We are recruiting for a Medical Assistant that is interested in joining our team as a Lead Care Manager.
SUMMARY:
The Lead Care Manager is responsible for serving as the primary point of contact for the Member, Member’s family, Authorized Representative (AR), caregiver, other authorized support person(s) as appropriate, and the multidisciplinary care team providing care to the Member. The Lead Care Manager also conducts a Comprehensive Assessment and develops a comprehensive Care Management Plan with input from the Member and/or their parent, caregiver, guardian, and multidisciplinary care team, to ensure a whole-person approach is taken in identifying gaps in treatment or gaps in available and needed services.
Bi-lingual in English/Spanish is required for this position.
PERFORMANCE AREA 1:
- Serve as the primary point of contact for the Member, Member’s family, Authorized Representative (AR), caregiver, other authorized support person(s) as appropriate, and the multidisciplinary care team providing care to the Member.
- Conduct a Comprehensive Assessment and under the supervision of the Clinical Consultant develop a comprehensive Care Management Plan with input from the Member and/or their parent, caregiver, guardian, and multidisciplinary care team.
Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the Member and non-duplication of services. - Conducts ongoing outreach and engagement, primarily through in-person contact or the member’s preferred method of communication.
- Oversees provision of ECM services and implements the member’s care plan.
- Manages referrals, and coordinates and follows up on needed services and supports.
- Offers services where the member lives, seeks care, or finds most easily accessible.
- Organizes member care activities and maintains at least monthly contact with their providers to ensure coordination, including referrals to specialty mental health.
- Advocates on behalf of the member with health care professionals.
- Uses motivational interviewing, trauma-informed care, and harm reduction approaches.
- Accompanies member to office visits as needed.
- Monitors care plan adherence.
- Provides health promotion and self-management training and identifies support needs for a member and their family or other caregivers.
- Supports the member in making healthy choices and strengthening skills that allows the member to better manage their conditions.
- Supports the member and their personal support system during discharge from the hospital and other treatment facilities.
- Coordinates with hospital staff on discharge plan.
- Attends all required ECM training programs.
- Performs other duties that may be assigned.
- Lead Care Manager I position is responsible for providing trainings on ECM Core Service Delivery.