🪄 Skills: Communication SkillsMicrosoft OfficeOrganizational skillsClient relationship management
Requirements:
LCSW licensed in California, with the ability to obtain additional state licensure as needed
Must possess strong organizational skills
Ability to work independently
Proficient with Microsoft and Google applications
Strong communication skills
Strong motivational skills including conflict/dispute resolution techniques
Must have access to reliable internet connection
Responsibilities:
Provides oversight of ECM Individual Care Plans and determines if Client’s Care Management needs are sufficient to be managed by an ECM Lead Care Manager or require the Consultant’s intervention in the form of recommendations to implement in their Care Plan
Participates in developing patient-centered care plans for the clients on their panel. Approves initial plan and biannual updates
Consults with Lead Care Managers to review client medical visit summaries, discharge summaries, and clinical care coordination needs
Provides health and preventive care education for acute health conditions, chronic disease management, and medication monitoring
Engages vulnerable populations as part of a multidisciplinary outreach team as needed
Helps to expand programming that addresses SDoH and enhances connections to community-based organizations
Works with hospitals to coordinate hospital admission/discharge plans with the behavioral health clinician, PCP, pertinent specialists and other organizations with the goal of preventing readmission, if possible
Performs timely medication reconciliation following transitions in care. Supports medication adherence