Lead Care Manager supporting high-need Medicaid recipients through community partnerships and evidence-based strategies. Engaging individuals with Serious Mental Illness/Substance Use Disorder for holistic healthcare.
Responsibilities
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
Use relationship-based strategies to support members with social support navigation
Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan
Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks
Collaborates on care issues with Enhanced Care Management team
Consistently meet monthly encounter metrics to ensure compliance with health plan regulations
Identify and break down barriers ensuring individuals’ continuation with the program
Assists individuals in securing connection to community supports
Coordinate physical care management appointments through collaboration with external and internal providers
Requirements
1+ years of general work experience (Case Management preferred)
You are physically located in California
Bilingual – English/Spanish
Strong understanding of cultural fluency
High degree of empathy
Ability to work collaboratively in a multidisciplinary team
Organizational skills
Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing
A valid driver’s license and auto liability insurance
Benefits
Comprehensive health, vision & dental insurance
401k
Monthly $100 work from home expense stipend for your WFH days
Gas reimbursements for your on-site engagement days
Flexible vacation policy -- take the time you need to recharge!
We provide all of the equipment needed for the role
Opportunity for rapid career progression with plenty of room for personal growth!
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