Lead Care Manager - Trilingual

Lead Care Manager

Pomona, Rowland Heights, Walnut, San Gabriel, Pasadena
SUMMARY The Lead Care Manager (LCM) will work with members to coordinate comprehensive care among various service providers. The ECM LCM works as part of an interdisciplinary team to address the member’s physical and mental health, substance use, social needs, oral health, and long-term services and supports. All services are provided in person, with minimal exclusion. The Lead Care Manager primary responsibility requires outreach and engagement of new clients, comprehensive assessment, development of care management plan, coordination of care, health promotion, transitional care services, family supports, and coordination of community and social supports. The Lead Care Manager position requires excellent customer services skills, people skills, and is expected to use Evidence Based Practices, such as Motivational Interviewing and Harm Reduction Model to maintain high quality services. This person is required to build strong relationships with internal programs serving the same clients and our external partners and service providers to ensure clients receive the best care possible.

ESSENTIAL DUTIES & RESPONSIBILITIES ：Client Care

• Conduct outreach when first assigned a member to establish rapport, including family engagement when applicable.
• Provide culturally and linguistically appropriate communication and information to engage members.
• Conduct a comprehensive assessment to determine areas of need.
• Collaborate with clients on developing a person-centered, individualized service/treatment plan.
• Meet with clients in their homes and/or community. When an in-person session is not possible, meet with client on the phone or via telehealth as appropriate.
• Identify clinical and non-clinical resources to address clients’ gaps in care.
• Organize clients’ care activities and collaborate with other members of the team regarding the care plan.
• Ensure that client has an assigned PCP and accesses care consistently.
• Ensure integrated care among all service providers by following up with primary care physical and developmental health, mental health, SUD treatment, Oral health, and necessary community-based and social services, including housing as needed.
• Provide appointment reminders to clients, coordinate transportation, accompany to critical appointments, and identify and address barriers to engagement in treatment.
• Support members in developing skills to identify and access resources to assist in managing their conditions.
• Support clients in transitional care services from one setting or level of care to another, including discharges from hospitals, institutions, and other acute care facilities to home or community-based settings.
• Engages with the family members to the appropriate extent to assess services and involve in treatment.
• Documentation
• Facilitate intake paperwork.
• Complete initial assessment and bi-annual reassessment.
• Complete Client Care Plan and revise as necessary.
• Maintain proper records on case management and/or other activities as instructed utilizing the appropriate Electronic Health Record (EHR).
• Enter case notes within 24 hours of service. Other
• Work collaboratively with other providers to ensure appropriate levels of treatment/support.
• Communicate clients’ needs and preferences in a timely manner to the clients’ multi-disciplinary care team.RESPONSIBILITIES COMMON TO ALL AGENCY EMPLOYEES
• Always maintain a safe work environment and confidentiality.
• Be proactive, creative, and flexible in determining, evaluating, researching, and resolving issues.
• Organize and prioritize multiple activities to meet all external and internal deadlines.
• Maintain professional demeanor that reflects positively on the agency.
• Demonstrate respect and courtesy toward others.
• Able to thrive in a work environment emphasizing teamwork and collaboration.
• Respond in a timely manner in all aspects of communication.
• Work with minimum supervision.
• Perform other duties as assigned.

QUALIFICATIONS

• Bachelor’s degree in social sciences or related OR 2 years of experience working with the homeless population.
• 1-2 years of experience working with homeless and / or low and mixed- income populations in addition to experience in child welfare, family work, and substance abuse.
• Understand low-income and homeless individuals and their specific needs.
• Knowledge of crisis prevention, intervention, goal setting, and resolution techniques should be able to match sib techniques to circumstances and individuals.
• Proficient skills in Microsoft Office, including Microsoft Word and Excel.
• Excellent customer service, communication and problem-solving skills.
• High quality organizational skills.
• The ability to work well under deadlines and to multitask.
• The ability to build relationships and coalitions with the community.
• The ability to build partnerships and good relationships with providers and clients.
• Excellent verbal and written communication skills.
• Excellent critical thinking and problem-solving skills.

Monday - Friday 8:30am - 5:00pm

The pay rate will based on professional/education background

Pay: $22.00 - $42.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $22 - $42