed and flexible
Ability to work at a high-volume level of accuracy
EDUCATION & CERTIFICATES
Minimum Education Required:
High School Diploma/GED with comparable years of experience in related field
Desired Education:
Bachelor's degree in social work or a related field
Community Health Worker certification
EXPERIENCE/QUALIFICATIONS
Minimum Experience Required:
2+ years case management experience required
1+ years experience working with Justice-Involved/Re-Entry populations & Serious Mental Illness (Youth & Adult)
Written and oral fluency in English and Spanish is preferred
Willing to learn and understand a variety of different cultures, perspectives and norms
Experience working in a community-based setting for at least 1 to 2 years
Basic computer skills required; electronic medical record (EMR) experience
Understand the community served, community connectedness
Good communication skills, such as listening well, and using language appropriately
Ability and willingness to provide emotional support, encouragement and motivation to members
DESIRED EXPERIENCE
2+ years care coordination within CalAIM system of care (community-based and/or medical setting)
Lived experience related to serious mental illness, justice-involvement, and/or substance use disorders
REQUIREMENTS
Must pass Department of Justice (DOJ), Federal Bureau of Investigations (FBI), and Community Care Licensing (CCL) background clearance.
Valid California Driver’s license.
TB clearance.
Driving record acceptable for coverage by Gateways insurance carrier.
PHYSICAL REQUIREMENTS
To perform this job you must be able to carry out all essential functions successfully. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the job.
Employee will be required to lift and/or move unassisted up to 25 pounds.