ECM Case Manager

Role Overview

• Responsible for coordinating with individuals and/or entities to ensure a seamless experience for the Member and non-duplication of services
• Serves as the primary contact to members enrolled in the ECM Program and advocates for members
• Conducts comprehensive risk assessments and care planning in collaboration with members
• Complete a bio-psycho-social assessment and a Care Plan for each member on their caseload
• Oversees the implementation of the clients Care Plan
• Develop effective and professional relationships with various providers/partners in the clients continued care
• Facilitate linkage to community resources, mental health, substance abuse and medical services and provide transportation when needed
• Communicate with mental health, substance abuse and medical providers to ensure continuity of care
• Connect members to other social services and support them
• Advocate on behalf of Members with health care professionals
• Use motivational interviewing, trauma-informed care, and harm-reduction approaches
• Coordinate with hospital staff on discharge plan
• Accompany member to office visits, as needed
• Help clients maintain compliance with treatment plans, including medication reminders and service linkages
• Monitors service delivery, adhering to the prescribed schedule of client contact
• Conducts face to face visit with Members twice a month or as requested/needed
• Maintains proper charting, progress notes and case records for each enrolled member in the company EMR system
• Track interventions and outcomes
• Handles complaints from clients, families or friends
• Driving may be required to geographical areas that are covered by the company
• Reports all signs of abuse or neglect
• Participates in Education, Training and Quality Improvement Activities
• Assists the Agency in maintaining compliance with Federal, State, Local and HIPAA Regulations or Joint Commission Standards
• Establishes and maintains good relationships with all Health Plans and other vendors
• Performs other duties as assigned.

Requirements

• Minimum of two years experience working with homeless and/or low and mixed-income populations
• Experience with substance abuse and severe mental health issues
• Bachelor's Degree in Health Care or related field preferred
• Knowledge of community and housing resources and government benefits/welfare system
• Must have good verbal and written communication skills
• Ability to make sound clinical judgments regarding client care
• Must be a licensed driver with an automobile that is insured and in good working order
• Possesses current CPR certification
• Current and satisfactory report on pre-employment physical examination including TB Screening Test or chest X-ray as required by Agency policies and procedures
• Must be free from signs of infection and illness.

Tech Stack

• Ray