Neighborhood Healthcare – Care Management Specialist ECM Hybrid) Riverside, CA

ABOUT US:

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision: a community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together.

As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

Since 1969, our employees have been making this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If this sounds like an organization you would like to be a part of, we would love to meet you.

ROLE OVERVIEW and

PURPOSE:

The Behavioral Health Care Management Specialist – ECM will support enhanced care management (ECM) patients with behavioral health conditions, severe mental illnesses (SMI), and substance use disorders (SUD) needs using brief interventions and behavioral activation strategies. This role will provide care coordination and connection to services and social supports for ECM patients, including appointment scheduling and referral management.

* This is a hybrid position; on site expectations are dependent on performance. Proposed schedule shifts:
Mondays through Fridays 8:30 AM – 5 PM (30-min lunch), or 9 AM – 6 PM (1-hour lunch).*

RESPONSIBILITIES:

• Utilizes brief behavioral health therapeutic interventions to improve patients’ ability to manage their own health
• Handles brief crisis interventions and makes warm hand-offs to local crisis resources to address behavioral health needs, as needed
• Educates patients and families about chronic medical and behavioral health conditions to improve health literacy
• Provides formal and informal training and support for ECM patients on behavioral health conditions, including treatments
• Assists with the coordination of medical and behavioral health access issues to primary care physician (PCP) offices, specialists, and ancillary services
• Tracks medical and behavioral health outcome measures in a patient registry
• Coordinates with psychiatric hospitals to ensure smooth transitions of care
• Participates in weekly systematic and ad hoc case reviews to collaborates with ECM team on patient care issues
• Works with patients to identify health and wellness goals to incorporate into patients shared care plan with providers
• Reviews patient community health assessments (CHAs) upon completion by another care team member to ensure completed accurately
• Maintains engagement with patients in a manner that utilizes evidence-based approaches that promotes collaboration between the patient and their medical/behavioral team, such as motivational interviewing
• Participates in caseload discussions with Psychiatric Medical Director and Champion Medical Director
• Documents care coordination, education, and other services provided in eClinical Works
• Provides accurate and timely caseload status reports and updates to supervisor and site staff

EDUCATION/

EXPERIENCE:

• High school diploma/GED required
  ; bachelor’s degree in healthcare/social sciences related field preferred
• Four years of experience in healthcare required
• Experience with community outreach, behavioral health, and working with high-risk populations preferred
• Bilingual(English/Spanish) preferred

ADDITIONAL QUALIFICATIONS (Knowledge,

Skills and Abilities

):

• Excellent verbal and…