Enhanced Case Manager

EAST VALLEY COMMUNITY HEALTH CENTER; Pomona (CA); On-site; USD 32,000 - 37,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Retirement plan

Paid time off

Paid holidays

Job summary

East Valley Community Health Center Inc. in Pomona, CA seeks an ECM Case Manager to assist individuals and families who are homeless or have chronic illness, aiming for health, housing stability, and well-being.

Responsibilities include intake, assessment, care planning, service coordination, and linking to resources. Will work with an interdisciplinary team; bilingual English/Spanish preferred. DOE salary shows a range of $23.00–$27.16 per hour.

Qualifications

• Experience with homeless populations.
• Social work or mental health degree.
• Experience in case management or intensive case management.
• Minimum 1 year working with homeless clients or 2 years direct mental health work.

Responsibilities

• Serve as primary contact for clients during participation.
• Conduct intake and assessment for new clients with monthly follow-up home visits.
• Develop individualized care plans addressing education, housing, and health goals.
• Coordinate services and provide direct ECM services.
• Link clients to community resources and public benefits.
• Document work per policies and HIPAA compliance.

Skills

Client engagement

Communication

Time management

Bilingual English/Spanish

Care coordination

Education

Bachelor’s in Social Work

MSW preferred

Tools

EHR (electronic health records)

Case management software

Job description

The ECM Case Manager will be responsible for assisting individuals and/or families who are homeless and have a chronic illness or physical disability or are high utilizers of the health care system with achieving and maintaining health, mental health, and housing stability. The goal in providing these services is to make significant progress towards addressing homelessness, and medical and behavioral health issues for the county’s most vulnerable populations, to ensure they have the resources and support they need to thrive and succeed.

MAJOR POSITION RESPONSIBILITIES AND FUNCTIONS:

• Act as a primary contact for clients throughout their full length of participation in the program for enhanced care management needs.
• Complete a comprehensive intake and assessment for new clients to help them determine their needs, eligibility, interests, and goals with monthly follow-up home visits supporting enhanced care management needs and housing retention.
• Conducts initial and ongoing assessment of client's health and/or support service needs. Sets the level of client need.
• Leads the provision and coordination of services and provides direct services for ECM participants in their assigned monthly caseload.
• Work with clients and their current and previous supports to develop individual care plans to help them meet initial and intermediate goals in the areas of education and employment, housing stability, positive health outcomes, permanent connections, and well-being.
• Provides basic and intensive individual support, based on client needs. Support may include providing interventions, internal and community services referrals, and more intensive support which may include a home visit.
• Operate in a supportive role within an interdisciplinary healthcare team utilizing an integrated care and treatment model.
• Connect clients to supportive services such as mental health, health, substance use, and employment and education resources with service providers.
• Collaborate with primary care providers and behavioral health providers to offer health and behavioral interventions that will maximize patient health outcomes.
• Provide support, empowerment, education, and targeted case management services to clients.
• Tracks, monitors, and actively manages assigned patient cases to ensure coordination of care, retention of patients, and ensuring a high level of utilization is maintained.
• Offer linkage to resources such as DPSS, Social Security, and Medi-Cal and act as a liaison for clients with those resources.
• Attend case conferencing meetings to coordinate services with internal and outside service providers.
• Educate clients about the health care system and facilities relationship building between the two and how to maintain set relationships.
• Document work with clients through appropriate record keeping that follows East Valley’s policies and procedures complying with HIPPA standards and observing strict patient confidentiality.
• Link clients to needed services and facilitate access to community resources.
• Attend appropriate community resource meetings and training as assigned.
• MSW level case managers if requesting clinical hours for BBS requirements will be assigned 6-8 weekly therapy caseloads.
• Performs other duties as assigned by team leads, supervisors, and managers.

POSITION REQUIREMENTS AND QUALIFICATIONS:

• Minimum of one of experience working with homeless individuals and have a social work/mental health-related bachelor’s degree or Master’s degree (preferred), or have a minimum of two years of experience providing direct mental health or intensive case management services, unless otherwise approved by DHS.
• Have experience working with clients with mental illness, chronic health issues, and substance use disorders.
• Have expertise in the following areas: chronic homelessness, outreach and engagement strategies, intensive case management services, best practice models, mental health and substance use disorder services, crisis intervention, suicide assessment and prevention, affordable housing and public benefits applications, housing and landlord/tenant rights and eviction prevention.
• Knowledge of community resources in the area of residence.
• Comfortable working with diverse populations including formerly incarcerated individuals, undocumented individuals, LGBT populations, and those experiencing homelessness, substance abuse, and/or mental illness.
• Exceptional ability to connect and engage with people.
• Good oral and written communication skills.
• Detail-oriented, organized, and possess time management skills.
• Able to work flexible job hours.
• Willingness to work in various environments, including jail settings, street outreach, home visits, homeless encampments, and/or shelters.
• Bilingual English/Spanish preferred (read, write, speak)

DOE: $23.00 - $27.16

East Valley offers a competitive salary, and excellent benefits including medical, dental, vision, and defined contribution retirement plan. You will also enjoy a work-life balance with paid time off and paid holidays throughout the year.

EOE is the Law. It is the stated policy of EVCHC to conform to all the laws, statutes, and regulations concerning equal employment opportunities and affirmative action. We strongly encourage women, minorities, individuals with disabilities, and veterans to apply to all of our job openings. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, or national origin, age, disability status, Genetic Information & Testing, Family & Medical Leave, protected veteran status, or any other characteristic protected by law. We prohibit Retaliation against individuals who bring forth any complaint, orally or in writing, to the employer or the government, or against any individuals who assist or participate in the investigation of any complaint or otherwise oppose discrimination.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.