Enhanced Care Manager

1447 16th St, Santa Monica, CA 90404, USA Req #11452

Role: Enhanced Care Manager

Reports to: Assistant Director, Interim Housing

Program: 1102 - Health and Wellness

Department: Health and Wellness

Location: Turning Point - 1447 16th Street, Santa Monica, CA 90404

Setting: Not 100% Onsite

Schedule: Monday - Friday, 8:00am - 4:30pm

Status: Full-time/Non-Exempt/Non-Management

Benefits: Medical, Vision, Dental, Life Insurance, 403(b) Retirement plan, Employee Assistance Program (EAP), etc.

Openings: 1

SUMMARY:

The People Concern has partnered with community and hospital partners to provide on-site medical management and healthcare coordination for homeless individuals with medical conditions. The Health and Wellness department serves as a resource to homeless individuals with medical conditions by providing on-site medical management and health education, and serve as liaisons to community and hospital partners. The Medical Case Manager works alongside the RN Care Coordinator with an interdisciplinary team from local healthcare clinics, social service partners, and referring entities to achieve positive health outcomes for program participants.

The Enhanced Care Manager operates from an interim housing location in SPA 4, supporting both residents and individuals living on the streets by connecting them to appropriate primary care and additional medical resources, thereby reducing the overutilization of emergency rooms and inpatient services. This position works as part of the agency's multi-disciplinary care team to assist in coordinating care as participants transition from living on the streets, in our interim housing facilities, and in permanent supportive housing.

Essential Duties and Responsibilities:

• Utilize a harm reduction model to provide health services to homeless individuals with acute and chronic medical conditions in various settings.
• Provide medical screenings, assessments, insurance and benefits verification for referrals to the agency to ensure that the appropriate level of care can be provided.
• Coordinate with primary care providers' medical teams to ensure clients' medical needs are met.
• Work directly and in collaboration with the RN Care Coordinator to provide whole-person care and coordinate medical services.
• Coordinate and plan clients' medical appointments to ensure their understanding, advocate for their needs and arrange transportation as necessary.
• Provide health education to clients by facilitating groups or health workshops.
• Promote client independence by establishing SMART goals, teaching clients to understand how to utilize their insurance and supporting self-care skills.
• Assist in resolving client care issues and needs by utilizing multidisciplinary team strategies.
• Document actions, irregularities, and continuing needs in a timely manner and within program guidelines.
• Maintain strict privacy practices in compliance with HIPAA regulations.
• Work directly with and provide education on harm reduction and trauma-informed care while working with vulnerable populations for nursing students completing clinical rotations at The People Concern.
• Maintain professional and technical knowledge by attending educational workshops, reviewing professional publications, and establishing personal networks.
• Maintain a cooperative relationship among care teams by communicating information, responding to requests, building rapport, and participating in team problem-solving methods.
• Maintain a safe and clean working environment.
• Other duties as assigned.

Qualifications:

• High School Diploma or GED or Equivalent
• Driving is an essential function of the position. Valid Driver’s license, reliable car, auto insurance that meets state requirements, and an acceptable driving record.
• 2 or more years’ work experience in a social services organization required
• Ability to work as part of a multi-disciplinary team.
• Excellent verbal and written communication skills.
• Ability to work well with culturally diverse clientele, including LGBTQ individuals and those living with disabilities, mental illness, and substance use disorders.
• Passion for and commitment to working with underserved and indigent populations.
• Ability to self-motivate, multi-task, and adapt in a fast-paced environment.
• Skilled in non-violent crisis intervention, Harm Reduction, and Trauma Informed Care.
• Skilled in Microsoft applications (Excel, Outlook, SharePoint, Word)

Preferred Qualifications:

• Minimum of two (2) years of experience in case management preferred
• CNA/MA background, experience coordinating medical care or experience in a healthcare environment preferred.
• Bilingual or multilingual skills, especially in Spanish.
• In-depth knowledge of community health resources and social services in Los Angeles County.

EXPECTED BEHAVIORS OF ALL STAFF:

• Act as a role model
• Demonstrate a sense of responsibility
• Continuously learn and improve
• Acknowledge your own areas of improvement
• Hear and provide honest, specific and direct feedback
• Create an environment where everyone is welcomed valued and respected

Equal Opportunity Employer:

The People Concern is an equal opportunity employer dedicated to non-discrimination in employment. We select the most qualified individual for the job based on job-related qualifications regardless of race, color, age, sex, religion, national origin, disability, ancestry, marital status, credit history, sexual orientation, arrest and court record, genetic information, veteran status or any other status protected by federal, state or other applicable laws.

About the People Concern:

The People Concern empowers the most vulnerable among us to rebuild their lives. One of Los Angeles County’s largest social services agencies, The People Concern was formed in 2016 in a merger of two trusted social service organizations based in Los Angeles County, OPCC and Lamp Community. Informed by more than fifty-eight years of work in the community, The People Concern is a leading provider of, and advocate for, evidence-based solutions to the multi-faceted challenges inherent in homelessness and domestic violence.