Care Manager (bilingual)
The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering comprehensive health services in the Mission and Excelsior Districts of San Francisco. The center offers primary health care services, adult medicine, pediatrics, family planning, OB/GYN, HIV and homeless services.
We advocate for health equity and deliver innovative, high-quality services responsive to the neighborhoods and diverse communities we serve with a focus on the Latino Spanish-Speaking Communities.
We are currently looking for qualified candidates for our Care Manager role. This position reports to the Senior Nurse Manager and is a Regular, Full Time, Non-Exempt role with a starting hourly range of $28.78 to $30.84 with full benefits.
Primary Objective:
The Care Manager provides non-clinical care coordination and navigation to patients and are vital component in our integrated care model and holistic approach to supporting our patients' overall health and well being.
This position will coordinate interdisciplinary clinic care teams to assist patients in establishing care with a primary care provider and engaging care coordination services. The position will also facilitate care transitions between external care facilities (i.e., Emergency Department, hospital, home health, rehabilitation facilities, etc.) and MNHC, act as a liaison between MNHC and contracted health plans, and reduce barriers to care by coordinating interpretation, transportation, and other enabling services.
Essential Functions/Responsibilities:
- Conducts outreach to eligible and referred patients to offer and engage in care management services.
- Identifies and documents patient’s linguistic need(s), learning style preference(s), transportation need(s) and schedules interpretation and/or transportation services as needed.
- Conducts in-person, comprehensive Initial Health Education and Behavioral Assessments (IHEBA) and assessments of Social Determinants of Health for patients enrolled in care management programs.
- Develops patient-centered, individualized Health Action Plans. Support patients in their implementation of Health Action Plans.
- Support patients’ identification of strengths and barriers to ensure optimal and successful Care Plans. Respect patient health choices in the Care Plan process.
- Track barriers to care, assist patients with eliminating or reducing barriers to obtaining needed services.
- Refers and connects patients to community, housing, and social supports. Partners with patient to navigate the system of providers, social service agencies, and other complementary services.
- Accompany patient to appointments outside of MNHC and conduct home visits.
- Support nurse, patient, and caregiver(s) in re-assessment of Health Action Plan goals and interventions.
- Leads Care Conferences and other individual and family support services with patient, family members as needed and patient’s Care Team.
- Provide health promotion services including health education, advocacy, and coaching.
- Attends and actively participate in care management program meetings, Care Team huddles, and assigned meetings and/or trainings.
- Act as a liaison to hospitals, long-term care settings, specialists, home health representatives, and other community agencies in collaboration with Care Teams.
- Facilitate care transitions for patients discharging from external facilities (i.e., skilled nursing, hospital, emergency room) and ensure appropriate follow-up with patient’s PCP in a timely manner.
- Completes all required documentation in a timely fashion in accordance with regulations, funder requirements, program standards and workflows.
Qualifications:
- Bachelor's degree required, preferably in social work, public health, or social services-related field(s)
- Must be bilingual (English/Spanish)
- At least 2 years providing direct patient/client service required.
- Familiarity with Medi-Cal, Managed Care, health insurance programs preferred.
- Case management and/or patient advocacy experience preferred.
- Non-profit, community health care setting experience preferred.
- Ability to work with diverse populations and quickly build rapport with patients.
- Experience working with people with homelessness, addiction issues, serious mental illness. Also, vulnerable older adults and children with Serious Emotional Disturbance.
- Knowledge of community resources, health, and social services in San Francisco City & County preferred.
As a condition of employment, all candidates are required to provide documentation of current immunizations before the start date, including COVID-19 and TB test results valid within the last two (2) years. Failure to provide this documentation may result in a delayed start or withdrawal of the job offer.
To learn more about our organization, please visit our website at www.mnhc.org. We offer a full range of benefits which includes the following:
- Medical Insurance – MNHC pays 90-100% based on plan
- Dental and Vision Insurance – free to employee
- Life Insurance – free basic policy plus voluntary option
- Flexible Spending Accounts for health & dependent care expenses
- Commuter benefits for public transportation expenses
- Vacation – 2 weeks (3 weeks after 5 yrs; 4 weeks after 8 yrs)
- 12 Paid Holidays plus your birthday and 12 Sick Days each year
- 40 hours Paid Educational Leave
- 401k Retirement Savings Plan with Company Contribution
Mission Neighborhood Health Center is an Equal Employment Opportunity employer committed to fostering an inclusive environment for our diverse workforce. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, or other applicable legally protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider employment for qualified applicants with arrest and conviction records.