Care Manager - Mental Health Field

Care Manager for ECM Program 

Seeking Full-Time position that will be based in a select county within the State of California 

Remote/In-Office as needed to Perform Duties 

This role requires the employee to be working in the community or remotely or a mix of both as needed to achieve the objective of improving the health of the members in their community 

About ReBrand +health 

Our mission is simple: to revolutionize healthcare by advancing innovative and efficient solutions that improve lives and drive lasting change.  At ReBrand +health, care management begins with a strong foundation of the tried and true.  We begin with decades of experience, a team approach, strong community networks, high-touch care plans, frequent engagement with the extended care team, and intensive patient involvement.  And then we add a little innovation for good measure, bringing advanced monitoring technologies and industry-leading data and analytics to inform care and attain sustainable results. 

Job Description  

The Care Manager for Enhanced Care Management plays a pivotal role in coordinating and managing comprehensive care for individuals with complex health and social needs.  These care managers will lead care teams of on-the-ground Community Health Coordinators to facilitate care compliance, healthier behaviors, and linkage to providers and community supports to bolster health outcomes and enhance the overall wellbeing of our clients.  Their primary responsibilities include:  

1.    Assessment and Care Planning:

·         Conduct comprehensive assessments of patients’ medical, behavioral and social needs

·         Develop individualized, person-centered care plans that address specific needs and goals as identified

2.    Care Coordination

·         Act as the primary point of contact for patients, their families and caregivers, and extended care teams

·         Coordinate across various sectors, including healthcare providers, social services, and community supports to ensure integrated care

·         Facilitate transitions of care from hospital to home or other changes in levels of service

3.    Advocacy and Support

·         Advocate for the patient’s needs and preferences in healthcare and social service systems

·         Build trust and rapport with patients to empower them to engage in their care

·         Address barriers to care, such as transportation, housing, food insecurity, or safety

4.    Monitoring and Follow-up

·         Regularly monitor patients’ progress toward their care plan goals

·         Adjust care plans as needed to reflect changing circumstances or goals

·         Ensure timely follow-up to prevent gaps in care or readmission

5.    Team Leadership and Communication

·         Lead and support interdisciplinary teams of consultants, Community Health Coordinators, and extended providers, ensuring collaboration and alignment

·         Communicate effectively with all stakeholders to maintain continuity and quality of care

6.    Documentation and Compliance

·         Maintain detailed records of care plans, interventions, and outcomes

·         Ensure compliance with ECM program standards, policies, and regulations

Skills and Qualifications:

·         Strong understanding of medical, behavioral, and social determinants of health

·         Excellent communication, problem-solving, and organizational skills

·         Experience working with diverse populations, including those experiencing homelessness, chronic illness, or behavioral health issues

·         Knowledge of local resources and community-based services

·         Customer service orientation and a deep desire drive outcomes that positively impact in the lives of our patients

·         High-level of accuracy and attention to detail

·         Proficiency in communications technology, remote patient monitoring systems, and Microsoft Office

·         Curious, innovative and open to new approaches to achieving results 

Education  

·            Preferred Licensure: Licensed Mental Health Professional (e.g., LCSW, LMFT, LPCC, LVN)

• Required Licensure: RN or BSW, Bachelors’ degree in psychology, counseling, nursing, or other related health field.  
  

Experience:

·         Minimum of 1 year of experience working with community members in care management or other mental health services role.

·         Experience in supervising staff and managing care coordination tasks.

·         Experience implementing CalAIM or similar healthcare programs preferred.

·         Familiarity with utilization management, provider oversight, and billing processes in a healthcare setting.