ECM Care Coordinator & Advocate

Libertana-Home-Health; Santa Maria (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

Libertana-Home-Health is seeking an ECM Case Manager in California to coordinate care for ECM Program clients. You will assess needs, create care plans, and link members to housing, transportation, and medical services.

You will work with providers and families to ensure continuity of care, navigate healthcare systems, and advocate for members with a focus on independence and housing stability.

Qualifications

• Minimum of two years’ experience working with homeless and/or low and mixed-income populations, including substance abuse and severe mental health issues.
• Bachelor’s Degree in Health Care or related field preferred.
• Knowledge of community and housing resources and government benefits/welfare system.
• Strong verbal and written communication and ability to make sound clinical judgments.

Responsibilities

• Coordinate with individuals/entities to ensure seamless services and avoid duplication.
• Serve as primary contact for ECM Program members and advocate for access to services.
• Develop patient-centered care plans and conduct bio-psycho-social assessments.
• Monitor care plan implementation and maintain proper charting in EMR.
• Facilitate linkages to housing, transportation, and medical/mental health services.
• Engage hospitals on discharge planning and accompany members to visits as needed.

Skills

Communication skills

Motivational interviewing

Trauma-informed care

Harm reduction

Care coordination

Education

Bachelor's degree in health care or related field

Tools

EMR system

Job description

Libertana-Home-Health is seeking an ECM Case Manager in California to coordinate care for ECM Program clients. You will assess needs, create care plans, and link members to housing, transportation, and medical services.

You will work with providers and families to ensure continuity of care, navigate healthcare systems, and advocate for members with a focus on independence and housing stability.