Care Management Specialist - ECM

Neighborhood-Healthcare; Riverside (CA); Hybrid; USD 37,000 - 52,000; Full time

Job summary

The Behavioral Health Care Management Specialist - ECM at Neighborhood-Healthcare will support enhanced care management patients with behavioral health conditions, SMIs, and substance use disorders using brief interventions and behavioral activation strategies. The role includes care coordination, appointment scheduling, and referral management across the ECM team.

This is a hybrid position with on-site expectations based on performance; typical shifts are 8:30 AM–5 PM or 9 AM–6 PM, Monday

Qualifications

• Excellent verbal and written communication skills required.
• Knowledge of medical terminology and health care terminology is preferred.
• Experience with community outreach and high‑risk populations is a plus.

Responsibilities

• Utilizes brief behavioral health interventions to improve patient health outcomes.
• Coordinates with healthcare teams and community resources for referrals.
• Educates patients and families about chronic conditions to improve health literacy.
• Documents care coordination activities and outcomes in the patient record.
• Maintains patient engagement using evidence‑based approaches like Motivational Interviewing.
• Participates in case reviews and collaborates with ECM team on patient care issues.

Skills

Communication skills

Motivational Interviewing

Cultural empathy

Care coordination

Discipline teamwork

Education

High school diploma/GED

Bachelor's degree in healthcare or social sciences

Tools

eClinicalWorks

Microsoft Office

Job description

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision: a community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

Since 1969, our employees have been making this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If this sounds like an organization you would like to be a part of, we would love to meet you.

ROLE OVERVIEW and PURPOSE:

The Behavioral Health Care Management Specialist - ECM will support enhanced care management (ECM) patients with behavioral health conditions, severe mental illnesses (SMI), and substance use disorders (SUD) needs using brief interventions and behavioral activation strategies. This role will provide care coordination and connection to services and social supports for ECM patients, including appointment scheduling and referral management.

*This is a hybrid position; on site expectations are dependent on performance. Proposed schedule shifts: Mondays through Fridays 8:30 AM - 5 PM (30-min lunch), or 9 AM - 6 PM (1-hour lunch).*

RESPONSIBILITIES:

• Utilizes brief behavioral health therapeutic interventions to improve patients’ ability to manage their own health


• Handles brief crisis interventions and makes warm hand-offs to local crisis resources to address behavioral health needs, as needed


• Educates patients and families about chronic medical and behavioral health conditions to improve health literacy


• Provides formal and informal training and support for ECM patients on behavioral health conditions, including treatments


• Assists with the coordination of medical and behavioral health access issues to primary care physician (PCP) offices, specialists, and ancillary services


• Tracks medical and behavioral health outcome measures in a patient registry


• Coordinates with psychiatric hospitals to ensure smooth transitions of care


• Participates in weekly systematic and ad hoc case reviews to collaborates with ECM team on patient care issues


• Works with patients to identify health and wellness goals to incorporate into patients shared care plan with providers


• Reviews patient community health assessments (CHAs) upon completion by another care team member to ensure completed accurately


• Maintains engagement with patients in a manner that utilizes evidence-based approaches that promotes collaboration between the patient and their medical/behavioral team, such as motivational interviewing


• Participates in caseload discussions with Psychiatric Medical Director and Champion Medical Director


• Documents care coordination, education, and other services provided in eClinicalWorks


• Provides accurate and timely caseload status reports and updates to supervisor and site staff

EDUCATION/EXPERIENCE:

• High school diploma/GED required; bachelor’s degree in healthcare/social sciences related field preferred


• Four years of experience in healthcare required


• Experience with community outreach, behavioral health, and working with high-risk populations preferred

ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities):

• Excellent verbal and written communication skills, including superior composition, typing and proofreading skills


• Ability to interpret a variety of instructions in written, oral, diagram, or schedule form


• Ability to use computers and familiarity with Microsoft Office, spreadsheets, databases, scanning, printing, faxing, and data entry


• Knowledge about and experience using medical terminology


• Ability to interact effectively with clinic personnel, patients, and community-based organizations


• Excellent interpersonal communication and relationship skills, including conflict resolution


• Knowledgeable about evidenced based communication such as Motivational Interviewing or similar empathy-based communication strategies


• Ability to sufficiently engage members and providers both on the phone and in person


• Ability to empathize and sympathize a level of sensitivity to multi-cultural communities and patients with mental health conditions and addictive disorders


• Ability to assess the impact of unmitigated bias and judgement on health


• Ability to assist in the evacuation of participants during emergency situations


• Ability to successfully manage multiple tasks simultaneously


• Ability to work as part of a team as well as independently


• Ability to work with highly confidential information in a professional and ethical manner

Physical Requirements

• Ability to lift/carry 25 lbs/weight


• Ability to stand for long periods of time

Pay range: $27.21 - $38.09 per hour, depending on experience

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to: the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.