ECM Case Manager Compunnel Healthcare - 3.6 San Jose, CA Job Details Contract $25 - $28 an hour 1 day ago Qualifications Managed care Leadership Medical terminology Time management

Full Job Description About Us:

Compunnel Inc boasts over three decades of experience collaborating with leading global enterprises to meet their needs for flexible workforce solutions and on-demand talent. We are a worldwide organization offering strategic workforce management, IT consulting, and on-demand talent services. Our specialization lies in serving various sectors including Financial Services, Healthcare, IT, Life Sciences, Aerospace & Defense, Energy, Retail, Telecom, Manufacturing, and Engineering.

Key Responsibilities & Qualifications:

Provide Enhanced Care Management (ECM) services to members with complex medical, behavioral health, and/or social needs. Manage an assigned caseload while maintaining consistent member engagement, outreach, and follow-up. Conduct comprehensive assessments and identify medical, behavioral health, and social service needs. Develop, maintain, and update individualized care plans based on member needs and established goals. Hands-on experience completing and documenting POFs, including gathering required member information and ensuring accurate and timely completion, is strongly preferred. Complete required screenings, assessments, specialty summaries, case notes, and other ECM documentation within established timelines. Coordinate care across primary care, specialty care, behavioral health, community organizations, and other service providers. Track referrals, appointments, care gaps, member progress, and follow-up activities. Assist members in navigating healthcare systems and accessing appropriate services and community resources. Identify and address social determinants of health, including housing, food insecurity, transportation, benefits, and other barriers to care. Maintain accurate, timely, and compliant documentation within the electronic health record (EHR/EMR). Experience working with Medi-Cal, managed care, community health, ECM, or complex/vulnerable populations is strongly preferred. EPIC experience is highly preferred. Knowledge of medical terminology is preferred. Strong communication, organization, documentation, time management, and member engagement skills are required. Hands-on ECM experience, particularly experience with POFs, individualized care plans, screenings/assessments, member outreach, care coordination, and timely documentation. "TSHL01"

Pay:

$25.00 - $28.00 per hour

Work Location:

In person