Provides clinically informed care management for high-need Medi-Cal members under supervision, coordinating care and supporting program goals.
Compensation
$32.00 - $37.00 / hour
Responsibilities
Manage an assigned caseload of members with complex medical, behavioral, and social needs across multiple health plan contracts
Conduct outreach for members regardless of case assignment and health plan to support team goals
Meet with members in person—including home visits, provider office visits, and community-based settings—to build trust, complete assessments, review care plans, and support engagement
Support ECM program engagement through member outreach beyond individual caseload assignments as needed
Conduct member outreach and complete initial comprehensive assessments, care plans, and interdisciplinary team conferences within specified timeframes
Requirements
Associate’s or Bachelor’s degree in a health or human services–related field
Provide clinically informed care management for high-need Medi-Cal members in Astrana Health’s Enhanced Care Management program.
Compensation
$32.00 - $37.00 / hour
Responsibilities
Manage an assigned caseload of members with complex medical, behavioral, and social needs across multiple health plan contracts
Conduct outreach for members regardless of case assignment and regardless of any health plan to support team goals for ECM program engagement
Meet with members in person — including home visits, provider office visits, and community-based settings — to build trust, complete assessments, review care plans, and support engagement for members who are difficult to reach telephonically and potentially prospective members
Support ECM program engagement through member outreach beyond individual caseload assignments as needed to meet team goals
Conduct member outreach and complete initial comprehensive assessments, care plans, and interdisciplinary team conferences within specified timeframes set by ECM leadership team
Requirements
Associate’s or Bachelor’s degree in a health or human services–related field
Nice to have: Bilingual in Spanish
Nice to have: Experience in a managed care environment (health plan, IPA, or MSO)
Nice to have: Utilization Management or Hospice Case Management experience
Nice to have: Working knowledge of DHCS, DMHC, NCQA, and CMS standards
ECM Case Manager - LVN (Lancaster Region)NewAstrana Health, Inc. · Monterey Park, US