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    Care Case Manager - Los Angeles, United States - To Help Everyone Health & Wellness Centers

    To Help Everyone Health & Wellness Centers
    To Help Everyone Health & Wellness Centers Los Angeles, United States

    8 hours ago

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    Description

    Job Description

    Job Description

    Essential Duties and Responsibilities:

    ● Engages eligible members

    ● Offers services where the member lives, seeks care, or finds most easily accessible and within health plan guidelines

    ● Oversee provision of services and implementation of the Care Plan

    ● Connects with member via phone or in-person to facilitate engagement, assessment, follow-up, and education/training visits to develop and address the Care Plan.

    ● Works in conjunction with member to identify Care Plan goals and objectives.

    ● Connects member to other Community Supports / social services and supports he/she may need.

    ● Accompanies member to office visits, as needed and according to health plan guidelines.

    ● Arranges transportation.

    ● Responsible to convene care conference meetings.

    ● Coordinates with ECM resource partners to obtain data/information to ensure accurate Care Plan updates.

    ● Utilizes eCW and other electronic tracking systems to coordinate services and input data for reporting.

    ● Attends required trainings.

    ● Facilitates internal trainings/updates to clinical and administrative staff members.

    ● Collaborates with IT department to ensure ECM templates are appropriate and effective at capturing needed data/information.

    ● Reviews existing T.H.E.s protocols and polices to match ECM requirements.

    ● Develops new ECM protocols, policies, and accompanying workflows.

    ● Assists the required ECM reports and other internal reports.

    ● Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the Member and non-duplication of services

    ● Advocate on behalf of Members with health care professionals

    ● Use motivational interviewing, trauma- informed care, and harm-reduction approaches

    ● Coordinate with hospital staff on discharge plan

    ● Accompany Member to office visits, as needed and according to T.H.E. and MCP guidelines

    ● Monitor treatment adherence (including medication)

    ● Provide health promotion and self- management training

    ● Other duties as assigned.

    Required Education and Qualifications:

    ● Bachelor's Degree in a healthcare, behavioral healthcare, social work, human services, or related field with one year of experience, preferably in working with patients in a clinic setting, providing home health care for patients, or social services case management services to low-income populations with one or more of the following: complex chronic conditions, high utilizer of emergency room and tertiary health care services, severe mental illness, and/or homelessness.

    ● Licensed Vocational Nurse (LVN), licensed behavioral health care professional, social worker, substance abuse counselor, health educator, or other similar paraprofessional preferred.

    ● MPH or related fields preferred

    ● Bilingual in English/Spanish (oral and written)

    Knowledge. Skills and Abilities:

    ● Strong documentation skills.

    ● Ability to multi-task and prioritize when needed.

    ● Ability to independently seek out resources and work collaboratively.

    ● Ability to develop and maintain good working relationships with staff.

    ● Ability to use computer and learn new software programs.

    ● Excellent interpersonal skills reflecting clarity, diplomacy, and the ability to communicate accurately and effectively with all levels of staff and management.

    ● Demonstrates ability to work in a regulatory climate that includes oversight of state and federal entities, payer contracts etc.

    ● Possesses ability to communicate effectively, both verbally and in writing.

    ● Proficient knowledge of Microsoft Outlook, MS Word, and Excel.

    ● Able to travel and attend professional meetings, conferences, trainings, and clinic sites.

    ● Performs other related duties as assigned.

    Company DescriptionT.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.

    We are an Equal Opportunity Employer.

    Company Description

    T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.\r
    \r
    We are an Equal Opportunity Employer.
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