Benefits:
Annual Evaluations
Group Life Insurance
401(k)
Competitive salary
Dental insurance
Employee discounts
Health insurance
Opportunity for advancement
Paid time off
Training & development
Vision insurance
Job Posting: Lead Care Manager - Enhanced Care Management (ECM) Whole Care Solutions - Burbank, CA
Whole Care Solutions is a leading case management organization founded by Registered Nurses that are committed to providing quality services to members enrolled in the Enhanced Care Management (ECM) Program through DHCS/CalAIM. At Whole Care Solutions, you’ll be part of a diverse, supportive, and engaging team environment where collaboration, respect, and growth are prioritized. We value hard work, celebrate successes, and believe in creating a workplace where everyone can thrive. We are looking for a dedicated and compassionate Lead Care Manager to join our team, providing direct support and coordination of care that empowers members to achieve their health and wellness goals.
Position: Lead Care Manager - Enhanced Care Management (ECM) Location: Office-based with occasional local travel Reports To: Enhanced Care Management Director
Job Overview
The Lead Care Manager will engage with ECM members to assess their needs, coordinate care, connect them to community resources, provide personalized support, helping them build resilience and self-management skills. Under the guidance of the Enhanced Care Management Director, the Lead Care Manager will work directly with members to develop individualized Care Plans, coordinate services, and connect them with resources to support a healthy, well-managed lifestyle.
Key Responsibilities
Member Engagement: Engage members at the office or in community settings to offer and facilitate ECM services.
Comprehensive Assessments & Care Plans: Conduct thorough assessments to create individualized Care Plans, identifying goals that align with the member’s unique physical, mental, and social health needs.
Care Plan Management: Ensure effective implementation of Care Plans
Health Education & Self-Management: Educate members on self-management skills and engage caregivers or family members to support Care Plan goals as appropriate.
Support Behavioral Change: Utilize motivational interviewing and trauma-informed care practices to help members make positive health behavior changes.
Treatment Adherence Monitoring: Monitor members' adherence to Care Plans and collaborate with healthcare providers to address barriers to care.
Interdisciplinary Collaboration: Participate in case conferences with clinical providers, hospital staff, and community partners to align on member care needs and goals.
Social Support Coordination: Connect members to social services such as housing, transportation, and nutrition assistance to support Care Plan goals.
Transition of Care Support: Work with hospital staff to support seamless discharge planning and continuity of care post-discharge.
Member Accompaniment: Accompany members to office visits as needed, following health plan guidelines, and offer support during healthcare encounters.
In-Person & Scheduled Contact: Maintain regular contact with members, including in-person visits to reinforce support.
Documentation & Compliance: Document all care management encounters accurately in the Electronic Health Record (EHR) system with appropriate codes for billing and tracking.
Additional Duties: Perform other related duties as assigned, supporting the ECM program’s objectives.
Qualifications
Education: High School Diploma required; Bachelor’s degree preferred.
Experience: Community health/Healthcare or social service experience preferred.
Skills: Proficient in Microsoft Office Suite; experience with Electronic Health Records (EHR) is a plus.
Licensing: Valid driver’s license and willingness for occasional travel within the community.
Language: Fluency in English and Spanish is required.
Interpersonal Skills: Strong communication and interpersonal skills; ability to work effectively in an interdisciplinary team and independently seek resources.
This is an exciting opportunity to develop your career in case management and be part of an organization dedicated to the health and well-being of our community!