ECM Lead Care Manager, Bilingual

Wage band range $25.00 to $38.00 per hour; however, it is ultimately determined by contract obligations, the scope of the position, the candidate's relevant experience, and internal equity. Bilingual in Spanish is required.

Under the direction of the SBC Clinical Manager and Regional Director, the Lead Care Manager (LCM) provides direct service, as well as coordinates care management and functions as a part of a "Care Team" for the Enhanced Care Management Program (ECM). The LCM oversees specific cases, coordinates health care benefits, provides education and facilitates client access to care in a timely and cost-effective manner. The LCM collaborates and communicates with clients, caregivers/family support persons, and other providers to promote wellness, recovery, independence, resilience, and empowerment, while ensuring access to appropriate services and maximizing client benefit. The LCM also serves as an advocate for clients, an active client of the interdisciplinary team, a liaison with other programs and external health and social service providers in the community.

We are a diverse and inclusive team providing excellent services to all our surrounding communities. Our team members are empowered to share their identities, ideas, and perspectives. A culture built on diversity, equity and inclusivity is essential to creating a safe and healing environment at Casa Pacifica.

Duties And Responsibilities

• Assess client needs in the areas of physical health; mental health; SUD; oral health; trauma- informed care; social supports; housing; vocational/employment; wellness; and referral and linkage to community-based services and supports.
• Oversees the development and implementation of the Individual Care Plan/Health Action Plan
• Offer services where the client lives, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services.
• Connect clients to other social services and supports that are needed (e.g., community support group).
• With permission, coordinate/advocate on behalf of client with health care professionals (e.g., PCP)
• May utilize evidence-based practices to maximize enrollee participation and engagement while promoting optimal lifestyle/behavioral changes.
• Work collaboratively with hospital staff regarding Transitional Care Planning.
• Conduct outreach and engagement activities to facilitate linkage to the ECM program. Outreach and Engagement consists of phone calls, mailed information, and field visits.
• Accompany clients to office visits, as needed and appropriate.
• Evaluate progress and update goals.
• Provide mental health promotion.
• Arrange transportation.
• Complete all documentation within the timeframes established by the individual action plans
• Attend weekly staff/team meetings and supervision.
• Attend training as assigned (e.g., ACEs Certification).
• May perform other duties as assigned from time to time.
  
  

Knowledge, Skills & Abilities

• Interpersonal savvy, demonstrated by the ability to interact with and influence people to establish trust and build strong relationships.
• Ability to do home visits and outreach.
• Experience with usage of EMR/EHRs/Care Management software.
• Strong organization skills and ability to manage and maintain a personal schedule.
• Ability to establish priorities and meet deadlines.
• Ability to work independently within a virtual operating environment and as part of a team.
• Excellent oral and written communication skills.
• Ability to exercise judgment in the application of professional services.
• Active listening skills and genuine compassion for others.
• Enjoys collaboration within a team environment and working with people of different skills and experience.
• Knowledge of community resources in the local market.
• Able to maintain clear professional boundaries with patients and coworkers.
• Commitment to represent the company with professionalism.
• Demonstrates cultural competency and ability to work with diverse groups of community clients.
• Comfortable using computer for documentation, communication, and organizing work.
  
  

Qualifications

Minimum Requirements

• At least 3 years of relevant work experience.
• High school graduate or GED required.
• Long-time resident of the community with good knowledge of the resources of this community
• Ability to complete the training program and ongoing educational requirements as assigned.
• Ability to work flexible hours, including occasional night/weekend work.
  
  

Preferred Qualifications

• Bilingual in English and Spanish required.
• Prior experience as a Community Health Worker, Peer Support Specialist, Medical Assistant or similar role a plus.
  
  

Other Skills And Abilities

• Understanding of commercial insurance regulations and practices.
• Understanding of current utilization/quality management principles, techniques and procedures.
• Possesses negotiation and advocacy skills and abilities.
• Strong computer skills - Word, Excel, Outlook, Electronic Health Record.
• Excellent written and verbal communication skills.
• Ability to maintain professionalism and confidentiality in all aspects of position.
• Strong interpersonal and organizational skills.
• Self-starter, creative thinker with strong social and customer service skills.
• Ability to manage several projects at one time. Organized and able to function well in a busy environment including the ability to switch gears easily and multi-task.
• Demonstrated ability to work collaboratively, yet function independently.
• Ability to interact with children and their families in a nurturing way with a positive and patient demeanor.
  
  

Language Skills: Ability to read and interpret documents such as insurance requirements, authorizations, and coverages, safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.

Mathematical Skills: Ability to calculate figures and amounts such as discounts, interest, percentages, and ratios.

Reasoning Ability: Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Casa Pacifica Offers

• Competitive Wages
• Comprehensive Benefits package, including 401k with up to 5% fully vested employer matching contributions made after first year of service
• Medical, Dental & Vision Insurance options
• Flexible Spending and Dependent care programs
• Excellent Training opportunities
• Education/Tuition Assistance programs
• Group Discount Pet Insurance
• Aflac Critical Illness, Accidental & Dental supplemental plan options
• Employee Assistance Program
• Free Confidential Crisis Line 24/7 (365 days a year)
• 4 face-to-face or telephonic sessions per issue, i.e.,
• Stress, Anxiety, Depression
• Life transitions
• Grief and Loss
• Divorce
• Conflict Resolution
• Substance Abuse
• Work-Life Counseling
• Free Legal and Financial Consultations
• Identity Theft Recovery Services
  

Casa Pacifica restores hope, enhances resilience, and strengthens community connections for children, young adults, and families.

We are a diverse and inclusive team providing excellent services to all our communities. Our team members are empowered to share their identities, ideas, and perspectives. A culture built on diversity, equity and inclusivity is essential to creating a safe and healing environment at Casa Pacifica.

Casa Pacifica is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. All applicants will be given full consideration under state, local, and federal law.