Care Collab D.B. Direct Care Management

Bi-lingual Care Manager - Fluent in Spanish Care Collab D.B.A Direct Care Management

Overview

Description

Position Summary:

Care Collab provides care coordination services to high-utilization Medicaid members with chronic medical and behavioral health conditions. We’re currently seeking a dynamic Care Manager to play a central role in the active engagement and coordination of care and services for our members and make referrals to address their behavioral, medical, and social needs.

The Care Manager has the responsibility for working as a lead member of the care team using principles of assessment, care planning, service coordination, community referrals, and evaluation to coordinate services using person-centered strategies for eligible participants.

The Care Manager is accountable for engaging and retaining Health Home enrollees in care; coordinating and arranging for the provision of services; supporting adherence to treatment recommendations; and monitoring and evaluating the member’s needs, including prevention, wellness, medical, specialist and behavioral health treatment, care transitions, and social and community services where appropriate through the creation of an individual plan of care.

Essential Duties and Responsibilities

** This is a Full-Time - office & Field Based Position**

• Obtain required Care Management enrollment consents from the individual
• Complete initial and ongoing needs assessments to determine the individuals most appropriate level of care management
• Develop a plan of care and crisis plan with each member
• And accurately document the services provided in a timely manner.
• Responsible for the overall management of the member’s Individualized Plan of Care.
• Meet Care Management documentation requirements in a timely and accurate manner by effectively utilizing designated Care Management Portal and Electronic Health Records (EHRs)
• Function as an advocate for members within the agency and external service providers
• Promote wellness and prevention by linking enrollees with resources and services based on their individual needs and preferences
• Educate the caregiver on care of chronic conditions, screening and other preventive interventions
• Help members to obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility, Social Security, SNAP, housing, legal services, employment and training supports, and others
• Effectively communicate and share information with the individual and their families and other caregivers with appropriate consideration for language, literacy and cultural preferences
• Conduct care planning meetings/conferences and serve as an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care
• Identify available community-based resources and actively manage appropriate referrals, access, engagement, follow-up and coordination of services
• In the event of hospital admissions, actively engage in the discharge planning process ensuring that the member has all recommended post discharge services in place prior to discharge
• Attend and participate in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Manager position
• Provide all interventions and care coordination in the individual’s home and in the community
• Work with external stakeholders-including hospitals, shelters, jails, probation and parole officers, primary care providers, etc.
  
  -to achieve positive client outcomes

Qualifications:

• Bachelor’s OR Associates degree in related field OR 2+ years of job-related experience providing medical, mental health or substance focused services to individuals with chronic medical conditions and/or serious behavioral health conditions.
• Excellent interpersonal skills with ability to interact culturally, linguistically and diplomatically with diverse internal and external audiences.
• Strong organizational skills to manage multiple priorities in a time sensitive manner.
• Ability to engage individuals and diffuse difficult situations.
• Health Home experience or equivalent programs preferred.
• Experience in a multidisciplinary setting and field-based clinical…