JOB TITLE | Lead Care Manager (Adult and/or Youth Populations of Focus)
REPORTS TO | Program Manager
PROGRAM | Enhanced Case Management & Housing Navigation
POSITIONS SUPERVISED | No
LOCATION | Hanford, CA and Visalia, CA
SALARY RANGE | $19.00 - $25.00
JOB SUMMARY
Under the direct supervision of the CalAIM Program Manager, the employee will be evaluated based on skillset, experience, and ability to provide program services under the capacity as a Lead Care Manager (LCM) to a caseload of adult beneficiaries and/or youth populations of focus (PoF).
RESPONSIBILITIES AND DUTIES
Serving individuals with health barriers utilizing a person-centered approach and will provide wrap around services.
Build rapport with clients that may have no other support network.
Provide care coordination, health promotion, comprehensive transitional care, coordination of and referral to community and social support services, benefit establishment, linkage to stable housing.
Conduct assessments, build care plans with clients, and meet routinely to achieve goals, and all other supportive services as needed.
Assesses members needs in mental health, behavioral health, physical health, substance abuse, financial stability, employment, food security, clothing, housing and other needs.
Provide onsite case management services in the areas of independent living skills, cooking groups, house meetings, social events, employment linkage, benefits establishment, and other services as needed to assist in reaching case plan and treatment goals.
Provide health education materials.
Attend multi-discipline coordination meetings to discuss case progress, barriers, and receive guidance from health professionals.
Accompany members to appointments as needed.
Assist members with submitting applications that will benefit their overall wellbeing.
Collaborate with primary care providers, behavioral health and public health agencies, non-profits, and other community-based organizations to build a support network for clients.
All CalAIM Lead Workers will be expected to demonstrate the following skillsets:
Provide person centered approach services.
Assist clients with identifying barriers and building plans to mitigate or reduce barriers.
Connect clients to other community resources in the community.
Comfortable with public speaking.
Good working knowledge of how to use general office tools including Microsoft Office and Outlook.
Team oriented individuals willing to support peers in daily outreach or coverage as needed.
Work collaboratively with Champions programs, managed care plans, primary care providers, and local housing programs to conduct screening interviews, complete intake documentation, and coordinate move-in and exit of all program participants.
Respond to referrals and clients’ requests for case management assessment and intervention within the required response time.
Accurately record all contacts made and services provided in Champions’ electronic health records system in a timely manner.
Encourage and promote an environment that is strengths-based to assist clients in meeting their individual goals.
Maintain complete and accurate documentation of service objectives and outcomes as well as other services in accordance with federal, state, county, and the Organization’s guidelines.
Complete follow-up and retention services and provide back-up documentation in client files.
Outreach to community, business owners, realtors, landlords, housing developers, and other service providers to identify new and existing opportunities and build strong relationships to better assist clients in accessing resources, employment, supportive services, and housing opportunities.
Attendance of community meetings and possible engagement and participation of committees such as the Kings Tulare Housing Alliance Stakeholder meetings, monthly coordination meetings, etc.
Performs other duties as assigned.
Please note this job description is not designated to cover or contain a comprehensive listing of activities, duties or responsibilities that are required for the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
QUALIFICATIONS AND SKILLS
BA in social work, psychology, or related field; AA in social work, psychology, or related field + 2 years’ mental health experience; and/or 1 year of experience as a Housing Navigator and/or Whole Person Care or Health Homes Case Management experience may be substituted.
Experience must be in the provision of case management services for persons living with mental illness, substance use disorders, homelessness, and/or justice-involvement.
Must have valid California Class C Driver’s License; maintain a good safety record (verified by DMV at hire and periodically) and a reliable vehicle; proof of liability insurance if driving personal vehicle.
First Aid and CPR certifications obtain within 30 days of employment and maintain current thereafter.
Experience performing work related to data collection, entry, budgeting, credit repair, and organizing skills.
Additional experience in presentation of information to groups and organizations.
Experience in obtaining third party credit, criminal, and rental history reports.
Experience with culturally diverse population.
Ability to understand and interpret information, follow instructions, and manage workflow. Strong Interpersonal skills, ability to work effectively with people in a constructive manner within a community-based treatment setting.
Basic and routine computer keyboarding, programs and software and advanced office management practices and operating procedures.
Able to multi-task in a fast-paced environment, apply professional judgement in solving difficult issues, and to communicate in a clear, precise, and professional manner.
Bilingual (English and Spanish speaking) preferred.
Recovering individuals must have a minimum of two years clean, sober and abstinent to be considered for employment.
Must be able to provide services to clients while culturally practicing humility and trauma-informed, gender-responsive, and patient-centered care.
Ability to work flexible schedules/shifts/areas, including some nights and weekends to meet the needs of clients in the program.
Must maintain good relationships with consumers, co-workers, government, and civic representatives, as well as community members within whom the Agency is transacting business and relate to them in a professional manner.
Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
ORGANIZATION RELATIONSHIPS
Interfaces with all levels of management, staff, clients, residents and families including partner agencies.
PHYSICAL SKILLS AND ABILITIES
Ability to perform the essential job functions consistent safely and successfully with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift and carry up to 20 lbs.
Must be able to talk, listen and speak clearly on telephone and telehealth platforms.
WORKING CONDITIONS
Services may involve travel to offsite locations for assessments, service provision, and crisis management.
EMPLOYMENT STATUS
Full Time, Exempt
ANTICIPATED HOURS
Work hours can vary and may require some on‐call scheduling including weekends, evenings, and holidays per program requirements.
