EMPLOYER BACKGROUND
Are you looking for a change in work environment that provides rewarding and competitive pay, rich benefits, discretionary year-end bonus and set work schedule? How does weekends-off sound? 401k with a 5% employer match isn’t common nowadays, but LaSalle offers it!
LaSalle Medical Associates has been servicing the community for over 38 years! We are an established and well-respected Company throughout the Inland Empire region, including the Los Angeles County and Central Valley areas.
Now is the time to join a Company that really cares! Don’t miss-out on this opportunity to be a part of this growing team!
POSITION DESCRIPTION
Position: Behavioral Health Case Manager, ECM Program,
Model 1 CB-CME
Reports To
ECM Program Director
POSITION PURPOSE
Under the general supervision of the ECM Director, this position is responsible for working effectively with, and as part of the CB-CME to provide high quality, effective care management to ECM Program (ECM) members. Care management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. This position works collaboratively as part of the Community- Based Care Management Entity (CB-CME) team, members and families, and other professionals, in addition to working collaboratively with the designated PCP care team.
MAJOR RESPONSIBILITIES
1. Responsible for primarily working with a caseload of ECM Members with behavioral health needs.
2. Responsible for utilizing brief behavioral health therapeutic interventions as necessary to improve the Member’s ability to manage their own health.
3. Provide formal and informal training and support for ECM Members on behavioral health conditions, including treatments and evidence-base for treatment.
4. Responsible for assisting Members with care coordination needs, including, but not limited to, the following:
a Ensuring completion of the Complex Health Assessment (CHA) for all eligible ECM high-risk Members
b Assimilate CHA information into an Shared Care Plan (SCP)/Health Action Plan (HAP)
c Communicate SCP with Member, approved family or caregiver and other Members of the care team
d Participate in multi-disciplinary care team meetings to share information, update and inform care plan
e Coordinate with internal and external health partners to support Member’s comprehensive care needs
f Participate and lead (as necessary) for care transition plan responsibilities.
g Provide active, on-site support for Members and care team staff within the CB-CME
Position Description – Behavioral Health Care Manager, ECM Program, Model 1 CBCME
5. Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community.
6. Responsible for promoting a collaborative and effective working environment within the CB-CME by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as they arise, and collaborating on Member case discussions.
7. Provide formal and informal training and support for ECM members on behavioral health conditions, including treatments and evidence-base for treatment.
8. In conjunction with the ECM director, the Behavioral Health Care Manager is responsible for providing consultation for the non-licensed members of the team when discussing tasks of a clinical nature.
9. Responsible for building and maintaining a positive working relationship with Providers, including, but not limited to, communication via in-person, over the phone, and through digital means such as email and fax.
10. Responsible for engaging with Members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the Member and his or her medical/behavioral team, as well as to increase the Member’s sense of control over their whole health.
11. Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as by identifying and addressing gaps, and by identifying, developing, and testing new practices for improving the outcomes of the ECM.
12. Assists with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services.
13. Collaborates on Member care issues with other CB-CME team, participating in weekly systematic case reviews and ad hoc case reviews, and consults with Nurse Care Manager and/or the Behavioral Health Care Manager before taking any action that is clinical in nature.
14. Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards.
15. Participates in CB-CME staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Team Members.
16. Ensures the privacy and security of PHI (Protected Health Information) as outlined in LaSalle Medical Associates’ policies and procedures relating to HIPAA compliance including attending annual compliance training.
17. Any other duties as required to ensure Health Plan operations are successful.
Position Description – Behavioral Health Care Manager, ECM Program, Model 1 CBCME
MINIMUM QUALIFICATIONS
Education/License:
LMFT or LCSW licensure required. A valid California driver’s license, a reliable car, and valid automobile insurance are also required. LaSalle Medical Associates will verify these requirements, as automobile travel within the Inland Empire may be required.
Experience:
Minimum of (3) three years of experience performing or facilitating Behavioral Health services in a health clinic/psychiatric hospital medical facility, or health care clinic strongly preferred. Familiarity with Managed Care and discharge planning is preferred.
Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory. Experience in clinical services, both mental health and substance use preferred; experience in motivational interviewing and/or other evidenced based communication strategies highly preferred.
Knowledge/Skills Required:
Highly skilled interpersonally, with excellent relationship skills. Knowledgeable and skilled in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies. Highly skilled in interpersonal communication, including resolving conflict with co-workers. Able to sufficiently engage members and providers on the phone, including developing effective relationships that are phone-based. Understanding of and sensitivity to multi-cultural community. Deep understanding and knowledge of mental health and substance use conditions, including both acute and chronic management of. Skillful in informally and formally sharing expertise. Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both. Bilingual (English/Spanish) preferred. Must be able to work as a member of a highly autonomous team, executing job duties and making skillful decisions as an independent team. Must have skills to tolerate, manage and make effective use of a high level of ambiguity around new team models, new models of care, and new care management practices.
ESSENTIAL FUNCTIONS
Commitment to Team Culture:
The LaSalle Medical Associates Team environment requires a Team Member to participate in the LaSalle Medical Associates Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization.
Physical Activities:
Minimal physical activity; may include standing and repetitive motion.
The position purpose, principal accountabilities, essential functions, minimum qualifications and the requirements listed in this job description are representative only, and are not exhaustive of the tasks that a Team Member may be required to perform. LaSalle Medical Associates reserves the right to revise this job description at any time, and to require Team Members to perform other tasks as circumstances or conditions of its business considerations or work environment change.
E.O.E
Job Type: Full-time
Pay: From $103,511.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Application Question(s):
- How many doses of the COVID-19 vaccine do you have
- Are there any commitments that would prevent you from adhering to an eight to five, Monday to Friday, work schedule?
- How many years experience do you have performing or facilitating Behavioral Health services in a health clinic/psychiatric hospital medical facility, or health care clinic?
- How many years of experience of Managed Care and discharge planning do you have?
- Do you have a valid California LCSW or LMFT license?
- Have you interviewed with LaSalle Medical Associates previously?
- Are you able to work full time hours Monday through Friday 8am-5pm without any interruption in your work schedule?
Language:
Ability to Relocate:
- Hesperia, CA: Relocate before starting work (Required)
Work Location: In person
