Managed Care Programs Outreach Specialist - Enhance Care Management
Required skills
- Medi-Cal
- Managed Care
- children/ families
- adults
- physical health
- behavioral health
- dental
- developmental
- social services
- Spanish fluency
Nice to have
- homelessness
- frequent utilization of hospitals
- serious mental health
- substance use
- child welfare
- birth equity
Role summary
Sycamores seeks a Managed Care Programs Outreach Specialist to engage potential members in Enhanced Care Management (ECM) programs for Medi-Cal beneficiaries. This role focuses on coordinating physical, behavioral, dental, developmental, and social services for low-income, high-needs individuals, children, and families. The specialist will provide information on program offerings, eligibility, and enrollment, aiming to improve member health and functioning. The position requires local travel, strong computer skills, integrity, and Spanish fluency. Experience in related social services is preferred.
JOB SUMMARY: Sycamores provides a spectrum of equitable mental health services, housing support services, and coordinated care management through various programs to multicultural populations of all acuities. Although it serves a variety of consumers, the agency focuses primarily on providing care to low-income, high-needs, at-risk children, youth, families, and adults.
Enhanced Care Management (ECM) is a benefit available to Medi-Cal managed care Members under specific populations of focus for children/ families and adults to address social drivers of health. ECM is an intensive care coordination process to coordinate care and services among the physical, behavioral, dental, developmental, and social services delivery system. The role of the ECM Outreach Specialist is to outreach and engage potential members to provide information on program offerings, eligibility, and enrollment. ECM services are provided to improve the health and well-being of Members and increase skills and overall functioning levels of Members developed through an individualized, Member-centered process upon enrollment into the program.
Starting Pay Range:
$21 - $25 per hour (starting pay will be based on previous work experience and educational background.)
JOB QUALIFICATIONS
- High school diploma or AA degree with one year of direct care experience required; three years of relevant outreach experience preferred.
- Ability to complete the training program and ongoing educational requirements as assigned.
- Community based experience with the ECM Populations of Focus: child, youth and adults experiencing homelessness, at risk or frequent utilization of hospitals and emergency rooms, serious mental health and/or substance use, children involved in child welfare, and/or birth equity (pregnant and postpartum individuals), preferred.
- Bilingual capacity is preferred.
- Maintains all required licenses and certifications.
- Bilingual Spanish fluency required.
- As this position requires regular and flexible travel between various client locations, driving is an essential function of this position. Candidate qualifications therefore include:
-
- Personal, reliable vehicle for travel to various locations.
- Valid California driver’s license.
- Acceptable driving record as determined Agency policy.
- Proof of auto insurance meeting minimum coverage requirements.
Additional Requirements:
- Ability to work independently with a high level of integrity.
- Travel occurs primarily locally during the hours when services need to be provided; some out-of-area travel may be required to meet the needs of Members being served.
- Be a part of a team who is passionate about providing excellent and quality services which consistently result in positive outcomes for our Members.
- Ability to work a non-traditional work schedule on occasion to meet Member needs.
- Ability to travel and work in the community and in the home environment.
- Have strong computer and typing skills to complete necessary documentation.
- Experience in Homeless Services, Housing Navigation, Physical Health, Residential Facility, Group Home, Child Welfare or Juvenile Justice is highly desired.
- Knowledge of resources in LA County Service Planning Areas, a plus.
All candidates who are presented with a conditional offer of employment must satisfy a pre-employment background check, drug, and health screen.
Sycamores is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Further, Sycamores is a Fair Chance employer and complies with California Government Code Section 12952, Employment Discrimination: Conviction History.
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