The Complex Care Case Manager provides ongoing case management for a caseload of MCC patients with “mild to moderate” (M2M) behavioral health concerns and other complex medical conditions and psychosocial needs, as identified by members of the behavioral health care and medical team. Complex Care Case Manager will work to fulfill the goals established by the Whole Person Care (WPC) program: to improve the wellbeing of Marin’s Medi-Cal population who are experiencing complex medical conditions and those who are homeless or precariously housed. Additionally, the Complex Care Case
Manager will ensure that “high-risk” Medi-Cal beneficiaries with barriers to care get the support they need to access care and manage their social determinants of health. The Whole Person Care program adheres to the tenets of Person-Centered, trauma informed, and Housing First philosophies of care. To this end, the case manager provides comprehensive support to his/her identified caseload of 30 patients with the goals of minimizing barriers to care, improving health outcomes, and helping patients develop the ability to manage their needs with greater independence. Working collaboratively with primary care, behavioral health, nursing and members of the care navigator team, the complex care case manager works as a member of an integrated team of professionals to provide patient-centered, outcome driven care in the context of the MCC medical home and Whole Person Care.
Bilingual Spanish speaker highly desired.