ECM Lead Care Manager

AFFORDABLE LIVING FOR THE AGING; Los Angeles (CA); Hybrid; USD 45,000 - 75,000; Full time

Job summary

Join a forward-thinking nonprofit organization dedicated to supporting high-need populations in Los Angeles. As an ECM Care Manager, you will play a crucial role in providing comprehensive care management to homeless and high-utilizer youth. Your responsibilities will include developing personalized care plans, coordinating with healthcare providers, and facilitating access to essential services. This position offers the opportunity to make a meaningful impact on the lives of vulnerable individuals while working in a supportive and inclusive environment. Embrace the chance to contribute to a mission-driven team that values diversity and innovation in care delivery.

Benefits

Flexible work from home options

Competitive benefits package

Diverse and inclusive workplace

Qualifications

• 3+ years of care management or coordination experience required.
• Bachelor's degree in relevant fields or equivalent experience.

Responsibilities

• Manage a caseload of up to 50 members with complex health conditions.
• Conduct assessments and develop Patient-Centered Care Plans.

Skills

Care Management

Motivational Interviewing

Trauma-Informed Care

Communication Skills

Case Management Software

Education

Bachelor's Degree in Social Work

Bachelor's Degree in Psychology

Bachelor's Degree in Public Health

Tools

MS Word

MS Excel

Job description

TITLE: ECM Care Manager, Homeless Youth & High Utilizer Youth

REPORTS TO: ECM Program Director

LOCATION: Los Angeles County, CA (Hybrid)

ORGANIZATIONAL DESCRIPTION:

Established in 1978, Affordable Living for the Aging (ALA) is a nonprofit organization that provides case management and affordable housing for high-acuity populations in Los Angeles.

ECM PROGRAM:

Enhanced Care Management is a new, statewide benefit established by the Department of Health Care Services (DHCS) to provide a whole-person approach to care that addresses the clinical and non-clinical circumstances of high-need beneficiaries enrolled in Medi-Cal Managed Care. The goal of the ECM program is to effectively manage the medical and psychosocial needs of these members to ensure a well-managed health condition and minimize the likelihood of preventable hospital admissions and emergency department utilization.

JOB SUMMARY:

The Care Manager will serve as the point of contact for enrolled members, which include high acuity members experiencing homelessness, mental illness, substance use disorders, or who are high utilizers of the emergency system. The Care Manager will also be the point person for any Homeless and High Utilizer Youth enrolled in the program. The Care Manager is responsible for assessments, development of care plans, and ongoing service delivery to ensure members are able to manage their chronic or complex health conditions.

RESPONSIBILITIES:

1. Provides care management services to enrolled members with a caseload of up to 50 members to assist them in managing their complex or chronic health conditions.
2. Provide assessments and care plans for newly enrolled members.
3. Conduct weekly or bi-weekly meetings with members, based on acuity.
4. Participate in weekly case conferences with the Clinical Supervisor.
5. Conduct quarterly reassessments for all clients.
6. Complete case notes in the case management program, provide quarterly metrics for external reporting, and any other reports as needed.
7. Initiate clinical consultations to obtain guidance for difficult members and complex cases.
8. Contribute to the upkeep of the internal Resources Directory.

CARE MANAGEMENT SERVICES INCLUDE, BUT ARE NOT LIMITED TO:

1. Serve as the primary contact to the member to coordinate access to health care, social services, and resources.
2. Conduct comprehensive risk assessments and care planning in collaboration with the members to develop a Patient-Centered Care Plan.
3. Monitor implementation of Care Plans and recommend revisions or updates as necessary.
4. Liaise with members’ primary care provider, specialists, behavioral health providers, and needed community resources.
5. Educate members on self-management skills and/or recruit support from a caregiver.
6. Support health behavior change utilizing motivational interviewing and trauma-informed care practices.
7. Monitor treatment adherence.
8. Regularly initiate or participate in case conferences with the member’s primary care provider and/or Clinical Consultant.
9. Coordinate with hospital staff on discharge plans and other transitional care as feasible.
10. Accompany members to medical visits and other appointments as requested.

QUALIFICATIONS:

1. At least 3 years of care management or care coordination experience such as LVN, Medical Assistant, or Social Services.
2. A Bachelor’s Degree in Social Work, Psychology, Public Health, or related work/lived experience.
3. Experience and interest in working with homeless youth and high utilizer youth.
4. Understanding of evidence-based practices including motivational interviewing, trauma-informed care, and other behavior change techniques.
5. Good written and oral communication skills.
6. Proficient in MS Word, Excel, and online case management software.
7. Have reliable transportation and a valid driver’s license, proof of auto insurance in effect that meets State of CA minimum coverage limits for liability insurance.
8. Must complete and pass a background check and work verification.
9. Spanish-speaking is a plus.
10. Lived experience is a plus.

ALA offers a competitive benefits package and is committed to a diverse and inclusive workplace. ALA is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

Flexible work from home options available.