ECM Care Coordinator - CONTRACT

San Bernardino County; California; On-site; USD 55,000 - 85,000; Full time

Benefits offered by this job

Holiday leave

Sick leave

Vacation leave

PST retirement participation

457(b) Salary Savings Plan eligibility

Dependent Care Assistance Plan

Flexible Spending Account

Job summary

San Bernardino County is seeking an Enhanced Care Management (ECM) Care Coordinator to support Arrowhead Regional Medical Center, the Department of Behavioral Health, and the Department of Public Health. You will work across county clinics, community health settings, and field environments to connect patients with needed resources, including after-hours or nontraditional schedules.

You will manage a caseload, perform health assessments, and coordinate with ECM team members to improve patient

Qualifications

• Multilingual abilities including ASL and multiple languages are beneficial.
• Medical Assistant program is required.
• Six months of full-time work experience assisting medical professionals is preferred.

Responsibilities

• Conduct a daily scrub of ECM patients to identify visits and engage during the visit.
• Carry a caseload of ECM patients, providing care coordination and referrals for physical, mental, and social support services.
• Participate in SCR meetings and present patients for review and follow-up.
• Build relationships with patients and develop improvement plans for health needs.
• Conduct Comprehensive Health Assessments and PHQ-9 as required by ECM.
• Ensure engagement and completion of tasks related to ECM metrics.

Skills

Multilingual (ASL, Arabic, Korean,Mand

Clerical tasks

Education

Medical Assistant program

Job description

San Bernardino County invites qualified professionals to apply for the position of Enhanced Care Management (ECM) Care Coordinator for Arrowhead Regional Medical Center, the Department of Behavioral Health, and the Department of Public Health. Care Coordinators work in County health clinics, community behavioral health clinics, field settings, and institutional environments to help children, adolescents, families, and adults with complex medical, behavioral health, and substance use needs connect to resources and support that improve their overall well-being. Applicants willing to work in hospital, clinic, home, forensic, and criminal justice settings, including after-hours or nontraditional schedules are encouraged to apply.

Duties include, but are not limited to:

• Conduct a daily scrub of eligible/enrolled ECM patients to identify those coming into the clinic for a primary or specialty care visit and engage with patient during the visit, including screenings and assessments as appropriate.
• Conduct a daily scrub of hospital inpatient census and patient alerts in Care Director to identify patients with new hospitalization/discharge and/or emergency department visit who need to be followed up with by an ECM team member.
• Carry a caseload of ECM patients, providing care coordination and assistance with physical, mental and social support services, including appointment scheduling and referral management.
• Participate in SCR meetings, including presenting assigned patients for further review and follow up as appropriate for the ECM program.
• Build supportive, working relationships with patients to fully understand patient's needs and deficits from patient's perspective, including developing improvement plans with the patient for physical, mental, and social health needs.
• Conduct appropriate assessments including, but not limited to Comprehensive Health Assessments and Patient Health Questionnaire - 9, as required per the ECM program.
• Ensure engagement attempts and completion of tasks related to metrics for assigned patients are met routinely.
• Build supportive working relationships with ECM patients to understand the needs and deficits from patient’s perspective.
• Evaluate patient’s levels of health literacy and “translate” communications with providers and nursing staff.
• Provide ongoing evaluation of patient needs and referral to appropriate resources to address social determinates of health.
• Provide assistance in applying for and connecting with public and community benefits and resources, including educating patients on qualifying criteria for various benefits and resources.
• Drive personal and/or County vehicle throughout San Bernardino County, and at times outside of this area, for patient visits and appointments.
• Provide warm hand offs to other ECM team members as appropriate to enhance patient care.

The Enhanced Care Management (ECM) benefit is a foundational component of CalAIM. ECM is a whole-person, interdisciplinary approach to comprehensive care management that addresses the clinical and non-clinical needs of high-cost, high-need managed care members through systematic coordination of services that is community-based, interdisciplinary, high-touch, and person-centered.

The ECM program is a collaboration between the following San Bernardino County departments: Arrowhead Regional Medical Center, Department of Behavioral Health, Department of Public Health, Sheriff's Department, and the Probation Department.

Benefits of the contract position include:

• Holiday leave
• Sick leave
• Vacation leave
• Participation in the County's PST retirement system
• Eligible to participate in the County's 457(b) Salary Savings Plan
• Eligible to participate in the Dependent Care Assistance Plan
• Eligible to participate in the Flexible Spending Account

Conditions of Employment

Pre-Employment Process: Prior to appointment, applicants must pass a background investigation, which includes fingerprinting and medical exam, and may include drug and/or TB testing. Applicants must be a U.S. Citizen or a permanent U.S. resident.

Shifts: Monday - Friday 8:00AM-5:00PM with possible schedule variation as needed for mobile unit or community events.

Travel: Travel throughout the county is required depending on assignment. Employees will be required to make provision for transportation (mileage reimbursement at current IRS rate is available). At the time of hire, a valid California driver’s license and proof of automobile liability insurance must be produced and maintained for the individual providing the transportation.

Sponsorship: Please note San Bernardino County is not able to consider candidates who will require visa sponsorship at the time of application or in the future.

Appointment: This is a contract position which does not obtain status as a regular County employee. Working as a contract employee does not preclude you from applying and competing for Regular positions within the County (Refer to San Bernardino County website for current open recruitments).

Education

Successful completion of a Medical Assistant program.

Note: Required proof of a Medical Assistant program such as certificate or transcript is required and MUST be submitted with the application. You must attach an electronic copy to your online application.

Experience

Six (6) months of full-time work experience within the past two (2) years assisting medical professionals with dressings, biopsies, treatments, procedures and performing screening tests in a medical environment. Externship/internship hours completed during a Medical Assistant program count towards the six (6) month experience.

Desired Skills

• Clerical experience including performing a variety of office clerical tasks such as public contact, computer usage, data entry and answering the telephone.
• Applicants fluent in American Sign Language, Arabic, Korean, Mandarin, Spanish, Tagalog, and/or Vietnamese are strongly encouraged to apply.

Equal Employment Opportunity

San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, dedicated to ensuring equal employment opportunities for all employees and applicants.

ADA Accommodation

If you have a disability and need accommodations during the testing process, please submit the Special Testing Accommodations Request Form within one week of the recruitment filing deadline.