Case Manager (Housing Specialist; Bilingual)

Summary:

Under supervision of the Program Manager, this position's primary function is to serve as an important member of the care team facilitating case management for at-risk patients and quality improvement coordination. The case manager communicates with primary care providers, referral providers, community organizations, the patient/caregiver, and family to assist with the receipt of needed services, ensure communication across the care team, reinforce adherence with the care plan and facilitate self-management skills.

Duties & Responsibilities:

Essential functions may include, but are not limited to, the following:

• Develop comprehensive assessments and individualized care management plans in the areas of physical health, mental health, substance use disorders, community-based long-term services support, oral health, palliative care, social supports, and social determinants of health.
• Facilitate patient appointments, including those made with labs, diagnostic areas, and specialty physicians where special assistance is needed for target population.
• Coordinates with referral provider to obtain reports on labs and diagnostic tests and consultant notes as appropriate. Follow-up with patient/family if test was not done or appointment was not kept and facilitate receipt of test or provider visit.
• Participate in team huddle prior to clinic session to review needed care plans and anticipate flow.
• Participate in scheduled team meetings to identify care plan improvement activities.
• Coordinate and collaborate with the interdisciplinary team consisting of behavioral health, dental and medical providers and other community partners for integration of care.
• Facilitate the completion of depression or other risk screening instruments as appropriate.
• Assist patients to determine their eligibility for appropriate government sponsored programs and refer/link to enrollment specialists as needed.
• Identify gaps in care for designated patients and facilitate receipt of needed services.
• Client outreach and engagement, including direct communication with clients such as in person meetings, mail, email, texts and telephone; community and street-level outreach
• Adhere to established productivity benchmarks.
• Provide outreach, education, referrals/linkages to the homeless and at-risk populations.
• Perform other duties as assigned.

Minimum Requirements:

Knowledge, skills, and abilities required to satisfactorily complete job:

• Bachelor's Degree in related health field preferred.
• At least one year of medical setting experience or case management.
• 1 year of experience managing 50 or more cases is preferred
• Experience working with the underserved and diverse populations.
• Knowledge of clinic and patient protocols.
• Flexible -as job duties are subject to change in order to provide the best client service available.
• Ability to proceed on own initiative using independent judgment and discretion.
• Possess excellent verbal and written communication skills, organizational skills, and interpersonal and time management skills.
• Familiarity with electronic medical records administration.
• Bi-lingual in English and Vietnamese or Spanish.
• Must be able to perform comfortably in a fast-paced, deadline oriented work environment.
• Strong multi-tasking skills and ability to work well in a team setting as well as independently.
• Valid CA Driver's License required

Physical Requirements

• In the course of performing this job, the incumbent typically spends time sitting, standing, walking, typing, listening, and speaking.

Mental Requirements

• The incumbent in this position must be able to accommodate to any/all of the follow: tolerance for distractions and interruptions.

Job Type: Full-time

Pay: From $28.93 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Weekends as needed

Work Location: In person