Principal Responsibilities:
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Collaborate and communicate with the ECM management team, providers, managed care plans, Housing Navigation team, and community homeless service providers to ensure enhanced care coordination for eligible patients and/or entities, promoting a seamless patient experience and avoiding duplication of services.
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Provide guidance and support to Case Managers under the direction of the ECM management team.
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Assist with onboarding, orientation, scheduling, training, and ongoing staff education.
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Monitor and provide feedback regarding ECM Case Managers’ and Housing Navigators’ daily activities, including productivity, documentation, efficiency, caseload assignment and tracking, timely completion of care plans for clinical consultant review, and other performance indicators.
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Prepare and complete assigned reports related to productivity and performance metrics for ECM Case Managers, including collecting, tracking, and reporting encounter and outcome data from NextGen and other Behavioral Health data sources.
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Conduct case management services, including intake and assessment, development and implementation of comprehensive care plans, monitoring patient progress, and maintaining timely documentation.
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Connect members with subspecialty referrals, social services, support services, transportation resources, food assistance, and housing resources.
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Maintain professionalism in conduct and appearance while advocating on behalf of members with healthcare professionals.
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Provide health promotion and education to members to support overall wellness and care outcomes.
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Participate in agency and community meetings focused on patient needs and case management-related issues.
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Attend weekly case conferences with PCPs, clinical supervisors, and peers to support problem-solving, collaboration, and the delivery of high-quality case management services.
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Adhere to all organizational safety policies, procedures, and regulatory requirements to ensure a safe environment for patients, staff, and visitors.
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Participate in required safety and compliance trainings and apply learned practices in daily work activities.
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Identify, report, and help mitigate unsafe conditions, incidents, or hazards in the workplace.
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Use equipment, tools, and supplies safely and responsibly in accordance with organizational and regulatory standards.
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Maintain awareness of infection control, occupational health, and emergency preparedness procedures appropriate to the role.
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Participate in JWCH’s customer service training called AIDET on an annual basis.
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Demonstrate an understanding of AIDET (Acknowledge, Introduce, Duration, Explanation, and Thank You) to apply in patient encounters or team discussions.
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Utilize the AIDET communication framework to communicate with patients and team members in a manner that reduces patient anxiety, increases patient compliance, and improves clinical outcomes.
18. Performs other duties as assigned within scope of practice.
Requirements:
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AA or bachelor’s degree in Social Work, sociology or related field experience with at least 1-year experience as care coordinator, community health worker or similar responsibilities or
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High School Diploma or GED with at least 2 years’ experience as care coordinator, housing navigation, community health worker or similar responsibilities.
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Minimun of 2 years’ experience working with data in health care field with advanced knowledge with Excel and other software such as Microsoft Word
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Trained and experienced in Nextgen Electronic Health Record system
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Experience working with individuals who have multiple chronic conditions, ER visits or frequent in-patients’ admissions or experiencing homelessness.
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Strong desire to work as part of multi-disciplinary team with care coordinators, LCSW, MSW, PCP’s and MAs.
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Bilingual (English/Spanish) ability strongly preferred
- All JWCH, Wesley Health Centers workforce are recommended to be fully vaccinated and boosted against COVID-19.
Employee Benefits:
At JWCH Institute, Inc., we believe in taking care of those who take care of others. If you work 30+ hours per week, you’ll enjoy competitive pay and a robust benefits package that includes:
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Medical, Dental, Vision
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Monthly employer-sponsored allowance for assistance with health premiums.
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Funded Health Savings Account (up to deductible) to assist with carrier-approved medical expenses.
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Paid time off (vacation, sick leave) and 13 paid holidays.
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401(k) Safe Harbor Profit Sharing plan.
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Mileage reimbursement.
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Short- and long-term disability plans (LTD/STD).
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Life insurance policy & AD&D, and more!
Become part of a team where your work matters. Apply today and help us change lives, one patient at a time.
JWCH Institute, Inc + Wesley Health Centers is an Equal Opportunity and Fair Chance Employer.
