Clinical Care Manager

Boston, MA, United States

The LTSS Clinical Care Manager (CCM) works collaboratively with the LTSS care team to provide person-center delivery LTSS CP supports to Enrollees. The CCM arranges, coordinates, monitors, evaluates, and advocates for services to meet the psychosocial needs of the Enrollee. The CCM works with the Enrollee to increase their capacity for self-management and to promote behavioral changes that facilitates short- and long-term linkages with necessary community, social service, medical or behavioral health resources. The population includes both adult and pediatric Enrollees many of whom, may require LTSS, are developmentally delayed, or are identified as having special needs.

ESSENTIAL RESPONSIBILITIES / DUTIES:

Key

Functions/Responsibilities

:

Provides clinical oversight and supervision for assigned LTSS Care Coordinators, in collaboration with site Project Managers, as applicable

Utilizes motivational interviewing techniques, systems theory, change theory, acceptance, and commitment approaches, patient activation, and psycho-education to engage Enrollees in care management

Supports and enhances the Enrollee’s capacity to self-manage by detecting underlying mental/behavioral health issues impacting general health

Establishes and maintains effective working relationships and provides outreach and education to key service agencies, providers and other Enrollees of the interdisciplinary team

Maintains flexibility and adjusts approach to the needs of the Enrollee and the team.

Meets with Enrollees, family, and other supports, during office visits, at Enrollee’s home, or, in the community

Assists the Enrollee, when necessary, in placing calls, completing applications, and advocating for available supports/services

Maintains general knowledge of the most common conditions presented in the Medicaid population and is able to assess, manage and triage at-risk, high-needs Enrollees.

Researches and shares community resources with Enrollees and peers.

Contributes to the development of a comprehensive care plan (CP) for the Enrollee

Collaborates with LTSS Care Coordinator to provide in-home/face-to-face visits to enhance Enrollee engagement and communication

Reviews, provides feedback on, suggests amendments to, and gives final approval of Enrollee Health-Related Social Needs (HRSN) screens and Care Plans completed by the LTSS Care Coordinator

Develops and maintains community relationships providing outreach to community and state agencies and school systems

Facilitates interdisciplinary consultation on Enrollees’ behalf through participation in rounds, team meetings, and clinical reviews.

Conducts face-to-face visits with selected Enrollees as appropriate.

Completes documentation in the medical management information system in a timely manner and in keeping with, internal policy and HIPAA standards.

Other duties as assigned.

Reports to:

Senior Operations Manager

Supervision Exercised:

Supervision Received:

Weekly and ongoing

JOB REQUIREMENTS

EDUCATION:

Master’s Degree in Social Work, Psychology, Education, Public Health, or a related field required.

EXPERIENCE:

2 years of experience working with individuals with complex medical/behavioral and/or psychosocial needs.

Behavioral Health and/or Pediatric experience strongly preferred

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED

:

Active state licensure as a Social Worker or related field required within 6 months of employment.

Pre-employment background check

KNOWLEDGE AND SKILLS:

Strong oral and written communication skills

Ability to establish and maintain effective working relationships with Enrollees, social service agencies, community resources, and other members of the interdisciplinary team.

Ability to work with Enrollees to promote positive behavioral change

Strong Motivational Interviewing skills

Strong organizational and time management skills

Ability to work in a fast-paced environment and multi-task

Proficient Microsoft Office skills particularly MS Outlook and MS Word and other data entry processing applications

Knowledge of medical terminology

Working Conditions and Physical Effort

:

Regular and reliable attendance is an essential function of the position.

Work is generally performed in the field with some home/corporate office work. Position is eligible for telework.

No or very limited physical effort required.

No or very limited exposure to physical risk.

Working at Boston Medical Center is more than a job. It’s a chance to make a difference as part of our mission to provide exceptional and equitable care to all. As a

nationally-recognized

leader in health equity, nursing, initiatives to combat climate change, and many other areas, BMC is dedicated to improving the health of our community in Boston and beyond.

BMC’s mission to provide exceptional care without exception extends to our employees, and we have been recognized as a top employer and best place to work. A strong sense of teamwork and support for our staff are the bedrock of BMC, as we know that we can only provide exceptional care to patients when our staff are cared for too.

EEO & Accommodation Statement

Boston Medical Center is an equal

employment/affirmative

action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic.

If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to

[email protected]

or call 617-638-8582 to let us know the nature of your request.

Requirements

Boston Medical Center participates in the Electronic Employment Verification Program. As an E-Verify employer, prospective employees of BMC must complete a background check before beginning their employment at the hospital. BMC requires all staff to be vaccinated against COVID-19 and flu, as well as receive a booster dose of the COVID-19 vaccine.

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