ECM Lead Care Coordinator

Inspire Health Alliance; Garden Grove (CA); Hybrid; USD 37,195 - 41,328; Full time

Job summary

Inspire Health Alliance in Garden Grove, CA is seeking a Lead Care Coordinator. This position involves delivering care management services to vulnerable populations, including those experiencing homelessness. The role includes developing personalized care plans, ensuring seamless service delivery, and collaborating with various health professionals.

The ideal candidate should have a degree in a relevant field and experience in case management. This role offers a hybrid working model emphasizing both in-field activities and office responsibilities.

Qualifications

• 3-5 years of experience in care coordination or case management.
• Understanding of HIPAA and confidentiality regulations.
• Proficient in creating care/service plans.

Responsibilities

• Conduct assessments to develop individualized care plans.
• Supervise ECM services and maintain accurate records.
• Facilitate communication among care team members.

Skills

Medical Terminology

Health Insurance Knowledge

Case Management

Communication Skills

Organizational Skills

Empathy

Education

Bachelor's degree in Nursing, Social Work, or related field

Tools

Microsoft Office

Assessment Tools

Job description

Lead Care Coordinator

In this role, the Enhanced Care Management (ECM) Lead Care Coordinator will assist with the development and implementation of program procedures and ensure that requirements are aligned to build sustainable support in impacting the lives of hundreds of residents, playing a critical part in the work and dedication of Community Action Partnership of Orange County’s initiatives. It’s leadership with a cause and the rewards are immeasurable!

WHO WE ARE

Born out of the War on Poverty more than 50 years ago, Community Action Partnership Orange County (CAP OC) is a trusted resource for Orange County community members who face obstacles such as food insecurity, unemployment, economic turmoil and more. We walk alongside the people we serve, and we act to meet immediate needs without delay. Our programs help empower people to improve their lives and their communities. We see poverty as an unacceptable reality for our neighbors and rally with key partners to help facilitate change.

VALUES

Leadership We are guiding critical shifts in how people think and act to address the root causes of poverty

Collaboration We bring together all capable partners to achieve transformative results

Trust For over 50 years, the community has counted on us to empower those in need

Compassion We treat each person we serve respectfully and with great care

Justice We are passionate about advocating for those living in poverty and creating equity throughout the region

WHAT YOU WILL ACCOMPLISH IN THIS ROLE

The ECM Lead Care Coordinator will deliver intensive, in-person care management services to the most vulnerable populations, including individuals and families experiencing homelessness, high utilizers, children and youth involved in child welfare, and tenants in CAP OC housing units. This role will address both clinical and non-clinical needs, working as part of the member’s multi-disciplinary care team to coordinate all aspects of Enhanced Care Management (ECM).

The salary for this position is $27.00 - $30.00 per hour.

Preferred: Bilingual in English/Spanish, both written and oral forms.

This position requires regular travel throughout Orange County. Candidates must have a valid driver’s license, reliable personal transportation, and maintain active auto insurance at the time of hire.

This position will follow a hybrid schedule, with the ECM Lead Care Coordinator’s time split between the Office, time in the Field, and Remote work. The exact split may fluctuate from week to week and the Lead Care Coordinator is expected to exercise professional discernment in determining the best allocation of his/her time. Hybrid schedules are subject to change based on program needs and/or the reporting manager’s discretion.

ROLES AND RESPONSIBILITIES

• Comprehensive Case Management: Conduct client screenings and assessments; develop, implement, and monitor individualized care/service plans; provide crisis intervention; connect clients to health, mental health, employment, housing, and other community resources, including CalAIM community supports and transportation.
• ECM Services Oversight: Supervise the provision of Enhanced Care Management (ECM) services, including the development and implementation of care plans.
• Documentation: Maintain accurate records of service objectives, outcomes, and other services in line with established guidelines.
• Interdisciplinary Communication: Facilitate clear communication among interdisciplinary care team members to ensure awareness of clients’ care plans.
• Provider Coordination: Collaborate with clients’ providers, including but not limited to medical, behavioral health, specialists, and housing navigators.
• Client Accompaniment: Accompany clients to office visits as needed.
• Service Coordination: Coordinate with individuals and entities to ensure a seamless client experience and avoid service duplication.
• Approach Utilization: Employ motivational interviewing, trauma-informed care, and harm-reduction approaches.
• Treatment Monitoring: Monitor clients’ adherence to treatment plans, including medication.
• Health Promotion: Provide health promotion and self-management training.
• Reporting: Complete and submit program reports as scheduled or needed.
• Member Engagement: Engage with eligible members.
• Additional Duties: Perform other duties as assigned

THE IDEAL CANDIDATE HAS KNOWLEDGE AND EXPERIENCE IN

• Medical Terminology: Proficient in medical terminology for effective communication with healthcare providers and accurate interpretation of medical records.
• Health Insurance: In-depth knowledge of health insurance plans, including Medicare, Medicaid, and private insurance, along with claims processes.
• Comprehensive Care Plans/Service Plans: Proven ability to create tailored care plans for individual member needs.
• Needs Assessments: Experienced in conducting thorough assessments to identify member’s medical, social, and psychological needs.
• Case Management & Housing Services: Expertise in managing cases, understanding housing services, and addressing poverty issues.
• Coordination with Healthcare Providers: Effective in coordinating with healthcare providers to cover all aspects of member care.
• Assessment Tools: Competent in using various assessment tools and methodologies.
• Communication Skills: Excellent verbal and written communication skills for interacting with member’s, families, and healthcare providers.
• Organizational Skills: Strong organizational abilities to manage multiple member’s and coordinate their care.
• Time Management: Efficient in prioritizing tasks and ensuring timely service delivery.
• Problem-Solving: Capable of identifying issues, developing solutions, and implementing changes to improve member care.
• Critical Thinking: Strong critical thinking skills for quick, informed decision-making.
• Empathy & Interpersonal Skills: Empathetic and skilled in building trusting relationships with member’s and families.
• Member Privacy: Understanding of member privacy laws, such as HIPAA, to ensure confidentiality.
• Teamwork: Ability to work both independently and collaboratively within a team

IDEAL CANDIDATE MUST BE

• Customer service oriented: Establish and maintain effective working relationships with CAP OC’s staff, clients, and representatives of other organizations.
• Ethically Focused: Understand ethical behavior and business practices and ensure own behavior and the behavior of others are consistent with these standards and align with the values of the organization.
• Inclusive: Work cooperatively and effectively with others to set goals, resolve problems, and make decisions that enhance organizational and program effectiveness.
• Leader: Positively influence others to achieve results that are in the best interest of the organization and participants.
• Work focused: Being detail-oriented while working accurately and efficiently on a consistent basis without assistance. Strong organizational skills.
• Flexible: Work locations will vary between an office environment and working in the community which can include working outdoors in varying temperatures and weather conditions. May require working weekends/ evenings/ holidays when/if needed to meet client/production demands. Workdays and hours of work are subject to change.
• Preferred Language Skill: Demonstrate clear, concise, and effective communication skills both orally and in writing in English and Spanish.
• Mathematical: Promptly correctly create, compose, and complete mathematical equations on a computer and/or to complete forms for reports and/or presentations. Compile numbers, statistical data, and obtain other information for forms, reports, and presentations.
• Computer literate: Competently use the Internet, Web based databases, Microsoft Office (Word, Excel, PowerPoint, Outlook, Publisher and Access) and other applications. Experience with virtual communication platforms. Use a variety of computer databases to ensure that client records, statistics and reports are completed.

EDUCATION AND EXPERIENCE

Bachelor’s degree in Nursing, Social Work, Public Health, Healthcare Administration, or a related field (Master’s degree preferred).

Advanced certifications in care management such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) are a plus.

A minimum of 3-5 years of experience in care coordination, case management, or a related healthcare role. Proven track record working with individuals experiencing homelessness or individuals with chronic conditions.

TRAVEL

Possess a valid California Driver’s License with a driving record that meets minimum standards established by CAP OC insurance carrier, proof of vehicle insurance, access to a vehicle and willingness to drive/travel when required.

Typically, travel is local during the business day to/from CAP OC locations and to/from community events which are usually within Orange County; possible day travel to/from LA county and Inland Empire counties is possible. The incumbent will use their personal vehicle. Travel may be during evening hours with possible out-of-the-area and overnight travel.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to bend, stoop, reach, pull, push, stand, kneel, sit, twist, turn, walk, bend at the waist, talk and hear, prolonged and fine dexterity of fingers and wrists with prolong computer work, vision abilities include close vision, distance vision, color vision, ability to adjust focus, and prolong periods of looking at a computer screen. The employee must regularly lift and/or move objects up to twenty (20) pounds. Employee will experience prolonged periods of sitting at a desk and/or standing. Employee may be called upon to work outdoors in varying temperatures and weather conditions.

MEDICAL EXAMINATION AND BACKGROUND CHECK

A medical examination is required of each new employee whose physical condition must meet the minimum requirements prescribed for the position. In addition, prospective employees must pass a pre‑employment physical, drug screen, Live Scan, and background check. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

THE PROMISE OF COMMUNITY ACTION

Community Action changes people’s lives, embodies the spirit of hope, improves communities, and makes America a better place to live. We care about the entire community, and we are dedicated to helping people help themselves and each other.