clinicaromero

ECM Case Manager

Los Angeles, California · Full-time

Sponsorship not specifiedDetected 21 days ago

ExcelEpicEHR/EMROrganizational SkillsMicrosoft Office

About the role

This can include, but is not limited to, resources related to transportation, food, specialty medical care, legal services, and housing.
The Case Manager will report to the Care Management Services Program Manager.
Conducts periodic assessments of patient's progress with the developed care plan, related goals, and needed services.

Provides support and assistance to patients with accessing resources in the community.
Documents work with patients through appropriate record keeping that follows the project's policies and procedures.
Develops and maintains strong ties to the community, local community-based organizations, and government program offices.
Serves as support to primary care team to ensure patient follows care plan as specified by the primary care provider.
Assists and supports patients in maintaining cooperative and effective relationships with case managers and other service providers.
Develops a written care plan specific to patient needs.
The Case Manager will work with individual patients to develop personal goals, person-centered care plans, and support patients in meeting their goals.

Must be highly motivated and a self-starter.
The ability to communicate with and relate to a diverse group of people including patients, community, and other staff.
Strong knowledge of social services and resources.
Proficiency in MS Office Suite (Word, Excel, PowerPoint, Outlook)
Ability to accurately enter data in to CMOAR databases (EPIC/OCHIN)
Valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
Travel is required for external homeless outreach events and/or as needed between clinic sites.
Fluent in Spanish.
Knowledge and experience in social work, healthcare, community outreach, or human services.
Must be highly motivated and a self-starter. The ability to communicate with and relate to a diverse group of people including patients, community, and other staff.
Excellent organizational skills and the capability to work in a fast-paced environment.
Effective crisis management skills.
Valid automobile liability insurance.

Degree from an accredited college or university in social work, human services or a related field (highly preferred).

The Case Manager will use the "whatever it takes" approach to help patients get connected to resources and supportive services that support health outcome improvement.
Provides support, empowerment, education and case management services to patients to ensure improved health outcomes.
Educates patients about the health care system and facilitates relationship building between the two.
Links patients to appropriate social service resources and medical care programs, and assists them in completing required paperwork in order to enroll them.
Links patients to specialty healthcare services including but not limited to mental health, substance use disorder, dental, transportation to access healthcare services, and other resources as needed.
Perform follow-ups and wellness checks on existing patients.
Coordinates social, educational, and other activities/appointments for patients.
Provides specific information about public assistance programs for health and social services to which patients may be entitled.

This listing is sourced directly from clinicaromero's careers page and normalized into a canonical job model.