SUMMARY: As an Enhanced Care Management Case Manager, you will be responsible for overseeing the coordination and delivery of services to patients with complex medical and social needs. You will work closely with healthcare professionals to create and implement individualized care plans, monitor progress, and advocate for the best possible outcomes for our patients.
Essential Duties and Responsibilities:
- Oversee the day-to-day operations of the care management team, ensuring the provision of efficient and effective care coordination services.
- Coordinate and collaborate with healthcare providers, specialists, community resources, and insurance providers to ensure seamless and coordinated care.
- Develop and implement care plans based on individual client needs, in collaboration with the care management team and healthcare professionals.
- Monitor the progress of care plans and adjust as needed, ensuring the delivery of high-quality care.
- Serve as a resource and provide guidance to the care management team on complex cases or challenging situations.
- Advocate for patients, ensuring their needs are met and their voices are heard during care planning and decision-making processes.
- Monitor patients' progress, evaluate care outcomes, and make necessary adjustments to the care plans.
- Educate patients and their families on their healthcare options, treatment plans, and resources available to them.
- Provide ongoing support, counseling, and guidance to patients, assisting them with navigating the healthcare system and addressing any barriers to care.
- Document all patient interactions, assessments, interventions, and care plans accurately and in a timely manner.
- Stay up to date with current healthcare policies, regulations, and best practices in care coordination and management.
- Collaborate with healthcare professionals and community organizations to coordinate services and resources for patients.
Qualifications and Education Requirements:
Qualifications:
- Bachelor’s degree preferred but not required.
- Bilingual: English and Spanish preferred (not required).
- Current state licensure or certification as a registered nurse.
- Proven experience in care coordination, case management, or a related role.
- Knowledge of healthcare systems, insurance regulations, and medical terminology.
- Strong communication and interpersonal skills to collaborate with patients, families, and interdisciplinary care teams.
Experience:
- One year of working experience in a case management and care coordination setting.
- Experience working with older adults and persons with serious mental illness or homelessness.
Desired Skills and Abilities:
- Highly skilled interpersonally, with excellent relationship skills.
- Able to sufficiently engage with members and healthcare providers in a variety of settings such as on the phone, at member’s homes, streets if homeless, in hospitals and other health settings.
- Ability to develop relationships with community members and leaders, including in the faith-based community.
- A high degree of skillful decision-making and judgement, in an autonomous position, including knowing when to consult with the team, supervisors, and experts.
- Understanding of and sensitivity to mental health conditions, addictive disorders, and multi- cultural communities.
- Awareness of the impact of unmitigated bias, and judgement on health; a commitment to addressing both.
Physical Demands:
May be required to lift objects weighing up to 25 pounds. Sitting in normal seated position for extended periods. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity is required to manipulate objects with fingers rather than whole hand(s) or arm(s), for example using a keyboard.
The physical demands described above are representative of those that must be met by an employee to successfully perform the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job unless providing such accommodations would result in undue hardship for the SBNC.
Salary Ranges: $90,000 – $105,000 Annually
