Care Manager I

GENERAL PURPOSE

Under the direction of the Director of Community Services, will be responsible for care management of at-risk older adults, disabled adults and adults eligible for Enhanced Care Management ('ECM') services for the BCHD Community Services Program. This includes coordination, improving health outcomes, enhancing satisfaction and reducing unnecessary healthcare utilization, focusing on the full range of client needs: medical, behavioral and social services.


ESSENTIAL FUNCTIONS

The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the job.

1. Conducts in-depth assessments and reassessments in the client's home and identifies functional limitations which impede independent living; conducts visual assessment of client and living environment.
2. Formulates personalized care plans and implements services; follows up and monitors care plan in collaboration with client's care team: client, family as available, healthcare providers and community resources. Adjusts care plan as needed to meet client goals.
3. Serves as primary point of contact for clients and care team. Identifies and develops support systems for clients; provides support to clients and caregivers; provides information and referrals; conducts client advocacy as appropriate and manages a client caseload with guidance from their supervisor and/or other team members as appropriate. Serves in the role of Lead Care Manager under ECM including but not limited to: educating clients on ECM services; assisting with enrollment in ECM; establishing and maintaining trusting relationships and facilitating communication with clients and other members of care team and leading the client's multi-disciplinary care team and participating in care coordination meetings.
4. Prepares monthly caseload reports and manages timely caseload documentation in the care management software in compliance with agency, state and federal regulations. Provides updates on status of cases during supervision with manager.
5. Provides counseling to care management clients and support group facilitation depending on community need and health priorities.
6. Provides support to volunteers and works with Volunteer Services Department to support client/volunteer relationship.
7. Establishes and maintains community linkages and serves on community-based committees and task forces.
8. Represents the District at health fairs and other community events and attends workshops, meetings and trainings as requested.

1. Provides training and supervision to assigned social work intern.

1. Maintains confidentiality; assures all participant records are maintained accurately in compliance with HIPPA standards.
2. Performs assigned training, duties and work schedule as a Disaster Service Worker on behalf of BCHD.

1. Exhibits clear understanding of the history, mission, and vision and serves as an ambassador of Beach Cities Health District.
2. Exemplifies BCHD's core values of compassion, integrity, accountability, and excellence in every interaction with staff, volunteers and members and the public.
3. Performs special projects and other duties as assigned.

COMPETENCIES

This position requires the following competencies (e.g., knowledge, skills and abilities) in order to perform all functions of the job.

LEADERSHIP COMPETENCIES:

Adaptability/Flexibility. Responds positively to change, embracing and using new practices or values to accomplish goals and solve problems. Recovers quickly from setbacks and finds alternative ways to reach goals or targets. Copes well and helps others deal with the ongoing demands of change; sees and shows others the benefits of change. Manages change in a way that reduces the concern experienced by others. Clarifies priorities when leading change.

Collaboration. Works effectively with others, inside and outside the District, to achieve shared goals, fostering productive partnerships and leveraging collective knowledge and resources. Actively contributes to team objectives by sharing ideas, participating in planning, and recognizing peers' contributions. Promotes an inclusive environment that encourages knowledge sharing and constructive group dynamics. Resolves conflicts and differences positively, facilitating consensus and maintaining team cohesion.

Communication. Effectively transfers thoughts and expresses ideas verbally in individual or group situations. Exhibits strong writing, editing, and proofreading skills. Checks for understanding of the communication by asking open-ended questions that draw out the intended audience's understanding.

Self-Management. Prioritizes tasks by importance and deadline. Adjusts priorities as situations change. Focuses time and effort on key tasks. Easily transitions between tasks and picks up where left off when interrupted. Makes reasonable estimates of resource needs to achieve goals or complete projects. Uses sound methods to plan and track work, appointments, and commitments. Completes high volumes of work, keeping a rapid pace without sacrificing accuracy. Meets and exceeds deadlines efficiently.

JOB COMPETENCIES:

Advocacy. Advocate effectively with others so that clients receive needed care in a timely fashion, while understanding reasonable limits. Provide information and support for individuals and communities to advocate for their own needs. Build and maintain networks of community resources and referrals. Build and maintain networks with relevant community and issue advocacy groups.

Functional Knowledge & Skills. Possesses appropriate expertise and skills to perform job at a professional level. Maintains currency on level of professional/technical knowledge. Takes opportunities to increase knowledge of relevant job skills. Completes assignments accurately and in a timely and efficient manner. Shares knowledge with co-workers.

Relationship Building. Maintains an open, approachable manner and treats others fairly and respectfully. Preserves others' dignity and shows regard for their opinions. Anticipates and recognizes the concerns of others, even if not openly expressed. Seeks to resolve confrontations and disagreements constructively. Builds rapport with external partners for mutual benefit to fulfill needs. Demonstrates a balance between building rapport and getting the work done.

Valuing Diversity/Cultural Awareness. Sees the value of cultural, ethnic, gender, and other individual differences in people. Creates an environment of learning about, valuing, encouraging, and supporting differences. Supports fair treatment and equal opportunity for all. Listens to and objectively considers the ideas/input of others. Strives to eliminate barriers to diversity; ensures that new barriers to diversity are not built.

QUALIFICATIONS GUIDELINES

Any combination equivalent to experience, education, and training that would provide the required knowledge, skills, and abilities would be qualifying. A typical way to obtain the knowledge, skills, and abilities would be:

EDUCATION:

Bachelor's degree in a health or human services field (e.g., social services, gerontology, psychology, public health, counseling). Masters preferred. Will consider relevant work experience in lieu of formal education.

EXPERIENCE:

Requires one to two years prior experience in Care Management, Clinical skills and/or volunteer supervision. Experience includes conducting client assessments, assessing for mental health concerns and dementia risk, formulating care plans, coordinating programs and managing client cases specifically for the older adult population. Familiarity with federal/state programs for elderly and disabled. Experience working in multi-cultural and community-based settings preferred.

KNOWLEDGE:

Knowledge of clinical theory, human development, systems theories, strengths-based perspectives, normal and abnormal psychology, group process and counseling modalities. Knowledge of law as related to mandated reporting, consumer protection (California Board of Behavioral Science policies) and the Tarasoff Law. Knowledge of ethically based practice and limits of scope of practice and BCHD's guidelines, polices, and procedures. Knowledge of end-of-life issues and continuum of care.

Excellent working knowledge of computers, including Microsoft Office programs (e.g., Word, Excel, Outlook, PowerPoint), and ability to learn software programs and databases.


ABILITIES/SKILLS:

Must demonstrate excellent professional-level verbal and written communication skills with an ability to represent the Beach Cities Health District in a professional manner at all times. Excellent customer service skills. Exceptional interpersonal skills and an ability to work with a broad range of people from a variety of backgrounds and experiences in both group facilitation and community outreach settings.

Must be able to take initiative and be a collaborative team player. Relationship building skills and partner management experience is highly desirable. Requires excellent organizational, project and program management skills.

Must demonstrate ability to work independently and remain flexible in a team environment; ability to perform a variety of tasks simultaneously and ability to maintain confidential documents and information.

Bilingual Spanish-English skills are highly desirable.

SPECIAL REQUIREMENTS:

First Aid and Cardiopulmonary Resuscitation (CPR) methods; appropriate safety precautions and procedures; simple record keeping procedures. Must be able to successfully pass background check, tuberculosis test and drug screen. Must have a valid Class C California driver's license and ability to maintain insurability under the District's Employee Use of Automobiles Policy. This position requires local travel and the ability to navigate public transportation with clients.

PHYSICAL STANDARDS

Management reserves the right to add, modify, change or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job.

PHYSICAL AND SENSORY ELEMENTS:

This position requires hearing, talking, and seeing. Specific vision abilities required by this job include close vision and the ability to adjust focus. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, feel or operate objects, tools, or controls and reach with hands and arms. The employee uses finger dexterity in order to operate computer hardware for extended periods of time. The employee is required to constantly sit and occasionally walk and stand to access counters, work areas and files; stoop, kneel, or crouch to access or place records or files; lift and carry records and documents, typically weighing less than 20 pounds.


ENVIRONMENTAL ELEMENTS:

Employees work in normal office environment. The employee also works in a field and in-home environment when conducting in-person assessments and care management, including driving to and from client locations and working in different care management settings.