Job detail

ECM CICM Care Manager-Hybrid position-Bilingual in Spanish required

Partners in Care Foundation In

#Behavioral Health #Case Notes #Medicare #Social Services #Home Visits #Care Management #Trauma-Informed Care #Social Determinants of Health

Quick overview

Provide person-centered care management for members with medical, behavioral health, or social needs through outreach, assessment, and care planning. Coordinate services with health plans and community partners to reduce barriers and support wellness goals.

Requirements summary

Requires a bachelor's degree in social work, psychology, sociology, or a related field and fluency in Spanish. Candidates must have two years of experience working with homeless individuals or those with medical and behavioral health complexities.

bachelor degreePatient AdvocacyAssessmentElectronic Health RecordsCrisis InterventionTrauma-Informed CareMotivational InterviewingCommunity OutreachBilingual SpanishPerson-Centered PlanningCare ManagementService NavigationCase Coordination

Job description

Position Summary

Bilingual in Spanish required.

The Care Manager is responsible for providing person-centered care management services to eligible members with medical, behavioral health, or social needs. This role includes outreach, engagement, assessment, care planning, care coordination, service navigation, and ongoing follow-up. The Care Manager maintains an active caseload and works collaboratively with health plans, community partners, service providers, and internal staff to reduce barriers, improve access to services, and support members in achieving their wellness goals.

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Key Responsibilities

Core Service Delivery
Conduct outreach and engagement activities to connect eligible members with services.
Perform comprehensive assessments capturing member needs related to medical care, behavioral health, housing, transportation, benefits, and social determinants of health.
Develop person-centered care plans with member input that reflect goals, strengths, barriers, and service coordination needs.
Provide ongoing care coordination, warm hand-offs, education, and advocacy to support member progress.
Facilitate communication among member support systems, including healthcare providers, social service agencies, health plans, behavioral health, and housing programs.
Conduct field-based activities, including home visits, office visits, and community outreach.

Member Support & Engagement
Use motivational interviewing, trauma-informed care, and culturally responsive approaches to engage members with varying levels of readiness.
Assist members in accessing transportation, scheduling appointments, applying for benefits, and connecting with appropriate programs or services.
Support transition activities such as hospital discharge coordination, navigating new providers, or connecting to long-term supports.

Documentation & Compliance
Maintain timely and accurate documentation in accordance with internal and external programmatic standards.
Track member progress toward goals through case notes, care plan updates, and authorized service logs.
Meet required engagement, visit, and contact frequency benchmarks based on acuity and program guidelines.

ECM CICM Care Manager-Hybrid position-Bilingual in Spanish required

Quick overview

Requirements summary

Job description

Position Summary

Key Responsibilities

Qualifications

Required

Preferred

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