Lead Care Manager - Riverside

Job Description

Job Description

As a Case Manager at Heritage Health Network (HHN), you will play a pivotal role in providing comprehensive care coordination for members through our Enhanced Care Management (ECM) program. Working as part of a multidisciplinary team, you will ensure our members receive culturally responsive, person-centered care tailored to address their diverse health and social needs.

This role combines remote work, in-office responsibilities, and field engagements, with work arrangements tailored to meet program and member needs.

Requirements

Key Responsibilities :

Primary Point of Contact : Serve as the primary liaison for members, managing their care plans and ensuring seamless communication across the care team.

Care Plan Development : Collaborate with members, their families, and healthcare providers to create, implement, and regularly update personalized care plans.

Comprehensive Coordination : Work closely with other care managers, healthcare providers, and community resources to deliver integrated care and address social determinants of health.

Member Engagement : Provide education, guidance, and emotional support to members and their families to improve health outcomes and self-management skills.

Gap Identification : Identify gaps in care or services and collaborate with the ECM team to develop effective solutions.

Documentation : Maintain accurate, timely records of all interactions and services provided in compliance with HHN and ECM program requirements.

Team Collaboration : Offer guidance and support to other care team members, fostering a collaborative and cohesive approach to care.

Qualifications :

Experience : Experience in care management, particularly in community-based settings, preferably with knowledge of Medi-Cal benefits and ECM requirements.

Person-Centered Approach : Strong empathy, cultural competence, and commitment to providing individualized care.

Teamwork : Ability to work effectively within a multidisciplinary team environment.

Communication Skills : Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations.

Healthcare Knowledge : Understanding of healthcare systems, community resources, and regulations.

Mobility : Willingness to travel within Riverside and San Bernardino counties for home visits and community engagement.

Bilingual Skills : Preferred to effectively communicate and serve our diverse member populations.

Benefits

Health Insurance : Eligible for medical, dental, and vision insurance from the first of the month following or coinciding with your start date.

Paid Time Off : Sick time, paid holidays, and vacation time to support work-life balance.

Compensation and Incentives : Competitive salary with annual merit increases and quarterly bonus opportunities.

Flexibility : Work-from-home options several days a week.

Professional Growth : Opportunities for career advancement and continued professional development.

Heritage Health Network offers a supportive community and opportunities for professional growth, aiming to enhance both patient and employee experiences. Join us in making a lasting impact on community health.