Enhanced Care Management (ECM)

About Us:

We are a dedicated community services organization committed to breaking the cycle of homelessness. Operating across three counties, we provide a compassionate bridge from life on the streets to the stability of a permanent home. Our mission is to meet individuals exactly where they are, offering a path forward through intensive support, resource navigation, and unwavering advocacy. We are currently seeking a compassionate ECM Case Manager to join our team.

Job Description:

As an ECM (Enhanced Case Manager), you will play a crucial role in helping our clients manage their health and well-being. You will work closely with clients to develop and implement individualized care plans, ensuring they receive the necessary services and support.

Your primary responsibilities will include:

•This is an in-person position. Remote or hybrid work is not available.•

Key Responsibilities:

Outreach and Engagement:

Locate, contact, and engage members identified as candidates for ECM using various strategies, including in-person meetings and digital communications. Conduct outreach and engagement in a culturally and linguistically appropriate manner. Document all outreach and engagement attempts and share relevant information with health plans.

Comprehensive Assessment and Care Management Planning:

Conduct comprehensive assessments to identify clinical and non-clinical needs. Develop and maintain individualized, person-centered care plans in collaboration with members and their support systems. Regularly reassess and update care plans based on changes in members' needs.

Enhanced Coordination of Care:

Assist members in navigating health, behavioral health, and social service systems. Maintain regular communication with members' care teams and coordinate appointments and transportation as needed. Monitor referrals and ensure continuous, integrated care.

Health Promotion:

Provide health education and coaching to members and their support systems. Support members in making healthy choices and managing their health conditions. Link members to resources for smoking cessation, chronic condition management, and other health-related services.

Comprehensive Transitional Care:

Facilitate smooth transitions between different care settings, such as hospitals and nursing facilities. Develop and update transition plans and coordinate post-discharge support services. Educate members on self-management and medication management.

Member and Family Supports:

Document and communicate with members' families and support systems as needed. Provide education and resources to support members' health goals and treatment adherence. Ensure members and their families have access to and understand their care plans. Coordination of and Referral to

Community and Social Supports:

Identify members' needs for community and social services, such as food assistance or housing support. Make appropriate referrals and follow up to ensure members receive necessary services.

Qualifications:

Background in social work, psychology, or a related field is helpful but not required. Experience in the fields of social work or case management is a plus. Strong understanding of medical, behavioral, and social determinants of health. Ability to use or learn electronic health records. Strong determination to learn and adapt in a dynamic environment. Excellent communication and interpersonal skills. Ability to work independently and as part of a multidisciplinary team. Valid driver's license and reliable transportation.

Skills:

Strong organizational and time-management skills. Empathy and compassion for working with diverse populations. Ability to develop and implement effective care plans. Knowledge of community resources and social services. Problem-solving and critical-thinking abilities. Ability to educate and support clients and their families.

Benefits:

We provide medical, dental, and vision insurance 40 hours of vacation time (usable after the first 6 months)

Job Type:

Full-time (in person)

Pay:

$24.00 - $26.00 per hour

Schedule:

Monday to

Friday Work Location:

In person

Job Type:

Full-time Pay:

$24.00 - $26.00 per hour

Benefits:

401(k) Dental insurance Health insurance Life insurance Vision insurance

Education:

Bachelor's (Preferred) Ability to

Commute:

Redding, CA 96001 (Preferred)

Work Location:

In person