Community Outreach Specialist bei Serene Health

JOB SUMMARY:  

An ECM (Enhanced Care Management) outreach worker helps individuals with complex health conditions or social challenges that make it difficult for them to navigate the healthcare system and access the services they need.

The ECM Outreach Coordinator is responsible for community outreach and enrolling eligible clients into Enhanced Care Management (ECM), a Medi-Cal managed care benefit that addresses the clinical and non-clinical needs of high-need individuals through the coordination of services and comprehensive care management. This position works collaboratively with multidisciplinary team and community resources. This position requires a creative intellectual with critical thinking skills and a desire to help those in need.

DUTIES AND RESPONSIBILITIES of this position include but are not limited to:

• Enroll clients in ECM program and complete intakes both in office and in community settings
• Perform outreach services including phone calls, texts, emails, letters, and going into the field to locate clients.
• Determine eligibility for Community Support Services using the DHCS Community Supports criteria
• Facilitate referrals to resources and Community Support Providers
• Assist clients with appropriate linkage of social and community support systems.
• Assist with the development of effective working relationships with agencies and organizations to advocate for clients and increase referrals
• Complete all documentation per Medi-Cal, and County standards within expected deadlines
• Conduct outreach in a community setting to facilitate engaging previously enrolled clients who have been unresponsive 
• Participate in seminars and required trainings 
• May provide translation services as needed
• Perform other duties and related as assigned.

EXPERIENCE/EDUCATION:

• High School Diploma or GED required. Bachelor’s degree in public health, social work preferred but not required or a related field, or equivalent training and experience.
• One year or more of case management or related experience required.
• Valid California driver’s license and valid vehicle insurance required.
• Experience with Enhanced Care Management and/or Community Supports preferred
• Experience and knowledge of working with unhoused population preferred

KNOWLEDGE, SKILLS, & ABILITIES:

• Demonstrated ability to effectively perform the responsibilities outlined above
• Knowledge of community and county resources to facilitate referrals and coordination with appropriate agencies.
• Proficiency in usage of basic technological tools including laptops/computers, email, phones, and internet required
• Working knowledge of Microsoft Office Suite required
• Verbal and written fluency in English required; Bilingual skills in a second language (particularly Spanish) desired but not required.
• Ability to maintain a valid California driver license, current personal auto insurance, and an MVR sufficient to maintain insurability under agency auto liability.

TRAVEL AND WORKING CONDITIONS

• This job requires you to be in the community and other community partner sites. 25% of work is often conducted in an office environment and 75% out in the community. Basic safety precautions and the use of protective clothing or gear may be required.

PHYSICAL REQUIREMENTS

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to regularly sit for extended periods of time; and regularly operate a computer and use manual dexterity for tasks such as keyboarding. The mental demands of the job include regular comprehension, organizing, reading, and writing; frequently engaging in reasoning, and decision making.