Description:
Job Summary: The Lead Care Manager (LCM) position provides family-centered, member-focused, relationship-based care coordination services to children and youth enrolled in Enhanced Care Management (ECM) services. This position effectively utilizes Agency policies and procedures and makes appropriate independent judgments in the course of daily work.
Essential Functions:
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Responsible for coordinating with the members’ service providers and support network to ensure a seamless experience for the members and non-duplication of services.
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Actively engage ECM-eligible members.
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Oversee the provision of ECM services and implementation of the care plan.
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Offer services where the member lives, seeks care or finds most easily accessible and within managed care plan guidelines.
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Connect ECM members to other social services and supports they may need, including transportation.
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Advocate on behalf of ECM members with health care professionals.
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Utilize motivational interviewing, trauma-informed care, and harm reduction approaches.
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Coordinate with hospital staff on ECM member discharge plans.
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Accompany ECM members to office visits as needed and according to managed care plan guidelines.
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Monitor treatment adherence, including medication.
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Provide health promotion and self-management training.
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Carries a full caseload of up to 50 ECM member, unless instructed otherwise by senior management within the scope of policy guidelines.
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Identifies gaps and barriers to service, documenting in the member’s care plan, and communicating these to the multidisciplinary care team to develop and implement a response.
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Prepares for and participates in individual and group supervision meetings.
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Behaves in an ethical, professional manner in support of Agency culture.
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Supports and promotes the mission, vision, and values of the EPU.
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Identifies and presents discussion topics with management staff regarding potential workplace and morale issues, making recommendations for addressing them.
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Displays a positive and attentive attitude at site meetings and department, program, and Agency staff meetings.
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Maintain necessary lines of communication with a multidisciplinary team, leadership, and external partners to promote collaboration and address any challenges.
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Effectively collaborates with the program and site coordinators and the department head, accepting direction and implementing policies and procedures that reflect this direction.
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Displays sensitivity to the service population’s cultural and socioeconomic characteristics.
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Safely always performs work and ensures that other individuals do not put themselves or others at risk.
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Maintain, manage, and process child/family records and information in a confidential manner that meets HIPAA and other applicable confidentiality regulations.
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Ensures performance and behaviors support the Agency’s performance quality improvement (PQI) goals and objectives.
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Reports to work on time and maintains reliable and regular attendance.
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EPU facility hours are Monday – Friday; 8:00 AM – 5:00 PM; with some exceptions based on business needs. Positions hours may vary on occasion depending upon the needs of the business.
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Other duties and responsibilities as required by the Sr. Manager, Program Director, or President/CEO.
Requirements:
Knowledge, Skill, and Experience:
Education: High school diploma or equivalent with a minimum of 12 units in Social Services or other related fields or demonstrate knowledge through comparable work experience.
Skills: The candidate must have strong communication skills, both written and verbal, in planning/organizing, information gathering, identifying solutions, summarizing, listening comprehension, goal setting, multi-tasking, teamwork, collaboration, initiative, and the ability to make independent decisions within guidelines and the code of ethics.
Experience:
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2+ years’ experience in case management and a strong understanding of community resources required.
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Experience in working with a diverse population and being a team player.
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Must have the capacity to engage the family and yet maintain the boundaries of a helping relationship.
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Experience in engaging with families/clients and maintaining boundaries of a helping relationship.
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Must hold a valid California Driver's license and good driving record with no serious violations for the previous two-year period and be able to provide proof of current automobile liability insurance.
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Must have reliable transportation to visit families in the communities.
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Bi-lingual skills English to Spanish, Hmong, Thai, or Laotian a plus.
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Computer literate, knowledge of Microsoft Office products.
Physical Demands:
Typical Working Condition: The Position may work from the EPU facility, and visit families in their homes, or in the community. EPU does not have control over the location and condition of all the environments staff may be exposed. The position requires the ability to sit and work on a computer for extensive periods of time. Position requires fingering (fine dexterity), and repetitive hand and wrist motions.
Equipment Used: Computers, printers, telephones, and fax machines. Requires the ability to operate a vehicle for local travel.
Essential Physical Tasks: Must be able to sit for long periods, working with a keyboard or computer screen.
This position description may not be an exhaustive list of all duties, knowledge, or abilities associated with this classification; however, it is intended to reflect the principal job elements accurately. Related duties, knowledge, or abilities to those explicitly stated may also be required for the successful position.
