ECM Senior Director

Title: ECM Senior Director

Education: Masters’ degree required in Social Work, Psychology, Public Health, Gerontology, Sociology, or related field. 


  • Minimum of five years of experience working with the underserved and elderly or special needs populations with varied health, economic and educational circumstances and supervising case management teams. 
  • At least one year of experience working with hospitals, community health clinics, community organization, clinical assessment, working with clients/families in a home setting and the ability to work with a multidisciplinary team.
  • Five years of supervision experience required.


  1. Will also supervise, train, and support supervisors.
  2. Must evaluate the potential client as a total person and identify the functional limitations, which impede independent living.
  3. Conducts in-depth Health Risks Assessments and Health Assessment Plans, covering psychosocial, rehabilitation, and environmental concerns. 
  4. Referring clients to special consultants to provide detailed evaluations and recommendations to improve the client’s functional level.
  5. Provides oversight of case management in accordance with ECM and organization’s policy, quality standards, and patient needs by:
    • Completing assessment evaluation of a client’s health and Psychosocial status utilizing all relevant information sources including the identification of issues that are specific to age, diagnosis and disabilities of the client population served, in accordance with departmental policy.
    • Participating as an active team member in care planning to develop care plans specific to the client’s needs.
    • Implementing interventions and services utilizing community resources in a timely fashion in accordance with departmental policy.
    • Identifying, assessing and responding to crisis situations in a timely fashion, with appropriate interventions.
  6. Serves as a community-based member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs.
  7. Collaborates with and supports the Community Health Workers by providing non-clinical paraprofessional duties in the field, including meeting with members in their homes, nursing homes, shelters, hospitals or doctor’s offices, etc.
  8. Empowers members by helping them navigate and maximize their health plan benefits.  Assistance may include scheduling appointments with providers; arranging transportation for healthcare visits; getting prescriptions filled; and following up with members on missed appointments.
  9. Assists members in accessing social services such as community-based resources for housing, food, employment, etc.
  10. Provides outreach to locate and/or provide support for disconnected members with special needs.
  11. Conducts research with available data to locate members for a specific health plan and that has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers, or travel to last known address or community resource locations such as homeless shelters, etc.)
  12. Conducts ongoing or telephonic and/or in person outreach visits with members as needed.
  13. Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.

              If you are interested in this position, please submit your resume to

              Partners in Care Foundation is an equal opportunity employer.  We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws.  All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.