Care Management Community Coordinator
San Francisco Health Plan

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Post Date: May 06, 2021
Job Type: Full Time
Start Date: - n/a -
Salary: - n/a -
Location: US - California - San Francisco
Job Reference: -
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As a Care Management Community Coordinator (CMCC) you will conduct in-person bio psychosocial assessments, create person-focused holistic care plans, and function as a liaison, coordinating services among multiple providers and community agencies, splitting time at the SFHP office and in the community (at clinics and hospitals, with community-based organizations, and home visits). You will be responsible for managing a wide range of members in a variety of different programs and participate in continuous improvement projects that will help build a more effective and efficient service delivery program model. (Due to the COVID-19 pandemic, all Care Management services are being provided telephonically till further notice).
*Conduct initial telephone or in-person assessments for members referred for care coordination services or case management, assessing medical history, psychosocial issues, resource needs, and level of function.
*Develop and support the implementation of member-centered, individualized Care Plans.
*Support members in identification of their own strengths and barriers to help them be successful with their Care Plans; respect members' health choices in the care planning process
*Track access barriers and potential quality concerns, assisting members with grievances and escalating review in coordination with program leadership
*Partner with member in navigating the system of providers and social service agencies
*Support members and caregivers in re-assessment and modification of Care Plan goals
*Help connect members to cultural, community, housing and social resources
*Complete home visits, transport and accompany members to medical appointments, and outreach to members in the community including SROs, shelters and homeless encampments.
*In conjunction with the Care Management nurse, support and educate individuals in: chronic condition management; medication management and adherence.

*One or more years of experience in community-based outreach.
*Master's or Bachelor's Degree in a related field. (Clinical supervision for MSWs may be available for up to 1200 hours.)
*Associate degree, Certified Alcohol and Drug Abuse Counselor, or Community Health Worker certificates considered
*Previous case management and outreach experience may be substituted for educational degrees.
*Experience working with people with mental illness, addiction issues, and/or homelessness.
*Experience working with individuals with multiple diagnoses who may have multiple barriers (i.e. mental illness, substance use, access to care, and chronic medical conditions).
San Francisco Health Plan is an Equal Opportunity Employer M/F/D/V
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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Contact Details
Name: Human Resources
Address: Apply Online
City: San Francisco
State/Province: California
Zipcode: 94105
Country: United States
Ph: 888-888-8888