Case Manager

We are seeking a dedicated Lead Care Manager (LCM) to join our team. Reporting to the Director of Enhanced Care Management, ECM Clinical Manager, and/or ECM Program Manager, the LCM serves as the primary coordinator for clients, partnering with healthcare providers, specialists, pharmacists, social service agencies, and other stakeholders to ensure seamless, person-centered care. The LCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The LCM collaborates and communicates with client's caregivers/family support persons, other providers and others in the Care Team in order to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit. This is a critical role that we're looking to fill as soon as possible.

Responsibilities

Assess member needs in areas including physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services; Oversee the development of client care plans and goal settings; Offer services where the member resides, seeks care, or finds most accessible, including office-based, telehealth, or field-based services; Connect clients to other social services and supports; Advocate on behalf of the client with health care professionals (e.g. PCP); Utilize evidence-based practices such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles; Conduct outreach and engagement to facilitate linkage to the ECM program and log activity in the CRM system; Evaluate client progress and update SMART goals; Provide mental health promotion; Arrange transportation (e.g., ACCESS); Complete all documentation, including outcome measures, within established timeframes; Maintain up-to-date patient health records in the EMR system and other business systems; Complete monthly reporting to ensure program compliance; Attend training as assigned

Requirements

2+ years experience as a care manager, care navigator, or community health worker supporting vulnerable populations; Willing and able to work Monday-Friday 8:30am-5:00pm Pacific Time with flexibility for potential evenings and weekends; Working knowledge of government and community resources related to social determinants of health; Clean driving record, valid driver's license, and reliable transportation; Excellent oral and written communication skills; Positive interpersonal skills; General computer skills and a working knowledge of Google Workspace, MS Office and the internet

Nice to have

Bilingual (English/Spanish)