Lead Care Manager

• 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)
• Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction Techniques, and Trauma- Informed Care principles.
• 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).

POSITION REQUIREMENTS

To perform effectively in this position, the individual must have:

• 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

Skill Requirements:

• Ability to provide services to various ethnic/cultural groups in the community.
• Excellent verbal and written communication skills
• Experience managing crisis and provide crisis intervention.
• Organized and able to meet documentation deadlines as required by funding contracts.
• Excellent interpersonal skills including self-awareness, conflict resolution, open to feedback and supervision, and able to take personal responsibility for job performance
• Able to promote a positive work environment and maintain professional boundaries
• Computer literate and familiar with Microsoft Office Suite and Electronic Health Record Systems
• Preferable bachelor’s degree in a related field or extensive experience in a related field

We value the well-being of our employees and are proud to offer a comprehensive benefits package, including:

• 15 Paid Holidays annually (With extra Personal and Wellness Holiday)
• 14 Vacation Days, with increases based on years of service
• 1 hour for every 30 hours worked sick time (with 120 hours max)
• 403(b) Retirement Savings Plan available on day one, with employer matching
• 100% Employer-Paid Medical Benefits for staff
• Employee wellness programs, including mental health support and work-life balance initiatives

Join a team that prioritizes your growth, health, and passion for community service.

SPIRITT is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.