ECM - Care Coordinator

About This Role

This position assists individuals in meeting their goals within the community, providing support in areas such as medication management, housing, vocation, counseling, and advocacy. The role involves managing a caseload of Managed Care Plan Members and serving as their Enhanced Care Management Point of Contact/Lead Care Manager.

Responsibilities

• Maintain a caseload of Managed Care Plan (MCP) Members
• Serve as Enhanced Care Management (ECM) Point of Contact/ Lead Care Manager for the MCP Members
• Work collaboratively with treatment team in developing a comprehensive Case Management Plan
• Attend and participate in case conference, team meetings and individualized clinical supervisor meetings
• Oversee provision of ECM services and implementation of care plan
• Engage and conduct in-person outreach with eligible MCP Members
• Accompany MCP Member to office visits, as needed and according to MCP guidelines
• Extend health promotion and self-management training
• Arrange transportation
• Connect MCP Member to other social services and supports needed
• Educate MCP Members about MCP Member benefits
• Distribute health promotion materials
• Offer services where the MCP Member lives, seeks care, or finds most easily accessible and within MCP guidelines
• Advocate on behalf of MCP Members with health care professionals
• Use motivational interviewing, trauma-informed care, and harm-reduction practices
• Work with hospital staff on discharge plan
• Monitor treatment adherence (including medication)
• Contact MCP Member to schedule in-person visit with the contract provider

Skills

* Required skills