ECM Lead Care Manager: Complex Care Navigator

University of California; Los Angeles (CA); On-site; USD 48,000 - 63,000; Full time

Job summary

Venice Family Clinic is seeking a Lead Care Manager to join its Enhanced Care Management (ECM) team. You will provide high-quality case management to medically and socially complex high-risk patients, guided by the Care Management Director.

Based on the Westside of Los Angeles, this role involves in-person outreach, individualized care planning, referrals coordination, and accompaniment to appointments while documenting in charts and advocating for access to quality care.

Qualifications

• Bachelor's degree in social work from an approved program and 1 year of relevant experience OR equivalent combination of education and experience.
• Knowledge of community resources, health education methods, advocacy, harm reduction, and general clinical knowledge.
• Ability to travel as needed within Los Angeles County to meet with clients and perform outreach.
• Ability to complete required program documentation.
• Ability to create and maintain boundaries with clients and discuss sensitive matters in a non-judgmental manner.
• Skill in managing multiple deadlines/demands, following through on assignments, and maintaining cooperative working relationships.

Responsibilities

• Providing case management services to medically and socially complex high-risk individuals.
• Perform outreach and meet in-person with clients for ECM enrollment; outreach will include in-person interaction with patients and their family members at Venice Family Clinic sites, where the patient lives, and/or where the patient prefers to access services in their community.
• Conduct a comprehensive assessment with each client, develop an individualized care plan, and provide appropriate information regarding referrals to ensure linkage.
• Provide intervention and support to client when appropriate; accompany client to scheduled medical appointments as needed.
• Maintain accurate and up to date information within client's chart and document per contract.
• Advocate with primary care providers to ensure access to quality treatment and/or care.
• Work closely with Medical Care Coordination team to ensure service plan progress.
• Attend clinical conferences, actively participate in multidisciplinary meetings, assist with reports, and perform other duties as assigned.

Skills

Case management

Outreach

Assessment

Documentation

Advocacy

Interpersonal communication

Bilingual English/Spanish

Education

Bachelor's degree in social work

Job description

Venice Family Clinic is seeking a Lead Care Manager to join its Enhanced Care Management (ECM) team. You will provide high-quality case management to medically and socially complex high-risk patients, guided by the Care Management Director.

Based on the Westside of Los Angeles, this role involves in-person outreach, individualized care planning, referrals coordination, and accompaniment to appointments while documenting in charts and advocating for access to quality care.