Ecm Care Manager - Montclair, United States - Dignity Adult Day Health Care Center

Dignity Adult Day Health Care Center

Verified Company

Montclair, United States

3 weeks ago

Posted by:

Mark Lane

beBee recruiter

Description

_Minimum Qualifications_

Bachelor's Degree in Social Work and related field
1 year experience in related field
Have an understanding of the following concepts/models/services: strengthbased services; "core" medical/mental health conditions/challenges faced by ECM target population; social determinants of health; care management; transitional care
Be familiar and comfortable with the ability to work with the following target populations:
High utilizers: members with multiple hospital admissions, skilled nursing facility stays or frequent ER room visits that could have been avoidable
Adults with Serious Mental illness or substance use disorder who have cooccurring chronic health conditions and Serious Mental illness (SMI) or substance use disorder (SUD) and are actively experiencing one complex social factor (e.g. food, housing, employment insecurity).
Understand the importance of protecting member confidentiality/HIPPA regulations
Active and Current 1st Aid and CPR certification
Be of good moral and professional character
Job Duties and Responsibilities_
Report directly to the ECM Director
Be able to complete member outreach activities that include: locating members to educate them on the possible benefits of the ECM program; completing basic enrollment forms to initiate member receipt of ECM programs; and obtain/document verbal or written consent to receive ECM benefit and to share information for care management purposes to the extent required by law
Be able to and actively attempt to work in the "field" which is not limited to but includes: member's homes/residence; communitybased care settings
Complete comprehensive health assessments and home assessments as needed: to assess risks, needs, goals and preferences, and collaborate with members as part of the ECM process. Be able to integrate motivational interviewing throughout all interactions with the member
Able to develop resources, community networks and services that can meet the member's needs identified in Individual Plan of Care
Ability to help members transition safely and easily between different levels of care and delivery systems and execute needed care coordination triggered by care transitions