Enhanced Care Management (ECM) Case Manager

POSITION TITLE:     ECM Case Manager                                      FLSA:  Non- Exempt

SUPERVISOR:            ECM Program Manager                                           

SALARY RANGE:      $25-$27

OVERVIEW:

The ECM Case Manager works under the program manager to coordinate whole-person care for Medi-Cal participants. Through outreach, the ECM Case Manager will support members in accessing and coordinating health care, behavioral health, housing, and community-based services. This role is responsible for conducting outreach, completing assessments, developing and monitoring care plans, and helping members navigate referrals, benefits, and available resources. The Care Coordinator will maintain a caseload, provide regular in-person and telephonic follow-up, and work closely with medical providers, behavioral health teams, community agencies, and internal staff to support member needs and improve outcomes.

DIRECT REPORTS:

None

QUALIFICATIONS

REQUIRED:

• Bachelor’s degree in a healthcare, psychology, counseling social work, behavioral health, or related field.
• At least 1 year of case management or direct service experience working with vulnerable populations.
• Experience with:
  • Homeless outreach and housing navigation
  • Behavioral health and substance use case management
  • High-utilizer care coordination
  • Reentry and justice-involved populations
  • Complex chronic disease management
  • Medi-Cal, CalAIM, and community resource coordination
• Excellent communication, problem-solving, and organizational skills.
• Cultural competence and sensitivity to diverse populations and family dynamics.
• Ability to work collaboratively as part of a multidisciplinary team.
• Valid California driver’s license, auto insurance, and a clean driving record.

RESPONSIBILITIES INCLUDE (but not limited to):

• Maintain an assigned caseload and provide ongoing care coordination and follow-up
• Conduct outreach, intake, and eligibility screening for program enrollment
• Complete assessments and develop individualized care plans with members and care teams
• Coordinate referrals and connect members to medical, behavioral health, housing, transportation, food, financial, and other community resources
• Educate members and families about available services, benefits, care plans, and treatment needs
• Advocate for members and communicate with providers, agencies, and care teams to support continuity of care
• Accompany members to appointments or support them in accessing care as needed
• Support members with accessing benefits and completing necessary paperwork
• Monitor progress, follow up on referrals, and reassess needs regularly
• Use trauma-informed, relationship-based, and motivational interviewing approaches to engage members
• Maintain accurate, timely documentation in electronic systems and comply with all program, privacy, and regulatory requirements
• Participate in team meetings, quality improvement activities, and other assigned duties

Organization Duties:

1. 1. Timely and accurate submission of timecards to supervisor
   2. Time away from the Office, Program and/or Home (i.e. vacations, personal time off, leaves of absence) must be pre-approved by supervisor and requested based on process outlined in the UC Employee Handbook.
   3. Maintain knowledge of staff handbook, policies, procedures, manuals, and pertinent documentation

ESSENTIAL DUTIES and QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  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.   The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.

1. Read and interpret documents and procedure manuals.  Write routine reports and correspondence.
2. Speak effectively in small setting and groups, i.e. UC employees, clients, or residents.
3. Apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. 
4. Resolve problems involving several concrete variables in standardized situations.
5. Identify negative disruptive behaviors and redirect behavior using mediation and de-escalation techniques.
6. Employee is occasionally required to stand; walk; sit; use hands to handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop; kneel, crouch or crawl; talk or hear; taste or smell. 
7. Employee must occasionally lift and/or move up to 25 pounds. 
8. Employee may be required to make or receive physical contact with clients and residents,  such as  in the process of delivering First Aid/CPR or de-escalation interventions.
9. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
10. Must have CPR and First Aid certificate within 10 days of start date and maintain a current certificate with Human Resources.
11. Must clear a Department of Justice background check including fingerprinting before start date and maintain clearance.
12. Must be able to work in a DSS Community Care Licensed Facility.
13. Must clear a health screening, including TB before start date and maintain clearance.
14. Must have a car, valid California Driver License and be able to drive, have a clean driving record and maintain a clean driving record.
15. Meet and maintain the minimum vehicle liability and property insurance limits (to be insured by our insurance carrier for using vehicle for business purposes such as  transportation of residents or reimbursement of business-related mileage expenses).

Disclaimer: The duties and responsibilities described in this document are not a comprehensive list and additional tasks may be assigned to the employee from time to time and the scope of the job may change as necessitated by business demands at the sole discretion of the company.  The specific statements shown in each section of this description are not to be all-inclusive.  They represent typical elements and criteria to successfully perform the job.

The Unity Care Group is an Equal Opportunity Employer. The Unity Care Group does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.