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DEPARTMENT: Behavioral Health
REPORTS TO: Behavioral Health Manager, Enhanced Care Management
LOCATION: West Fairfield, CA
HOURS: Mon to Fri, 40 hours a week
Pay Range: $22.87 to $31.05/hr
About CommuniCare OLE
Established in 2023, CommuniCare OLE is the result of a union of two health centers with a deep roots in their respective communities and reputations for providing high-quality primary care to all, regardless of insurance or ability to pay: OLE Health of Napa and Solano Counties and CommuniCare Health Centers of Yolo County. Building on a legacy established by both organizations in 1972, CommuniCare OLE is a network of federally-qualified health centers with 17 sites across Napa, Solano, and Yolo Counties. It offers comprehensive care, including medical, dental, behavioral health and substance use treatment, nutrition, optometry, pharmacy, care coordination, referrals, and enrollment assistance to more than 70,000 individuals, and no one is turned away due to lack of insurance, immigration status, or ability to pay. Many services are offered outside of its sites, including mobile health, home visiting, and community and school-based programs.
JOB SUMMARY:
Enhanced Care Management (ECM) is a whole-person, interdisciplinary approach to care that addresses the clinical and nonclinical needs of Members with the most complex medical and social needs through systematic coordination of services and comprehensive care management that is community based, interdisciplinary, high touch and person centered.Under the direction of the ECM manager and in conjunction with the ECM team, The Care Navigator will:
KNOWLEDGE OF WORK
Knowledge of Organizational Improvement Methods |
Knowledge care navigation best practices |
Knowledge of Federally Qualified Health Centers and the key health center principles and guidelines |
DUTIES AND RESPONSIBILITIES
Provides community-based, high-touch, on-the-ground, face-to-face interactions with ECM Members. Assists clients in their homes, community, or clinic setting |
Maintains a caseload of approximately 35-37 ECM Members |
Collaborates with ECM team and CommuniCare OLE staff including nursing, medical, dental, behavioral health, and care coordination to ensure the full spectrum of ECM services and benefits are implemented |
Accompanies ECM Members to medical and other service-related appointments when necessary |
Identifies and addresses social determinants of health |
Develops a care plan and works with the ECM Member to formulate and execute realistic, time specific and measurable goals |
Motivates ECM Members to be active and engaged participants in their health and overall wellbeing. |
Assists ECM Members in utilizing community services, including scheduling appointments with social services agencies, and assisting with completion of applications for programs for which they may be eligible. |
Acts to reduce cultural and socio-economic barriers between ECM Members and institutions. |
Develops relationships with local community organizations to implement interventions that address social determinants of health |
Monitors the Collective Medical software for ED/in-patient/long-term facility stays and readmission patterns |
Maintains updated ECM Member status and uploads Releases of Information, and Care Plans onto Collective Medical |
Abides by CommuniCare OLE protocols regarding outreach staff and Member health and safety |
Sustains accurate, detailed, and timely documentation of client interactions on the EHR. |
Works closely with the Quality Improvement team to ensure patient interaction and data collection meet QI incentives/certifications. |
Performs other duties as assigned |
EDUCATION, EXPERIENCE, TRAINING
1. High school graduate or equivalent required. Bachelor’s degree in related field preferred.
2. Experience working in a health care setting with FQHC experience preferred.
3. Experience working successfully with issues of substance use, mental health, criminal background, and other potential barriers to economic self-sufficiency.
4. Experience working with co-occurring disorders preferred.
5. Strong collaborative skills: ability to engage members of the care team, other disciplines, leadership, and external community partners effectively and appropriately.
6. Computer skills and knowledge of Microsoft Office required electronic health record.
7. Strong interpersonal and customer service skills required; ability to manage difficult and emotional patient situations.
8. Ability to adapt to change; approach challenges with an innovative and proactive attitude; and investigate resources.
9. Must have a valid California driver license, reliable personal vehicle and current personal auto insurance as required by law.
10. Must have initiative, strong analytical and problem-solving skills.
11. Must certify and remain current in CPR certificate.
12. Strong verbal and written communication skills required.
13. Bilingual (English/Spanish) required.
BENEFITS
Full Time
Ambulatory Healthcare Services
$97k-116k (estimate)
04/24/2024
05/07/2024
olehealth.org
CALISTOGA, CA
50 - 100
1972
BEATRICE B BOSTICK
$10M - $50M
Ambulatory Healthcare Services
We believe todays healthcare options arent giving people what they need. So we do things differently. Everyday at OLE Health we practice a new model of high-quality healthcare that helps people get and stay healthy. Each patient works with a dedicated team of medical professionals to get the range of services they need, when and where they need them. Were committed to this approach because our years of experience have taught us that a strong and healthy community depends on strong and healthy residents. And it takes a team to build this kind of health. We are proudly local and have cared for o...ur communities for more than 40 years.
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