ECM Case Manager

SUMMARY: Responsible for delivering comprehensive care management services and providing community-based care coordination to address service gaps experienced by Medi-Cal recipients, meeting Central Coast Alliance for Health (CCAH) outcome expectations. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential job functions.

ESSENTIAL DUTIES AND RESPONSIBILITIES Must be able to perform each essential job function satisfactorily.

 Direct Care and Case Management

1. In a culturally competent manner will provide services to all participants without regard to race, color, creed, national origin, marital status, sexual orientation, age, sex, religion, and handicap or payment status.
2. Conduct and document outreach efforts to engage and enroll eligible participants.
3. Conduct assessments of individuals referred to the ECM program to identify medical, behavioral health, and social needs.
4. Assess client needs, provide education on self-management techniques, and address barriers to care.
5. Monitor and track the progress of participants in achieving their care plan goals, providing ongoing support and guidance as needed.
6. Inform participants of their personal rights, responsibilities, and Company’s grievance procedures. Ensure that services are compatible with participants’ freedom of choice.
7. Collaborate with interdisciplinary team members to coordinate care and optimize outcomes.
8. Adhere to ethical and professional standards of practice, including maintaining client confidentiality and respecting cultural diversity.
9. Provide information on health and mental health care issues including prevention, early detection and remedial care to participants, families, other agencies and the community.
10. Provide provisions for the safety and guidance of participants with physical challenges.
11. As needed transport participants to appointments, outings etc.

Teamwork and Collaboration

1. Maintain cooperative and professional working relationships and communications.
2. Meet program outcome expectation in collaboration with CCAH.
3. Participate in regular team meetings and training to coordinate care and optimize outcomes.
4. Give input to management on improving the quality of programs and assist in monitoring program effectiveness and participant satisfaction.

 Reporting and Documentation

1. Mandated to report any “suspected abuse of dependent adults and elders” directly to Law Enforcement, Adult Protective Services, Ombudsman, or Community Care Licensing.
2. Keep clear, accurate, and professional records.
3. Meet caseload expectations and work collaboratively to meet program requirements.
4. Submit timely and accurate invoices, billing data, and other requested reports.

QUALIFICATION REQUIREMENTS: Knowledge, skill, or ability required to perform the job.

 Education and/or Experience

1. Bachelor’s degree in psychology, social work or related. OR
2. Three years in an outreach program providing direct services to persons with housing struggles.

 Knowledge

1. Experience assisting with housing navigation/community outreach and supervision of participants.
2. Knowledge and conformity to all applicable HIPAA, OSHA, state and local laws, rules and regulations including Department of Health Services.
3. Comprehension of the implementation of a Trama Informed approach to participant care.

 Language Skills

1. Read, speak, write and understand English well enough to follow and share the regulations, requirements and communications for providing care to participants.
2. Able to effectively present information and respond to questions.

 Mathematical Skills

1. Calculate figures and amounts such as discounts, proportions, and percentages associated with completing the requirements of the position.

 Reasoning Ability

1. Ability to carry out written, oral, or diagramed instructions.
2. Competent in dealing with problems involving several variables in different situations.

 Other Skills and Abilities

1. Timely complete tasks, meet deadlines, problem solve, and coordinate numerous activities. Adjust tasks in accordance with changing deadlines and priorities.
2. Maintain cooperative and professional working relationships.
3. Adequate computer skills to utilize e-mail, word processing and needed programs.

 Additional Requirements

1. Must be 21 and accepted by the Company’s vehicle insurance.
2. Cleared by the Department of Justice and County.
3. May be required to serve on company committees.
4. Complete all annual training requirements as mandated by Santa Cruz County and Front St. Policies.
5. Attend mandated meetings and training; fulfill all coursework and training hours required.
6. Work in a safe and acceptable manner, following established safety procedures.

 Physical Demands: Must be met to successfully perform the essential job functions.

1. Regularly required to talk, hear, and sit, stand for extended periods of time.
2. Frequently required to reach with hands, arms, stand, walk, stoop, and may occasionally be required to kneel, crouch, crawl or lift up to 25 pounds.
3. Be physically, mentally and occupationally capable of performing assigned task.

 Work Environments: Employee may encounter while performing essential job functions.

1. Noise level is usually low to moderate.
2. Possible contact with hazardous and caustic household cleaning chemicals.
3. The actions of clients may be unpredictable. Staff may be verbally assaulted and at times may be physically injured.