Enhanced Care Manager (ECM)

Our Mission At Whole Person Care Clinic (WPCC), our mission is to provide holistic, compassionate, and accessible care that nurtures the physical, emotional, and social well-being of every individual we serve. Through an integrated approach that combines medical expertise, mental health support, and community services, we are dedicated to addressing the full spectrum of our clients' needs. By fostering a collaborative and inclusive environment, we empower individuals to achieve their highest quality of life and well-being, regardless of their socioeconomic status. We strive to create a supportive community where every person is valued, heard, and cared for with dignity and respect. Position Summary The Enhanced Care Manager is a pivotal responsible for overseeing the delivery of comprehensive care management services to clients, ensuring high-quality care, and acting as a primary provider of Enhanced Care Management (ECM). This role involves coordinating care across multiple disciplines, developing care plans, and working closely with clients and their families to achieve optimal health outcomes. Essential Duties and Responsibilities - Responsible for coordinating with individuals and/or entities to ensure seamless experiences for clients and non-duplication of services - Outreach to clients for ECM services and provide care coordination whenever necessary. Offer services where client lives, seeks care, or finds most easily accessible and within health care plan guidelines as applicable. - Connect clients to social services and support services that may be needed, including transportation. - Develop and oversee comprehensive care plans for clients, addressing their medical, mental health, and social needs. - Coordinate and advocate on behalf of clients with healthcare providers, social services, and community resources to ensure seamless care transitions and continuous support for clients. - Conduct regular assessments of client progress and adjust care plans as needed. - Monitor client care outcomes and implement quality improvement initiatives to enhance service delivery. - Accompany clients to office visits as needed and according to health care plan guidelines. - Monitor client treatment adherence (including medication) - Use motivational interviewing, trauma-informed care, and harm-reduction approaches. - Provide health promotion and self-management training. - Foster strong relationships with healthcare providers, community organizations, and other stakeholders to enhance collaborative care efforts. - Act as a liaison between clients, families, and healthcare teams to facilitate effective communication and client advocacy. - Participate in multidisciplinary team meetings and case conferences to discuss client care and coordinate services. - Identify opportunities for program development and implement innovative care management strategies to improve client outcomes. Qualifications and Requirements Education and Background - Medical background with appropriate training and oversight - Knowledgeable in medical terminology and client care practices Skills and Abilities - Excellent verbal and interpersonal communication skills - Strong organizational skills for coordinating care between clients and their care team - Ability to work independently and make decisions in a fast-paced environment Technical Proficiency - Proficient in care coordination - Experienced with electronic health record (EHR) systems Core Competencies - Cultural responsiveness and trauma-informed care - Professional communication and interpersonal skills - Time management and organizational ability - Basic computer literacy (e.g., Microsoft Office, EHRs) - Confidentiality and compliance awareness Working Conditions & Physical Requirements - Work is primarily performed on-site in a shared clinic or residential care environment. - May include both indoor and occasional outdoor activities depending on client needs and facility operations. - Requires prolonge…