Bilingual Enhanced Care Case Manager (ECM)

Job Description Job Description Essential Duties and Responsibilities : ● Engages eligible members ● Offers services where the member lives, seeks care, or finds most easily accessible and within health plan guidelines ● Oversee provision of services and implementation of the Care Plan ● Connects with member via phone or in-person to facilitate engagement, assessment, follow-up, and education/training visits to develop and address the Care Plan. ● Works in conjunction with member to identify Care Plan goals and objectives. ● Connects member to other Community Supports / social services and supports he/she may need. ● Accompanies member to office visits, as needed and according to health plan guidelines. ● Arranges transportation. ● Responsible to convene care conference meetings. ● Coordinates with ECM resource partners to obtain data/information to ensure accurate Care Plan updates. ● Utilizes eCW and other electronic tracking systems to coordinate services and input data for reporting. ● Attends required trainings. ● Facilitates internal trainings/updates to clinical and administrative staff members. ● Collaborates with IT department to ensure ECM templates are appropriate and effective at capturing needed data/information. ● Reviews existing T.H.E.s protocols and polices to match ECM requirements. ● Develops new ECM protocols, policies, and accompanying workflows. ● Assists the required ECM reports and other internal reports. ● Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the Member and non-duplication of services ● 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 and according to T.H.E. and MCP guidelines ● Monitor treatment adherence (including medication) ● Provide health promotion and self- management training ● Other duties as assigned. Required Education and Qualifications: ● Bachelor’s Degree in a healthcare, behavioral healthcare, social work, human services, or related field with one year of experience, preferably in working with patients in a clinic setting, providing home health care for patients, or social services case management services to low-income populations with one or more of the following: complex chronic conditions, high utilizer of emergency room and tertiary health care services, severe mental illness, and/or homelessness. ● Licensed Vocational Nurse (LVN), licensed behavioral health care professional, social worker, substance abuse counselor, health educator, or other similar paraprofessional preferred. ● MPH or related fields preferred ● Bilingual in English/Spanish (oral and written) Knowledge. Skills and Abilities: ● Strong documentation skills. ● Ability to multi-task and prioritize when needed. ● Ability to independently seek out resources and work collaboratively. ● Ability to develop and maintain good working relationships with staff. ● Ability to use computer and learn new software programs. ● Excellent interpersonal skills reflecting clarity, diplomacy, and the ability to communicate accurately and effectively with all levels of staff and management. ● Demonstrates ability to work in a regulatory climate that includes oversight of state and federal entities, payer contracts etc. ● Possesses ability to communicate effectively, both verbally and in writing. ● Proficient knowledge of Microsoft Outlook, MS Word, and Excel. ● Able to travel and attend professional meetings, conferences, trainings, and clinic sites. ● Performs other related duties as assigned. Company Description T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all. We are an Equal Opportunity Employer. Company Description T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.\r\n\r\nWe are an Equal Opportunity Employer.