About Us: We are a dedicated community services organization committed to breaking the cycle of homelessness. Operating across three counties, we provide a compassionate bridge from life on the streets to the stability of a permanent home. Our mission is to meet individuals exactly where they are, offering a path forward through intensive support, resource navigation, and unwavering advocacy. We are looking for an Enhanced Case Manager (ECM) to join our team.
As an ECM, you will play a crucial role in helping our clients manage their health and well-being. Your primary responsibilities will include:
Key Responsibilities:
- Locate, contact, and engage members identified as candidates for ECM using various strategies, including in-person meetings and digital communications.
- Conduct outreach and engagement.
- Document all outreach and engagement attempts and share relevant information with health plans.
- Conduct comprehensive assessments to identify clinical and non-clinical needs.
- Develop and maintain individualized, person-centered care plans in collaboration with members and their support systems.
- Regularly reassess and update care plans based on changes in members’ needs.
- Assist members in navigating health, behavioral health, and social service systems.
- Maintain regular communication with members’ care teams and coordinate appointments and transportation as needed.
- Monitor referrals and ensure continuous, integrated care.
- Provide health education and coaching to members and their support systems.
- Link members to resources for smoking cessation, chronic condition management, and other health-related services.
- Facilitate smooth transitions between different care settings, such as hospitals and nursing facilities.
- Develop and update transition plans and coordinate post-discharge support services.
- Educate members on self-management and medication management.
- Document and communicate with members' families and support systems as needed.
- Provide education and resources to support members' health goals and treatment adherence.
- Ensure members and their families have access to and understand their care plans.
- Identify members’ needs for community and social services, such as food assistance or housing support.
- Make appropriate referrals and follow up to ensure members receive necessary services.
Qualifications:
- Bachelors Degree is preferred.
- Background in social work, psychology, or a related field is helpful but not required.
- Experience in the fields of social work or case management is a plus.
- Strong understanding of medical, behavioral, and social determinants of health.
- Ability to use or learn electronic health records.
- Strong determination to learn and adapt in a dynamic environment.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a multidisciplinary team.
- Valid driver's license and reliable transportation.
Skills:
- Strong organizational and time-management skills.
- Empathy and compassion for working with diverse populations.
- Ability to develop and implement effective care plans.
- Knowledge of community resources and social services.
- Problem-solving and critical-thinking abilities.
- Ability to educate and support clients and their families.
**This is an in person position, remote/virtual work is not an option**
Job Type: Full-time
Pay: From $24.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Vision insurance
Ability to Commute:
- Eureka, CA 95501 (Preferred)
Work Location: In person
