Case Manager ECM

Job purpose

The ECM Case Manager is responsible for outreach, engagement, and providing support and linkage to wellness/recovery resources, both in person and virtually to assist clients in reaching the optimal level of wellness and functional capability. The ECM Case manager works with highest risk Medi-Cal members with the most complex medical and social needs, connecting with all their providers to coordinate areas of care and support.

Duties and responsibilities

• Conducts outreach to engage and enroll eligible community members to the Cal AIM ECM program.
• Completes high-risk behavioral health and housing assessments with client to identify need areas.
• Develops and maintains an individualized care plan for each client.
• Coordinates care for clients with a multidisciplinary clinical team and outside agencies.
• Facilitates referral linkages, navigation, performs case management services, and supports securing community resources.
• Assists clients with the development of social and community support systems.
• Develops effective working relationships with agencies, organizations, and providers to advocate for clients.
• Documents and maintains clinical records per appropriate standards and regulations.
• Conducts outreach in diverse community settings including shelters, drop-in facilities, and residential settings.
• Participates in clinical supervision, consultations, and training.
• May provide translation and language support services as needed.
• Completes other duties and related projects as assigned.