Qureos Mentor

T.H.E. Health & Wellness Centers

Essential Duties and Responsibilities:● Engages eligible members● Offers services where the member lives, seeks care, or finds most easily accessible and within health plan guidelines● Oversee provision of services and implementation of the Care Plan● Connects with member via phone or in-person to facilitate engagement, assessment, follow-up, and education/training visits to develop and address the Care Plan.● Works in conjunction with member to identify Care Plan goals and objectives.● Connects member to other Community Supports / social services and supports he/she may need.● Accompanies member to office visits, as needed and according to health plan guidelines.● Arranges transportation.● Responsible to convene care conference meetings.● Coordinates with ECM resource partners to obtain data/information to ensure accurate Care Plan updates.● Utilizes eCW and other electronic tracking systems to coordinate services and input data for reporting.● Attends required trainings.● Facilitates internal trainings/updates to clinical and administrative staff members.● Collaborates with IT department to ensure ECM templates are appropriate and effective at capturing needed data/information.● Reviews existing T.H.E.s protocols and polices to match ECM requirements.● Develops new ECM protocols, policies, and accompanying workflows.● Assists the required ECM reports and other internal reports.● Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the Member and non-duplication of services● Advocate on behalf of Members with health care professionals● Use motivational interviewing, trauma- informed care, and harm-reduction approaches● Coordinate with hospital staff on discharge plan● Accompany Member to office visits, as needed and according to T.H.E. and MCP guidelines● Monitor treatment adherence (including medication)● Provide health promotion and self- management training● Other duties as assigned.Required Education and Qualifications:● Bachelor&rsquo;s Degree in a healthcare, behavioral healthcare, social work, human services, or related field with one year of experience, preferably in working with patients in a clinic setting, providing home health care for patients, or social services case management services to low-income populations with one or more of the following: complex chronic conditions, high utilizer of emergency room and tertiary health care services, severe mental illness, and/or homelessness.● Licensed Vocational Nurse (LVN), licensed behavioral health care professional, social worker, substance abuse counselor, health educator, or other similar paraprofessional preferred.● MPH or related fields preferred● Bilingual in English/Spanish (oral and written)Knowledge. Skills and Abilities:● Strong documentation skills.● Ability to multi-task and prioritize when needed.● Ability to independently seek out resources and work collaboratively.● Ability to develop and maintain good working relationships with staff.● Ability to use computer and learn new software programs.● Excellent interpersonal skills reflecting clarity, diplomacy, and the ability to communicate accurately and effectively with all levels of staff and management.● Demonstrates ability to work in a regulatory climate that includes oversight of state and federal entities, payer contracts etc.● Possesses ability to communicate effectively, both verbally and in writing.● Proficient knowledge of Microsoft Outlook, MS Word, and Excel.● Able to travel and attend professional meetings, conferences, trainings, and clinic sites.● Performs other related duties as assigned.Job Type: Full-timePay: $25.00 - $29.00 per hourBenefits:<ul><li>403(b)</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Bilingual ECM Case Manager

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T.H.E. Health & Wellness Centers

About Company

Bilingual ECM Case Manager