Lead Care Manager jobs at Kids Care Dental

TPMG is seeking a BE/BC Radiologist (Per Diem) to join our team in Santa Rosa, CA. Northern California's sophisticated yet laid-back ambiance offers urban and suburban lifestyles, enhanced by the presence of world-class art museums, renowned eateries, home of world championship sports teams, and a large spectrum of entertainment and recreational options. The Permanente Medical Group, Inc. is one of the largest medical groups in the nation with over 10,000 physicians, 21 medical centers, numerous clinics throughout Northern and Central California and an 80-year tradition of providing quality medical care. Requirements: Board Certification or Eligibility Must be eligible to obtain a CA medical license or be currently licensed to practice within CA A FEW REASONS TO CONSIDER A PRACTICE WITH TPMG: Work-life balance focused practice, including flexible schedules and unmatched practice support. We can focus on providing excellent patient care without managing overhead and billing. No RVUs! We are committed to cultivating and preserving an inclusive environment for all physicians and employees. We are an equal opportunity employer and VEVRAA Federal Contractor. Multi-specialty collaboration with a mission-driven integrated health care delivery model. An outstanding electronic medical record system that allows flexibility in patient management. We have a very rich and comprehensive Physician Health & Wellness Program. We are Physician-led and develop our own leaders. Professional development opportunities in teaching, research, mentorship, physician leadership, and community service. Radiology Per Diem Range is $325 to $425 per hour. Based on Base or Premium Rates To be considered for our Radiology opportunity, kindly respond with your CV or contact our Physician Recruiter, Bo Chau at ************** / call ************** with any questions. For more information about Radiology and subspecialty opportunities, visit TPMG Physician Careers at: ****************************************** We are an equal opportunity employer and VEVRAA Federal Contractor.

TPMG is seeking a BE/BC Radiologist (Per Diem) to join our team in Santa Clara, CA. Northern California's sophisticated yet laid-back ambiance offers urban and suburban lifestyles, enhanced by the presence of world-class art museums, renowned eateries, home of world championship sports teams, and a large spectrum of entertainment and recreational options. The Permanente Medical Group, Inc. is one of the largest medical groups in the nation with over 10,000 physicians, 21 medical centers, numerous clinics throughout Northern and Central California and an 80-year tradition of providing quality medical care. Requirements: Board Certification or Eligibility Must be eligible to obtain a CA medical license or be currently licensed to practice within CA A FEW REASONS TO CONSIDER A PRACTICE WITH TPMG: Work-life balance focused practice, including flexible schedules and unmatched practice support. We can focus on providing excellent patient care without managing overhead and billing. No RVUs! We are committed to cultivating and preserving an inclusive environment for all physicians and employees. We are an equal opportunity employer and VEVRAA federal contractor. Multi-specialty collaboration with a mission-driven integrated health care delivery model. An outstanding electronic medical record system that allows flexibility in patient management. We have a very rich and comprehensive Physician Health & Wellness Program. We are Physician-led and develop our own leaders. Professional development opportunities in teaching, research, mentorship, physician leadership, and community service. To be considered for our Radiology (Per Diem) opportunity, kindly respond with your CV or contact our Physician Recruiter, Bo Chau at ************** / call ************** with any questions. For more information about Radiology and subspecialty opportunities, visit TPMG Physician Careers at: ****************************************** We are an equal opportunity employer and VEVRAA Federal Contractor.

About Us: We are a dynamic and innovative Cardiac Cath Lab Ambulatory Surgery Center, proudly accredited by AAAASF and committed to delivering the highest quality patient care. Our facility includes two state-of-the-art Cath labs and eight recovery bays, serving a diverse patient population with compassion and precision. We are seeking an experienced and bilingual (English/Spanish) Nurse Administrator to lead and oversee all operations, ensure compliance, and continue fostering a culture of excellence. Position Summary: The Nurse Administrator is a critical leadership role responsible for overseeing the daily operations of the ASC, maintaining accreditation and CMS standards, and ensuring the delivery of safe, high-quality cardiac care. This role reports directly to the Medical Director and collaborates closely with clinical and administrative teams. Key Responsibilities: Oversee the clinical and administrative operations of the ASC, including two cardiac Cath labs and eight recovery bays. Ensure compliance with AAAASF accreditation standards and CMS regulatory guidelines. Lead and manage quality assurance (QA), quality improvement (QI), and infection control programs. Supervise and support clinical and administrative staff, ensuring effective workflow and patient safety. Collaborate with physicians and the Medical Director to optimize procedural outcomes. Provide strategic oversight of all financial functions, including budgeting, forecasting, and cost analysis. Develop, implement, and monitor the facility's annual operating budget, identifying opportunities for cost savings without compromising quality of care. Manage vendor contracts, supply chain operations, and inventory controls to ensure fiscal responsibility and operational efficiency. Analyze key financial metrics and performance indicators, preparing regular reports for executive leadership and stakeholders. Ensure accurate billing, coding, and revenue cycle management in coordination with the business office team. Monitor and manage budget, staffing, and resource utilization efficiently. Maintain accurate records and reports, ensuring transparency and accountability. Act as the primary liaison with governing bodies, vendors, and community partners. Qualifications: Education: Bachelor of Science in Nursing (BSN) required; Master of Science in Nursing (MSN) preferred. Licensure: Active RN license in the state of [Insert State]. Certifications: ACLS and BLS certifications required. Experience: Minimum 3-5 years of leadership experience in an ASC setting, preferably with cardiac or cath lab specialization. Proven business office management experience in an ASC. Demonstrated expertise in financial operations, budget development, and cost containment strategies. Experience maintaining AAAASF accreditation and CMS compliance. Proficiency in QA/QI processes and infection control protocols. Languages: Bilingual - fluent in English and Spanish (preferred) Strong interpersonal, leadership, and organizational skills. Ability to lead, motivate, and inspire teams in a fast-paced environment. Working knowledge of healthcare billing, reimbursement models, and ASC revenue cycle management systems. Compensation & Benefits: Competitive salary (commensurate with experience) Health, dental, and vision insurance Paid time off and holidays Continuing education and professional development support Retirement plan options Job Type: Full-time Pay: From $120,000.00 per year Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance

/ RESPONSIBILITIES The Care Coordinator is responsible for coordinating and streamlining the care of patients referred to the Interventional Cardiology Clinic. In this role, you will work closely with multidisciplinary teams, triage referred patients, facilitate timely and appropriate provider scheduling, and ensure continuity of care across outpatient and inpatient settings. The coordinator also serves as a liaison between referring providers, the interventional team, and patients, while supporting program growth through outreach and data management. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full-time hospital experience preferred. Work experience in cardiovascular or interventional cardiology nursing preferred. Strong knowledge of cardiac procedures, terminology, and clinical workflow. Familiarity with catheterization lab operations, cardiovascular imaging, and post-procedure. Prior experience with patient navigation or care coordination in a cardiology setting preferred. Proficiency in Epic or other major EHR systems preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly desirable.

At Pacific Health Group (PHG), we are at the forefront of revolutionizing health and wellness, setting new benchmarks in healthcare services through innovation, compassion, and community-driven care. Our mission is to empower members, uplift families, and positively impact the communities we serve. Our Community Supports (CS) Program is designed to help Medi-Cal members live more independently in the community by addressing their health-related social needs. As a Community Supports Lead Case Manager, you won't just create care plans; you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. II. Key Responsibilities1. Member Outreach Conduct comprehensive evaluations of members' needs, preferences, and eligibility through detailed conversations and data review. Develop tailored care plans based on individual health and social circumstances. 2. Comprehensive Care Coordination Arrange all aspects of member care, including scheduling appointments, organizing follow-up services, and linking members to community resources. Ensure members receive consistent, end-to-end support for long-term stability and health improvement. 3. Case Management with a Heart Perform empathetic assessments that capture members' lived experiences and goals, not just medical data. Maintain close communication with members via phone, video, or in-person visits to monitor progress and address emerging challenges. 4. Resource Management Serve as a bridge between members and available community resources, such as housing programs, workforce training, childcare, and food assistance. 5. Patient Advocacy Advocate for timely treatments, fair insurance authorizations, and equitable access to care. 6. Communication & Collaboration Act as the central communication hub among members, their families, healthcare providers, and community partners. 7. Documentation Maintain accurate, up-to-date documentation of assessments, care plans, progress notes, and outcomes. Ensure all records comply with legal, ethical, and organizational standards for quality and accountability. 8. Continuous Improvement Collect and analyze feedback to identify gaps in care coordination and advocate for new resources or partnerships. 9. Regulatory Compliance Remain current on Medi-Cal, CalAIM, and community support policies to ensure all activities meet compliance and quality-of-care standards. 10. Professional Development Participate in workshops, training, and certifications on cultural competence, trauma-informed care, and motivational interviewing. Encourage peer learning and continuous growth within the care team. 11. Leadership & Team Support Provide mentorship, guidance, and day-to-day support to other Care Managers within the Community Supports Program. Assist in onboarding new team members and promoting a collaborative, compassionate care environment. 12. Other Duties Support program initiatives and special projects as assigned. Demonstrate flexibility and teamwork to ensure departmental success. 13. Work Environment Setting: Hybrid, 65% field based (Santa Clara County) remainder, remote work from home. Schedule: Standard 8-hour shift, Monday through Friday, 8:30 AM - 5:00 PM Culture: Inclusive, mission-driven, and compassionate, focused on equity, dignity, and empowerment. Pace: Dynamic and people-focused, requiring flexibility, emotional intelligence, and proactive communication. 14. Key Internal & External RelationshipsInternal Care Management Team: Mentor and collaborate with case managers to coordinate care and maintain consistency in service delivery. Program Leadership: Work with management to align care strategies with organizational goals. Interdisciplinary Teams: Partner with social workers, behavioral health specialists, and outreach teams to support holistic member care. External Members & Families: Build trusting relationships, ensuring members feel supported throughout their care journey. Community Organizations: Coordinate services for housing, employment, food security, and other essential needs. Healthcare Providers & Payers: Maintain communication for seamless coordination and access to care. Requirements Experience: 3-5 years in case management, social services, or healthcare. Expertise: Familiarity with Medi-Cal, CalAIM, and Community Supports programs. Healthcare Insight: Knowledge of healthcare systems, managed care operations, and local community resources. Interpersonal Skills: Strong communication, empathy, cultural competence, and teamwork. Organizational Skills: Proven time management and attention to detail. Technical Proficiency: Competence in using case management software, EHR systems, and related tools.

Job Details Carlsbad, CA Fully Remote Full Time 2 Year Degree $29.00 - $30.00 Hourly Up to 25% Day Health CareDescription Lead Care Manager, Community Supports Program at Pacific Health Group Join Our Mission to Transform Lives: Community Supports At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Community Supports (CS) Program is designed to help Medi-Cal members live more independently in the community by addressing their health-related social needs. As a Community Supports Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care You won't just coordinate phone calls. You'll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members' needs are addressed comprehensively. By forming strong, personal connections through you'll become a pivotal support system-someone members can rely on for comfort, guidance, and advocacy. Advocacy and Going the Extra Mile Beyond paperwork and phone calls, you'll arrange all necessary services to secure safe housing and financial support. You'll be a consistent presence in members' lives, making sure no detail goes overlooked and no obstacle remains unaddressed. Shaping the Future of Care Your hands-on experience will generate insights that directly influence how our CS program evolves, ensuring we remain responsive to community needs. By sharing feedback on what members truly need, you'll help refine the processes and resources we use to serve diverse populations. Your Responsibilities Comprehensive Care Coordination End-to-End Service Arrangement: Schedule appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support. Case Management with a Heart Empathetic Assessments: Look beyond forms and checkboxes to truly understand members' backgrounds, personal challenges, and aspirations. Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers. Example: If a member feels overwhelmed by multiple therapies, you could simplify their schedule, coordinate telehealth sessions, and even offer emotional support through regular check-ins. Resource Management Bridge to Community Services: Identify, coordinate, and optimize local resources-such as housing assistance, job training programs to ensure members' overall wellbeing. Example: A single parent needing childcare and employment support could be connected to subsidized daycare, workforce development courses, and a community mentor program-all organized by you. Patient Advocacy Champion for Members' Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress. Example: If a critical procedure is denied by insurance, you'll take charge of the appeals process, gathering documents and evidence to secure approval. Communication Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through. Example: Coordinate a care conference among a primary care physician, social worker, and rehab specialist so everyone can align on the most effective plan for a member's speedy recovery. Documentation Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage. Example: After every phone call document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers. Continuous Improvement Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our CS program stays effective and deeply compassionate. Example: If you notice a high number of members struggling with job access, you might advocate for creating a new partnership with a local job placement agency. Regulatory Compliance Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards. Example: Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow. Professional Development Ongoing Learning: Attend training, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention. Example: Enroll in a course on trauma-informed care to better support members who have experienced past hardships. Other Duties Collaborative Mindset: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes. What We're Looking For Residency: Remote Experience: 3-5 years in case management, social services, or healthcare Expertise: Familiarity with Medi-Cal, CalAIM, and Community Supports Healthcare Insight: Understanding of healthcare systems and local community resources Interpersonal Skills: Strong communication, empathy, and cultural competence Organizational Ability: Proven time management skills and attention to detail Technical Proficiency: Competence using case management software and related tools Bilingual: Fluent Spanish is REQUIRED Skills That Set You Apart Genuine Empathy & Compassion Needs Assessment & Care Planning Service Coordination & Navigation Client Advocacy Motivational Interviewing Problem-Solving & Decision-Making Teamwork & Collaboration Why You'll Love Working with Us Meaningful Impact: Every action you take-from scheduling a specialist appointment to arranging housing support-has the power to transform someone's life. Team Support: You'll join a diverse, dedicated team that values collaboration, mentorship, and continuous learning. Growth and Development: We encourage professional advancement through training, networking, and real-time feedback that fosters your growth as a care provider. Comprehensive Benefits Package 401(k) Dental Insurance Health Insurance (90% of Employee-Only benefits covered by the company) Vision Insurance Short-term and Long-term Disability (Employer Paid), AD&D, Employee Assistance Program (EAP) FSA | Dependent Care Account (DCA) Paid Time Off (PTO) 12 Paid Holidays (including your birthday and one floating holiday after 1 year) Paid Sick Time Schedule 8-Hour Shift Monday to Friday, 8:30am - 5:00pm Join Us in Making a Difference At Pacific Health Group, we believe in diversity and inclusion and are committed to equal opportunities for all. We strive to build a team that reflects the communities we serve. If you're ready to arrange every detail of care, walk alongside members through their journey, and truly transform lives, apply today and become part of our mission to provide caring, comprehensive Enhanced Care Management for those who need it most. Job Type: Full-time Pay: $27.00 - $30.00 per hour Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Referral program Vision insurance Schedule: 8 hour shift Work Location: Remote

**Job Title:** Lead Care Manager **Company:** Correctional Health Treatment Centers, Inc. Program: CalAIM - Enhanced Care Management (ECM) Program **About Us:** At Correctional Health Treatment Centers, Inc., we are committed to providing compassionate, high-quality care for our clients. We strive to create an environment where our team members can grow and thrive while making a meaningful impact on the lives of those we serve. As a leader in the healthcare industry, we value professionalism, integrity, and the drive to enhance our clients' well-being. Correctional Health Treatment Centers (CHTC) is a community-based, non-profit organization based in Southern California with the mission to increase access to care for individuals who are currently or were formerly involved in the criminal justice system. CHTC provides a continuum of holistic, person-centered care by addressing individuals' medical and behavioral health needs as well as the social determinants of health needs that directly impact their well-being, such as homelessness. CHTC staff represent a diverse makeup of specialties, including medical directors, behavioral health specialists, case managers, socials workers, community health workers, front line jail operations and management, and reentry services coordinators. The CHTC CalAIM Program offers services in alignment with California's Medi-Cal Transformation Initiative, which seeks to improve the quality of life and health outcomes of Medi-Cal Members. These services include Enhanced Care Management (ECM), a comprehensive set of case management services to support the highest-need and most-vulnerable individuals by coordinating services for their complex clinical and non-clinical needs and navigating the healthcare and social service systems. **Job Summary:** We are seeking an experienced and dedicated Lead Care Manager to join our team. The successful candidate will oversee and coordinate care management services, ensuring our clients receive optimal support and resources. This role requires effective communication, exceptional organizational skills, and a strong commitment to client-centered care. **Key Responsibilities:** - Serve as the primary point of contact for ECM Program clients, their family, authorized representative (AR), caregiver, other authorized support person(s) as appropriate, and the multidisciplinary care team providing care to the client. - Conduct comprehensive assessments and develop comprehensive Care Plans with input from the client and/or their parent, caregiver, guardian and multidisciplinary care team, to ensure a whole-person approach is taken in identifying gaps in treatment or gaps in available and needed services. - Coordinate the delivery of services from various social service providers within Correctional Health Treatment Centers and the community for ECM Program participants. - Provide consultation, case management services, and guidance to ECM and Community Support (CS) Program clients, as well as liaison services with other agencies according to each client's case plan. - Assist in formulating SMART goals, implementing the case plan, supervising its progress, and making revisions as needed. - Initiate and maintain communication with other agencies and members of the treatment team for each client. - Conduct weekly face-to-face visits (or as often as necessary) as part of the Care Plan development when necessary. - Develop individualized Care Plans that address clients' clinical and non-clinical needs. - Write timely progress and quarterly reports, as well as case notes. - Develop a transition plan for each client that includes post-planning and instruction. - Provide member and family education about chronic medical and behavioral health conditions to improve health literacy. - Gather input from other ECM Care Team members to prioritize member cases for systematic population/caseload review. - Work with members to identify health/wellness goals and incorporate these goals into Care Plans that facilitate communication among members and providers. - Consult with the ECM Care Team members about clinical concerns or questions and provide educational training on chronic disease states, prevention, treatment, medications, and healthy living. - Track and ensure required assessments and screenings are performed. - Keep client files updated with medical, legal, and social service-related documents. - Attend trainings and regular meetings. - Perform other duties and responsibilities as required by the ECM Program Supervisor. **Qualifications:** - Bachelor's degree in Social Work, Nursing, or a related field preferred, but no required. - Experience in a care management or healthcare setting preferred but not required - Strong understanding of healthcare regulations, policies, and best practices. - Experience in case management and interacting with clients, some with social determinants of health (SDoH) concerns. - Excellent communication, interpersonal, and problem-solving skills. - Proficiency in care management software and electronic medical records, Microsoft Office and similar software. Preferred Additional Experience - Lived experience in such areas such as homelessness, unstable housing, substance use disorders, mental health issues, abuse, family incarceration, foster care, exposure to violence, and financial instability. - Experience with Medi-Cal Transformation (CalAIM), Enhanced Care Management (ECM), or Community Supports Services. - Bilingual English and one of the local threshold languages. **Why Join Us:** - Competitive salary and benefits package. - Opportunities for professional growth and development. - A supportive and collaborative work environment. - The chance to make a difference in the lives of our clients every day. **How to Apply:** Interested candidates should submit a resume and cover letter detailing their relevant experience to [Email Address] with the subject line “Lead Care Manager Application.” We thank all applicants for their interest; however, only those selected for an interview will be contacted. [Company Name] is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment decisions are made based on qualifications, merit, and business need.

Job Description **Job Title:** Lead Care Manager **Company:** Correctional Health Treatment Centers, Inc. Program: CalAIM - Enhanced Care Management (ECM) Program **About Us:** At Correctional Health Treatment Centers, Inc., we are committed to providing compassionate, high-quality care for our clients. We strive to create an environment where our team members can grow and thrive while making a meaningful impact on the lives of those we serve. As a leader in the healthcare industry, we value professionalism, integrity, and the drive to enhance our clients' well-being. Correctional Health Treatment Centers (CHTC) is a community-based, non-profit organization based in Southern California with the mission to increase access to care for individuals who are currently or were formerly involved in the criminal justice system. CHTC provides a continuum of holistic, person-centered care by addressing individuals' medical and behavioral health needs as well as the social determinants of health needs that directly impact their well-being, such as homelessness. CHTC staff represent a diverse makeup of specialties, including medical directors, behavioral health specialists, case managers, socials workers, community health workers, front line jail operations and management, and reentry services coordinators. The CHTC CalAIM Program offers services in alignment with California's Medi-Cal Transformation Initiative, which seeks to improve the quality of life and health outcomes of Medi-Cal Members. These services include Enhanced Care Management (ECM), a comprehensive set of case management services to support the highest-need and most-vulnerable individuals by coordinating services for their complex clinical and non-clinical needs and navigating the healthcare and social service systems. **Job Summary:** We are seeking an experienced and dedicated Lead Care Manager to join our team. The successful candidate will oversee and coordinate care management services, ensuring our clients receive optimal support and resources. This role requires effective communication, exceptional organizational skills, and a strong commitment to client-centered care. **Key Responsibilities:** - Serve as the primary point of contact for ECM Program clients, their family, authorized representative (AR), caregiver, other authorized support person(s) as appropriate, and the multidisciplinary care team providing care to the client. - Conduct comprehensive assessments and develop comprehensive Care Plans with input from the client and/or their parent, caregiver, guardian and multidisciplinary care team, to ensure a whole-person approach is taken in identifying gaps in treatment or gaps in available and needed services. - Coordinate the delivery of services from various social service providers within Correctional Health Treatment Centers and the community for ECM Program participants. - Provide consultation, case management services, and guidance to ECM and Community Support (CS) Program clients, as well as liaison services with other agencies according to each client's case plan. - Assist in formulating SMART goals, implementing the case plan, supervising its progress, and making revisions as needed. - Initiate and maintain communication with other agencies and members of the treatment team for each client. - Conduct weekly face-to-face visits (or as often as necessary) as part of the Care Plan development when necessary. - Develop individualized Care Plans that address clients' clinical and non-clinical needs. - Write timely progress and quarterly reports, as well as required case notes. - Develop a transition plan for each client that includes post-planning and instruction. - Provide member and family education about chronic medical and behavioral health conditions to improve health literacy. - Gather input from other ECM Care Team members to prioritize member cases for systematic population/caseload review. - Work with members to identify health/wellness goals and incorporate these goals into Care Plans that facilitate communication among members and providers. - Consult with the ECM Care Team members about clinical concerns or questions and provide educational training on chronic disease states, prevention, treatment, medications, and healthy living. - Track and ensure required assessments and screenings are performed. - Keep client files updated with medical, legal, and social service-related documents. - Attend trainings and regular meetings. - Perform other duties and responsibilities as required by the ECM Program Supervisor. **Qualifications:** - Bachelor's degree in Social Work, Nursing, or a related field preferred, but no required. - Experience in a care management or healthcare setting preferred but not required - Strong understanding of healthcare regulations, policies, and best practices. - Experience in case management and interacting with clients, some with social determinants of health (SDoH) concerns. - Excellent communication, interpersonal, and problem-solving skills. - Proficiency in care management software and electronic medical records, Microsoft Office and similar software. Preferred Additional Experience - Lived experience in such areas such as homelessness, unstable housing, substance use disorders, mental health issues, abuse, family incarceration, foster care, exposure to violence, and financial instability. - Experience with Medi-Cal Transformation (CalAIM), Enhanced Care Management (ECM), or Community Supports Services. - Bilingual English and one of the local threshold languages. **Why Join Us:** - Competitive salary and benefits package. - Opportunities for professional growth and development. - A supportive and collaborative work environment. - The chance to make a difference in the lives of our clients every day. **How to Apply:** Interested candidates should submit a resume and cover letter detailing their relevant experience to [Email Address] with the subject line “Lead Care Manager Application.” We thank all applicants for their interest; however, only those selected for an interview will be contacted. [Company Name] is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment decisions are made based on qualifications, merit, and business need.

Join Our Mission to Transform Lives: Enhanced Care Management At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care You won't just coordinate clinical visits. You'll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members' needs are addressed comprehensively. By forming strong, personal connections through frequent in-person visits, you'll become a pivotal support system-someone members can rely on for comfort, guidance, and advocacy. Advocacy and Going the Extra Mile Beyond paperwork and phone calls, you'll arrange all necessary services-from setting up medical appointments and coordinating transportation to securing safe housing and financial support. You'll be a consistent presence in members' lives, making sure no detail goes overlooked and no obstacle remains unaddressed. Shaping the Future of Care Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs. By sharing feedback on what members truly need, you'll help refine the processes and resources we use to serve diverse populations. Your Responsibilities Frequent In-Person Visits to Members Regular Face-to-Face Assessments: Conduct multiple on-site visits each month in members' homes, shelters, or community centers. Personal Connection: Use these visits to establish trust, gather first-hand insights, and address concerns right away. Example: While visiting a member recovering at home, you might discover that they lack mobility aids-prompting you to arrange for durable medical equipment and coordinate in-home physical therapy. Comprehensive Care Coordination End-to-End Service Arrangement: Schedule doctor's appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support. Example: If a member is discharged from the hospital, you'll set up home health visits, fill prescriptions, secure rides for follow-up appointments, and even arrange meal delivery if needed. Case Management with a Heart Empathetic Assessments: Look beyond forms and checkboxes to truly understand members' backgrounds, personal challenges, and aspirations. Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers. Example: If a member feels overwhelmed by multiple therapies, you could simplify their schedule, coordinate telehealth sessions, and even offer emotional support through regular check-ins. Resource Management Bridge to Community Services: Identify, coordinate, and optimize local resources-such as housing assistance, job training programs, or childcare services-to ensure members' overall wellbeing. Example: A single parent needing childcare and employment support could be connected to subsidized daycare, workforce development courses, and a community mentor program-all organized by you. Patient Advocacy Champion for Members' Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress. Example: If a critical procedure is denied by insurance, you'll take charge of the appeals process, gathering documents and evidence to secure approval. Communication Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through. Example: Coordinate a care conference among a primary care physician, social worker, and rehab specialist so everyone can align on the most effective plan for a member's speedy recovery. Documentation Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage. Example: After each home visit, document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers. Continuous Improvement Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate. Example: If you notice a high number of members struggling with job access, you might advocate for creating a new partnership with a local job placement agency. Regulatory Compliance Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards. Example: Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow. Professional Development Ongoing Learning: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention. Example: Enroll in a course on trauma-informed care to better support members who have experienced past hardships. Other Duties Collaborative Mindset: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes. Skills That Set You Apart Genuine Empathy & Compassion Needs Assessment & Care Planning Service Coordination & Navigation Client Advocacy Motivational Interviewing Problem-Solving & Decision-Making Teamwork & Collaboration Job Type: Full-time Pay: $29.00 - $32.00 per hour Schedule 8-Hour Shift Monday to Friday 1:30pm - 10:00pm Work Location: On the road Equal Employment Opportunity Pacific Health Group, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for every qualified candidate, irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by federal, state, or local laws. At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected. Pre-Employment Requirements Employment is contingent upon the successful completion of a background check. Please DO NOT contact employer regarding your application status, thank you! AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) - our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. Requirements Residency: Must reside in Santa Clara County Bilingual in English and Spanish (Spoken and Written) Experience: 3-5 years in case management, social services, or healthcare Expertise: Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management Healthcare Insight: Understanding of healthcare systems and local community resources Interpersonal Skills: Strong communication, empathy, and cultural competence Organizational Ability: Proven time management skills and attention to detail Technical Proficiency: Competence using case management software and related tools Successful completion of a pre-screen assessment required Possess a valid California Driver's License (Class C minimum), maintain a personal, operable vehicle for daily business use, and carry current liability insurance that meets California's minimum legal requirements. All selected candidates will be required to pass a Motor Vehicle Report (MVR) background check prior to employment. Benefits Competitive salary and benefits package 401(k), dental, vision, health, and life insurance Flexible schedule, paid time off, and employee assistance program Professional development opportunities Meaningful work impacting vulnerable community members Supportive team environment

Job Details CA Full Time $27.00 - $30.00 Hourly Swing Health CareDescription ob description Join Our Mission to Transform Lives: Enhanced Care Management At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care You won't just coordinate clinical visits. You'll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members' needs are addressed comprehensively. By forming strong, personal connections through frequent in-person visits, you'll become a pivotal support system-someone members can rely on for comfort, guidance, and advocacy. Advocacy and Going the Extra Mile Beyond paperwork and phone calls, you'll arrange all necessary services-from setting up medical appointments and coordinating transportation to securing safe housing and financial support. You'll be a consistent presence in members' lives, making sure no detail goes overlooked and no obstacle remains unaddressed. Shaping the Future of Care Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs. By sharing feedback on what members truly need, you'll help refine the processes and resources we use to serve diverse populations. Your Responsibilities Frequent In-Person Visits to Members Regular Face-to-Face Assessments: Conduct multiple on-site visits each month in members' homes, shelters, or community centers. Personal Connection: Use these visits to establish trust, gather first-hand insights, and address concerns right away. Example: While visiting a member recovering at home, you might discover that they lack mobility aids-prompting you to arrange for durable medical equipment and coordinate in-home physical therapy. Comprehensive Care Coordination End-to-End Service Arrangement: Schedule doctor's appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support. Example: If a member is discharged from the hospital, you'll set up home health visits, fill prescriptions, secure rides for follow-up appointments, and even arrange meal delivery if needed. Case Management with a Heart Empathetic Assessments: Look beyond forms and checkboxes to truly understand members' backgrounds, personal challenges, and aspirations. Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers. Example: If a member feels overwhelmed by multiple therapies, you could simplify their schedule, coordinate telehealth sessions, and even offer emotional support through regular check-ins. Resource Management Bridge to Community Services: Identify, coordinate, and optimize local resources-such as housing assistance, job training programs, or childcare services-to ensure members' overall wellbeing. Example: A single parent needing childcare and employment support could be connected to subsidized daycare, workforce development courses, and a community mentor program-all organized by you. Patient Advocacy Champion for Members' Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress. Example: If a critical procedure is denied by insurance, you'll take charge of the appeals process, gathering documents and evidence to secure approval. Communication Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through. Example: Coordinate a care conference among a primary care physician, social worker, and rehab specialist so everyone can align on the most effective plan for a member's speedy recovery. Documentation Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage. Example: After each home visit, document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers. Continuous Improvement Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate. Example: If you notice a high number of members struggling with job access, you might advocate for creating a new partnership with a local job placement agency. Regulatory Compliance Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards. Example: Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow. Professional Development Ongoing Learning: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention. Example: Enroll in a course on trauma-informed care to better support members who have experienced past hardships. Other Duties Collaborative Mindset: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes. Skills That Set You Apart Genuine Empathy & Compassion Needs Assessment & Care Planning Service Coordination & Navigation Client Advocacy Motivational Interviewing Problem-Solving & Decision-Making Teamwork & Collaboration What We're Looking For Residency: Must reside in Santa Clara County Experience: 3-5 years in case management, social services, or healthcare Expertise: Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management Healthcare Insight: Understanding of healthcare systems and local community resources Interpersonal Skills: Strong communication, empathy, and cultural competence Organizational Ability: Proven time management skills and attention to detail Technical Proficiency: Competence using case management software and related tools Successful completion of a pre-screen assessment required Why You'll Love Working with Us Meaningful Impact: Every action you take-from scheduling a specialist appointment to arranging housing support-has the power to transform someone's life. Team Support: You'll join a diverse, dedicated team that values collaboration, mentorship, and continuous learning. Growth and Development: We encourage professional advancement through training, networking, and real-time feedback that fosters your growth as a care provider. Comprehensive Benefits Package 401(k) Dental Insurance Health Insurance (90% of Employee-Only benefits covered by the company) Vision Insurance Short-term and Long-term Disability (Employer Paid), AD&D, Employee Assistance Program (EAP) FSA | Dependent Care Account (DCA) Paid Time Off (PTO) 12 Paid Holidays (including your birthday and one floating holiday after 1 year) Paid Sick Time Schedule 8-Hour Shift Monday to Friday 8:30AM to 5:00PM Join Us in Making a Difference At Pacific Health Group, we believe in diversity and inclusion and are committed to equal opportunities for all. We strive to build a team that reflects the communities we serve. If you're ready to arrange every detail of care, walk alongside members through their journey, and truly transform lives, apply today and become part of our mission to provide caring, comprehensive Enhanced Care Management for those who need it most.

Title: Lead Care Manager, ECM Program Base Salary Range: $45,760 - $67,618 plus benefits FTE: Full-time, Non-Exempt We seek a dynamic and experienced Lead Care Manager, ECM Program, who wants to make a difference in our community. We want to hear from you if you thrive in a fast-paced, caring, and compassionate environment! Our Mission: The Mission of South Central Family Health Center is to improve the quality of life for the diverse Community of inner-city Los Angeles by providing affordable and comprehensive health care and education in a welcoming and multicultural environment. To lead the way in health care in South Los Angeles, as the premier provider and employer of choice offering comprehensive, high-quality, affordable, efficient, and culturally responsive services. General Summary: The Lead Care Manager (LCM), Enhanced Care Management (ECM), is responsible for coordinating and implementing organization-wide enhanced Care Management. The Lead Care Manager (LCM), Enhanced Care Management (ECM) works closely with medical, dental, behavioral health, and vision teams and patients to develop personalized care plans that address the unique needs of each patient. The Lead Care Manager (LCM) oversees the care management services provided to patients, ensuring that services are efficient, effective, and patient-centered. The LCM ensures that ECM incorporates a broad range of services, including medical, social, and behavioral health services. The LCM serves as a liaison between various healthcare providers, ensuring that all members of the care team are informed about patient statuses and plans. The ideal candidate will have to perform some of the following essential duties. Oversees and implements provision of the Enhanced Care Management (ECM) services; and identification and achievement of Care Plan goals and objectives with the member that meet their self-identified strengths and health care and psychosocial needs. Offers services where the ECM member lives, seeks care, or finds most easily accessible and within health plan guidelines. Advocates on behalf of members with health care professionals, and connects with ECM member via phone or in-person to facilitate engagement, assessment, follow-up, and education/training visits in order to develop and address the Care Plan. Uses motivational interviewing and trauma-informed care practices and works in conjunction with ECM members to identify Care Plan goals and objectives. Coordinates pre-operative evaluations. Coordinates with ECM resource partners to obtain data/information to ensure accurate Care Plan updates Provides linkage to outside health education, wellness programs, and community resources Assists with translation for staff when necessary. Utilize SCFHC's NextGen and other electronic tracking systems to coordinate services and input data for reporting. Reviews existing SCFHC protocols and polices to match ECM requirements. Outreaches to patients who have missed preventative services (well-child exams, colon and cervical cancer screenings etc.) Coordinates appointments with health care providers to ensure timely delivery of diagnostic, treatment and wellness exams abuse, or poverty. Qualifications and Experience: High School Diploma or equivalent required. Bachelor's Degree preferred. Medical Assistant/LVN certification preferred. Knowledge of community resources in area Must have a minimum of 2 years' experience in case management in community clinic or FQHC setting. Comfortable working with diverse populations Bilingual in English/Spanish (oral and written). Ability to work flexible hours. Top benefits or perks: As a team member at South Central Family Health Center, you'll enjoy competitive wages and generous benefits: Benefits: Health care, dental, life insurance 403 (b) Retirement plan Education Reimbursement Career development: Entry-level employees have opportunities to work in management, HR or other areas of the company

Job DescriptionDescription: Title: Lead Care Manager, ECM Program Base Salary Range: $45,760 - $67,618 plus benefits FTE: Full-time, Non-Exempt We seek a dynamic and experienced Lead Care Manager, ECM Program, who wants to make a difference in our community. We want to hear from you if you thrive in a fast-paced, caring, and compassionate environment! Our Mission: The Mission of South Central Family Health Center is to improve the quality of life for the diverse Community of inner-city Los Angeles by providing affordable and comprehensive health care and education in a welcoming and multicultural environment. To lead the way in health care in South Los Angeles, as the premier provider and employer of choice offering comprehensive, high-quality, affordable, efficient, and culturally responsive services. General Summary: The Lead Care Manager (LCM), Enhanced Care Management (ECM), is responsible for coordinating and implementing organization-wide enhanced Care Management. The Lead Care Manager (LCM), Enhanced Care Management (ECM) works closely with medical, dental, behavioral health, and vision teams and patients to develop personalized care plans that address the unique needs of each patient. The Lead Care Manager (LCM) oversees the care management services provided to patients, ensuring that services are efficient, effective, and patient-centered. The LCM ensures that ECM incorporates a broad range of services, including medical, social, and behavioral health services. The LCM serves as a liaison between various healthcare providers, ensuring that all members of the care team are informed about patient statuses and plans. The ideal candidate will have to perform some of the following essential duties. Oversees and implements provision of the Enhanced Care Management (ECM) services; and identification and achievement of Care Plan goals and objectives with the member that meet their self-identified strengths and health care and psychosocial needs. Offers services where the ECM member lives, seeks care, or finds most easily accessible and within health plan guidelines. Advocates on behalf of members with health care professionals, and connects with ECM member via phone or in-person to facilitate engagement, assessment, follow-up, and education/training visits in order to develop and address the Care Plan. Uses motivational interviewing and trauma-informed care practices and works in conjunction with ECM members to identify Care Plan goals and objectives. Coordinates pre-operative evaluations. Coordinates with ECM resource partners to obtain data/information to ensure accurate Care Plan updates Provides linkage to outside health education, wellness programs, and community resources Assists with translation for staff when necessary. Utilize SCFHC's NextGen and other electronic tracking systems to coordinate services and input data for reporting. Reviews existing SCFHC protocols and polices to match ECM requirements. Outreaches to patients who have missed preventative services (well-child exams, colon and cervical cancer screenings etc.) Coordinates appointments with health care providers to ensure timely delivery of diagnostic, treatment and wellness exams abuse, or poverty. Qualifications and Experience: High School Diploma or equivalent required. Bachelor's Degree preferred. Medical Assistant/LVN certification preferred. Knowledge of community resources in area Must have a minimum of 2 years' experience in case management in community clinic or FQHC setting. Comfortable working with diverse populations Bilingual in English/Spanish (oral and written). Ability to work flexible hours. Top benefits or perks: As a team member at South Central Family Health Center, you'll enjoy competitive wages and generous benefits: Benefits: Health care, dental, life insurance 403 (b) Retirement plan Education Reimbursement Career development: Entry-level employees have opportunities to work in management, HR or other areas of the company Requirements:

Title: Lead Care Manager, ECM Program Base Salary Range: $45,760 - $67,618 plus benefits FTE: Full-time, Non-Exempt We seek a dynamic and experienced Lead Care Manager, ECM Program, who wants to make a difference in our community. We want to hear from you if you thrive in a fast-paced, caring, and compassionate environment! Our Mission: The Mission of South Central Family Health Center is to improve the quality of life for the diverse Community of inner-city Los Angeles by providing affordable and comprehensive health care and education in a welcoming and multicultural environment. To lead the way in health care in South Los Angeles, as the premier provider and employer of choice offering comprehensive, high-quality, affordable, efficient, and culturally responsive services. General Summary: The Lead Care Manager (LCM), Enhanced Care Management (ECM), is responsible for coordinating and implementing organization-wide enhanced Care Management. The Lead Care Manager (LCM), Enhanced Care Management (ECM) works closely with medical, dental, behavioral health, and vision teams and patients to develop personalized care plans that address the unique needs of each patient. The Lead Care Manager (LCM) oversees the care management services provided to patients, ensuring that services are efficient, effective, and patient-centered. The LCM ensures that ECM incorporates a broad range of services, including medical, social, and behavioral health services. The LCM serves as a liaison between various healthcare providers, ensuring that all members of the care team are informed about patient statuses and plans. The ideal candidate will have to perform some of the following essential duties. * Oversees and implements provision of the Enhanced Care Management (ECM) services; and identification and achievement of Care Plan goals and objectives with the member that meet their self-identified strengths and health care and psychosocial needs. * Offers services where the ECM member lives, seeks care, or finds most easily accessible and within health plan guidelines. * Advocates on behalf of members with health care professionals, and connects with ECM member via phone or in-person to facilitate engagement, assessment, follow-up, and education/training visits in order to develop and address the Care Plan. * Uses motivational interviewing and trauma-informed care practices and works in conjunction with ECM members to identify Care Plan goals and objectives. * Coordinates pre-operative evaluations. * Coordinates with ECM resource partners to obtain data/information to ensure accurate Care Plan updates * Provides linkage to outside health education, wellness programs, and community resources * Assists with translation for staff when necessary. * Utilize SCFHC's NextGen and other electronic tracking systems to coordinate services and input data for reporting. * Reviews existing SCFHC protocols and polices to match ECM requirements. * Outreaches to patients who have missed preventative services (well-child exams, colon and cervical cancer screenings etc.) * Coordinates appointments with health care providers to ensure timely delivery of diagnostic, treatment and wellness exams abuse, or poverty. Qualifications and Experience: * High School Diploma or equivalent required. * Bachelor's Degree preferred. * Medical Assistant/LVN certification preferred. * Knowledge of community resources in area * Must have a minimum of 2 years' experience in case management in community clinic or FQHC setting. * Comfortable working with diverse populations * Bilingual in English/Spanish (oral and written). * Ability to work flexible hours. Top benefits or perks: As a team member at South Central Family Health Center, you'll enjoy competitive wages and generous benefits: * Benefits: Health care, dental, life insurance * 403 (b) Retirement plan * Education Reimbursement * Career development: Entry-level employees have opportunities to work in management, HR or other areas of the company

Centered in the heart of Boyle Heights, Adventist Health White Memorial is one of the area's leading healthcare providers since 1913. We are comprised of a 353-bed hospital, three medical office buildings, residency programs, comprehensive cancer care and a vast scope of services located in the Los Angeles area. In 2019, Adventist Health White Memorial was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. We are proud to promote wellness in the community at the local farmers market and through our community resource center with services for seniors and Spanish-speakers. Los Angeles is known for its art, rich culture, numerous sports teams and world-renowned dining. There is something for everyone in this culturally diverse city. Job Summary: Provides excellent patient care by assisting in collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient, family, nurse, physicians, multidisciplinary team and patient's healthcare benefactor to optimize outcomes. Serves as a consultant to the healthcare team on specific patient items. Job Requirements: Education and Work Experience: * Bachelor's Degree in Nursing (BSN): Preferred * Experience in a care management role: Preferred Licenses/Certifications: * Registered Nurse (RN) licensure in the state of practice: Required * Case management certification: Preferred Facility Specific License/Certifications: * Hospital Fire and Life Safety (HLFS): Required Essential Functions: * Leads the coordination of patient care with other disciplines within the care team, monitoring the appropriateness and timeliness of care. * Ensures the interdisciplinary care plan is consistent with the patient's clinical course, continuing care needs and covered services by monitoring diagnostic testing, treatments and procedures, and other aspects of patient care as appropriate for acute care. * Discusses with physicians, the appropriateness of resource utilization, consultations, treatment plan, estimated length of stay, and discharge plan. Focuses on complex patients, frequent ED utilizers, chronic pain patients, substance abuse patients, homeless patients. Collaborates with acute care case managers to ensure appropriateness on on-going care. * Coordinates the transfer of patients to tertiary centers, including the transfer of patient information required for continuity of ongoing treatment and services. * Provides oversight and collects data required for regulatory and accreditation compliance. Manages frequent ED visitors by conducting a focus study review of the previous and current admissions. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Job Details Santa Clara, CA Stockton, CA Full Time $29.00 - $32.00 Hourly DayDescription Job description ECM Lead Care Manager - Santa Clara AM Shift at Pacific Health Group Join Our Mission to Transform Lives: Enhanced Care Management At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care You won't just coordinate clinical visits. You'll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members' needs are addressed comprehensively. By forming strong, personal connections through frequent in-person visits, you'll become a pivotal support system-someone members can rely on for comfort, guidance, and advocacy. Advocacy and Going the Extra Mile Beyond paperwork and phone calls, you'll arrange all necessary services-from setting up medical appointments and coordinating transportation to securing safe housing and financial support. You'll be a consistent presence in members' lives, making sure no detail goes overlooked and no obstacle remains unaddressed. Shaping the Future of Care Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs. By sharing feedback on what members truly need, you'll help refine the processes and resources we use to serve diverse populations. Your Responsibilities Frequent In-Person Visits to Members Regular Face-to-Face Assessments: Conduct multiple on-site visits each month in members' homes, shelters, or community centers. Personal Connection: Use these visits to establish trust, gather first-hand insights, and address concerns right away. Example: While visiting a member recovering at home, you might discover that they lack mobility aids-prompting you to arrange for durable medical equipment and coordinate in-home physical therapy. Comprehensive Care Coordination End-to-End Service Arrangement: Schedule doctor's appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support. Example: If a member is discharged from the hospital, you'll set up home health visits, fill prescriptions, secure rides for follow-up appointments, and even arrange meal delivery if needed. Case Management with a Heart Empathetic Assessments: Look beyond forms and checkboxes to truly understand members' backgrounds, personal challenges, and aspirations. Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers. Example: If a member feels overwhelmed by multiple therapies, you could simplify their schedule, coordinate telehealth sessions, and even offer emotional support through regular check-ins. Resource Management Bridge to Community Services: Identify, coordinate, and optimize local resources-such as housing assistance, job training programs, or childcare services-to ensure members' overall wellbeing. Example: A single parent needing childcare and employment support could be connected to subsidized daycare, workforce development courses, and a community mentor program-all organized by you. Patient Advocacy Champion for Members' Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress. Example: If a critical procedure is denied by insurance, you'll take charge of the appeals process, gathering documents and evidence to secure approval. Communication Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through. Example: Coordinate a care conference among a primary care physician, social worker, and rehab specialist so everyone can align on the most effective plan for a member's speedy recovery. Documentation Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage. Example: After each home visit, document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers. Continuous Improvement Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate. Example: If you notice a high number of members struggling with job access, you might advocate for creating a new partnership with a local job placement agency. Regulatory Compliance Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards. Example: Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow. Professional Development Ongoing Learning: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention. Example: Enroll in a course on trauma-informed care to better support members who have experienced past hardships. Other Duties Collaborative Mindset: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes. Skills That Set You Apart Genuine Empathy & Compassion Needs Assessment & Care Planning Service Coordination & Navigation Client Advocacy Motivational Interviewing Problem-Solving & Decision-Making Teamwork & Collaboration What We're Looking For Residency: Must reside in Santa Clara County Experience: 3-5 years in case management, social services, or healthcare Expertise: Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management Healthcare Insight: Understanding of healthcare systems and local community resources Interpersonal Skills: Strong communication, empathy, and cultural competence Organizational Ability: Proven time management skills and attention to detail Technical Proficiency: Competence using case management software and related tools Successful completion of a pre-screen assessment required Why You'll Love Working with Us Meaningful Impact: Every action you take-from scheduling a specialist appointment to arranging housing support-has the power to transform someone's life. Team Support: You'll join a diverse, dedicated team that values collaboration, mentorship, and continuous learning. Growth and Development: We encourage professional advancement through training, networking, and real-time feedback that fosters your growth as a care provider. Comprehensive Benefits Package 401(k) Dental Insurance Health Insurance (90% of Employee-Only benefits covered by the company) Vision Insurance Short-term and Long-term Disability (Employer Paid), AD&D, Employee Assistance Program (EAP) FSA | Dependent Care Account (DCA) Paid Time Off (PTO) 12 Paid Holidays (including your birthday and one floating holiday after 1 year) Paid Sick Time Schedule 8-Hour Shift Monday to Friday, 8:30am - 5:00pm Join Us in Making a Difference At Pacific Health Group, we believe in diversity and inclusion and are committed to equal opportunities for all. We strive to build a team that reflects the communities we serve. If you're ready to arrange every detail of care, walk alongside members through their journey, and truly transform lives, apply today and become part of our mission to provide caring, comprehensive Enhanced Care Management for those who need it most. Job Type: Full-time

At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care You won't just coordinate clinical visits. You'll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members' needs are addressed comprehensively. By forming strong, personal connections through frequent in-person visits, you'll become a pivotal support system-someone members can rely on for comfort, guidance, and advocacy. Advocacy and Going the Extra Mile Beyond paperwork and phone calls, you'll arrange all necessary services-from setting up medical appointments and coordinating transportation to securing safe housing and financial support. You'll be a consistent presence in members' lives, making sure no detail goes overlooked and no obstacle remains unaddressed. Shaping the Future of Care Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs. By sharing feedback on what members truly need, you'll help refine the processes and resources we use to serve diverse populations. Your Responsibilities Frequent In-Person Visits to Members Regular Face-to-Face Assessments: Conduct multiple on-site visits each month in members' homes, shelters, or community centers. Personal Connection: Use these visits to establish trust, gather first-hand insights, and address concerns right away. Example: While visiting a member recovering at home, you might discover that they lack mobility aids-prompting you to arrange for durable medical equipment and coordinate in-home physical therapy. Comprehensive Care Coordination End-to-End Service Arrangement: Schedule doctor's appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support. Example: If a member is discharged from the hospital, you'll set up home health visits, fill prescriptions, secure rides for follow-up appointments, and even arrange meal delivery if needed. Case Management with a Heart Empathetic Assessments: Look beyond forms and checkboxes to truly understand members' backgrounds, personal challenges, and aspirations. Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers. Example: If a member feels overwhelmed by multiple therapies, you could simplify their schedule, coordinate telehealth sessions, and even offer emotional support through regular check-ins. Resource Management Bridge to Community Services: Identify, coordinate, and optimize local resources-such as housing assistance, job training programs, or childcare services-to ensure members' overall wellbeing. Example: A single parent needing childcare and employment support could be connected to subsidized daycare, workforce development courses, and a community mentor program-all organized by you. Patient Advocacy Champion for Members' Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress. Example: If a critical procedure is denied by insurance, you'll take charge of the appeals process, gathering documents and evidence to secure approval. Communication Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through. Example: Coordinate a care conference among a primary care physician, social worker, and rehab specialist so everyone can align on the most effective plan for a member's speedy recovery. Documentation Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage. Example: After each home visit, document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers. Continuous Improvement Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate. Example: If you notice a high number of members struggling with job access, you might advocate for creating a new partnership with a local job placement agency. Regulatory Compliance Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards. Example: Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow. Professional Development Ongoing Learning: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention. Example: Enroll in a course on trauma-informed care to better support members who have experienced past hardships. Other Duties: Collaborative Mindset: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes. Skills That Set You Apart Genuine Empathy & Compassion Needs Assessment & Care Planning Service Coordination & Navigation Client Advocacy Motivational Interviewing Problem-Solving & Decision-Making Teamwork & Collaboration Job Type: Full-time Pay: $27.00 - $30.00 per hour Expected hours: 40 per week 8-Hour Shift Monday to Friday, 8:30am PST - 5:00pm PST Work Location: Hybrid remote in San Joaquin, CA - On the road Equal Opportunity Employer Pacific Health Group is an Equal Opportunity Employer. We are committed to creating an inclusive and equitable workplace where all individuals are treated with dignity and respect. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or gender expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking. We value diversity in all forms and encourage individuals from historically underrepresented communities to apply. Pre-Employment Requirements Employment is contingent upon the successful completion of a background check. Please DO NOT contact employer regarding your application status, thank you! AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) - our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. Requirements Residency: Must reside in San Joaquin County Experience: 3-5 years in case management, social services, or healthcare Expertise: Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management Healthcare Insight: Understanding of healthcare systems and local community resources Interpersonal Skills: Strong communication, empathy, and cultural competence Organizational Ability: Proven time management skills and attention to detail Technical Proficiency: Competence using case management software and related tools Successful completion of a pre-screen assessment required Possess a valid California Driver's License (Class C minimum), maintain a personal, operable vehicle for daily business use, and carry current liability insurance that meets California's minimum legal requirements. All selected candidates will be required to pass a Motor Vehicle Report (MVR) background check prior to employment. Benefits Competitive salary and benefits package 401(k), dental, vision, health, and life insurance Flexible schedule, paid time off, and employee assistance program Professional development opportunities Meaningful work impacting vulnerable community members Supportive team environment

At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care You won't just coordinate clinical visits. You'll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members' needs are addressed comprehensively. By forming strong, personal connections through frequent in-person visits, you'll become a pivotal support system-someone members can rely on for comfort, guidance, and advocacy. Advocacy and Going the Extra Mile Beyond paperwork and phone calls, you'll arrange all necessary services-from setting up medical appointments and coordinating transportation to securing safe housing and financial support. You'll be a consistent presence in members' lives, making sure no detail goes overlooked and no obstacle remains unaddressed. Shaping the Future of Care Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs. By sharing feedback on what members truly need, you'll help refine the processes and resources we use to serve diverse populations. Your Responsibilities Frequent In-Person Visits to Members Regular Face-to-Face Assessments: Conduct multiple on-site visits each month in members' homes, shelters, or community centers. Personal Connection: Use these visits to establish trust, gather first-hand insights, and address concerns right away. Example: While visiting a member recovering at home, you might discover that they lack mobility aids-prompting you to arrange for durable medical equipment and coordinate in-home physical therapy. Comprehensive Care Coordination End-to-End Service Arrangement: Schedule doctor's appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support. Example: If a member is discharged from the hospital, you'll set up home health visits, fill prescriptions, secure rides for follow-up appointments, and even arrange meal delivery if needed. Case Management with a Heart Empathetic Assessments: Look beyond forms and checkboxes to truly understand members' backgrounds, personal challenges, and aspirations. Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers. Example: If a member feels overwhelmed by multiple therapies, you could simplify their schedule, coordinate telehealth sessions, and even offer emotional support through regular check-ins. Resource Management Bridge to Community Services: Identify, coordinate, and optimize local resources-such as housing assistance, job training programs, or childcare services-to ensure members' overall wellbeing. Example: A single parent needing childcare and employment support could be connected to subsidized daycare, workforce development courses, and a community mentor program-all organized by you. Patient Advocacy Champion for Members' Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress. Example: If a critical procedure is denied by insurance, you'll take charge of the appeals process, gathering documents and evidence to secure approval. Communication Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through. Example: Coordinate a care conference among a primary care physician, social worker, and rehab specialist so everyone can align on the most effective plan for a member's speedy recovery. Documentation Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage. Example: After each home visit, document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers. Continuous Improvement Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate. Example: If you notice a high number of members struggling with job access, you might advocate for creating a new partnership with a local job placement agency. Regulatory Compliance Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards. Example: Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow. Professional Development Ongoing Learning: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention. Example: Enroll in a course on trauma-informed care to better support members who have experienced past hardships. Other Duties: Collaborative Mindset: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes. Skills That Set You Apart Genuine Empathy & Compassion Needs Assessment & Care Planning Service Coordination & Navigation Client Advocacy Motivational Interviewing Problem-Solving & Decision-Making Teamwork & Collaboration Job Type: Full-time Pay: $27.00 - $30.00 per hour Expected hours: 40 per week 8-Hour Shift Monday to Friday, 8:30am PST - 5:00pm PST Work Location: Hybrid remote in San Joaquin, CA - On the road Equal Opportunity Employer Pacific Health Group is an Equal Opportunity Employer. We are committed to creating an inclusive and equitable workplace where all individuals are treated with dignity and respect. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or gender expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking. We value diversity in all forms and encourage individuals from historically underrepresented communities to apply. Pre-Employment Requirements Employment is contingent upon the successful completion of a background check. Please DO NOT contact employer regarding your application status, thank you! AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) - our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. Requirements Residency: Must reside in San Joaquin County Experience: 3-5 years in case management, social services, or healthcare Expertise: Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management Healthcare Insight: Understanding of healthcare systems and local community resources Interpersonal Skills: Strong communication, empathy, and cultural competence Organizational Ability: Proven time management skills and attention to detail Technical Proficiency: Competence using case management software and related tools Successful completion of a pre-screen assessment required Possess a valid California Driver's License (Class C minimum), maintain a personal, operable vehicle for daily business use, and carry current liability insurance that meets California's minimum legal requirements. All selected candidates will be required to pass a Motor Vehicle Report (MVR) background check prior to employment. Benefits Competitive salary and benefits package 401(k), dental, vision, health, and life insurance Flexible schedule, paid time off, and employee assistance program Professional development opportunities Meaningful work impacting vulnerable community members Supportive team environment

The Enhanced Care Management (ECM) benefit is a statewide benefit established by the Department of Health Care Services (DHCS) to provide a whole-person approach to care that addresses the clinical and non-clinical circumstances of high-need Medi-Cal beneficiaries enrolled in Medi-Cal managed care. ECM is a collaborative and interdisciplinary approach to providing intensive and comprehensive care management services to populations of focus. The overall goal of the ECM benefit is to provide comprehensive care and achieve better health outcomes for the highest need beneficiaries in Medi-Cal. The Lead Care Manager is a member's designated care manager for Enhanced Care Management (ECM). The Lead Care Manager operates as part of the member's multi-disciplinary care team and is responsible for coordinating all aspects of ECM and coordination with a Community Supports provider, as applicable. To the extent a member has other care managers, the Lead Care Manager is considered to be the primary care manager for the member and will be responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the member and non-duplication of services. ECM providers must have protocols in place outlining how clinical supervision is provided to non-licensed (i.e., paraprofessional) staff members by the Lead Care Manager to ensure continued guidance, training, and clinical support to appropriately oversee the non-licensed (i.e., paraprofessional) staff members activities aligning to the ECM member's care plan and care coordination needs. The Lead Care Manager is a professional (e.g., licensed mental health or behavioral health professional/clinician, social worker, or nurse) or paraprofessional (with appropriate training and oversight) Schedule: * Monday-Friday, 8:00 AM to 5:00 PM Primary Duties and Responsibilities * Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the member and non-duplication of services. * Engage eligible members. * Oversee provision of ECM services and implementation of the care plan. * Offer services where the member lives, seeks care, or finds most easily accessible and within Health Net guidelines. * Connect member to other social services and supports the member may need, including transportation. * Advocate on behalf of members with health care professionals. * Use motivational interviewing, trauma- informed care, and harm-reduction approaches. * Coordinate with hospital staff on discharge plan. * Accompany member to office visits, as needed. * Monitor treatment adherence (including medication). * Provide health promotion and self- management training. * Supervision of Community Health Worker and other staff or personnel providing direct patient care and assumes responsibility for daily clinic management. * Other duties as designated by the ECM Director. Qualifications Minimum Requirements * Ability to work with complex and multi-faceted tasks and systems * Microsoft Office (Word, Excel, Outlook) * Excellent Communication Skills * Excellent Customer Service (Bedside Manners) * Bilingual English/Spanish required * Ability to work as a team player and work independently Required Education/Experience and/or Licensure/Certifications * Registered Nurse, LVN, or Behavioral Health or Social Services paraprofessional with at least two (2) years of case management or related experience in the field and Bachelor's degree * Applicants with Medical Assistant certification and at least five (5) years of related case management experience will be considered * Experience working in community health care or community social work preferred. * Experience in working with specific populations such as: children, individuals experiencing homelessness, individuals reentering society from incarceration, high ER utilizers, individuals who may be pregnant/postpartum or diagnosed with a severe mental illness, preferred. * Valid CA Driver's License and Proof of Insurance Working Conditions OSHA Category 1 - Involves exposure to blood, body fluids, or tissues.

IOA is on the forefront of revolutionary healthcare models, reshaping the way people can age in place. Our innovative models transform lives, enhance communities, and save healthcare systems millions of dollars. Rather than focusing on archaic outdated design, we strive to consistently question the “status-quo” and create new and more innovative ways to help aging adults and adults with disabilities maintain their quality of life. With over 23 programs, we offer multiple ways to aid seniors maintain their health, well-being, independence and participation in the community, fulfilling our mission. The Care Manager II (CMII) is responsible for the assessment of clients with multiple medical and psychosocial needs. The CMII also pans for and monitors services and interventions ensuring provision of quality care.RESPONSIBILITIES: Conducts comprehensive assessments and on-going re-assessments of the client including psychosocial, physical and mental health, environmental and spiritual needs. Writes comprehensive assessments. Based on assessment information with the client develops and initiates the Community Living Plan, which is client-centered, comprehensive and consistent with program guidelines and policies and procedures. Conducts home visits, acute hospital & skilled nursing facility visits, as well as escorts clients to medical and other appointments as clinically indicated. Identifies, arranges for, and monitors appropriate community services based on a good knowledge of Medicare, Medi-Cal, and other entitlement programs. Establishes and maintains a care management relationship with clients and their informal support network as appropriate, offering respect, dignity and support. Provides crisis intervention, advocacy, problem solving and therapeutic interventions. Meets with clients at least monthly, and more often as clinically indicated. Reviews and modifies their Community Living Plan on an ongoing basis. Documents via progress notes all case management activity regarding identified problems within 24-48 hours, adding any new problems to the Community Living Plan, as needed. Maintains required paperwork and follows a clear, concise, and consistent system of charting to allow for continuity of care. Ongoing evaluation for client Purchase of Service needs and follow-up to determine if services have been provided in a timely manner. Educates clients and informal support network about resources. Establishes and maintains open and effective communication with community providers, including physicians and other health care and social service workers. Provides appropriate information on all significant aspects of individual client care and program operations, while maintaining necessary confidentiality. Monitors the quantity and quality of the services provided by other involved providers. Working closely with the team, continuously evaluates the clients' ability to remain safely at home, coordinates placement as appropriate, according to program guidelines. In collaboration with the client, caregiver, and involved services, terminates clients when appropriate. Documents the process as required. Participates in research studies and data collection, as required. Participates in and promotes ongoing efforts towards Continuous Quality Improvement. Attends and actively participates in team and program meetings, activities and problem-solving endeavors; contributes to open lines of communication within the team. Utilizes supervision appropriately, maintaining open lines of communication and providing updates on caseload activity. Actively incorporates the ethical and legal standards of the National Association of Social Workers into all aspects of interactions with others. Understands and applies the regulatory and procedural requirements of the Institute on Aging. Attends continuing education classes and/or in-service training to increase knowledge, skills and attitudes related to case management, gerontology, family and community systems and other areas relevant to the Community Living Fund client population. All other reasonably related responsibilities as assigned. EDUCATION: M.S.W. (Masters in Social Work) or another appropriate Masters level degree such as an MPH, MFT with additional or specialized work experience such as psychology, counseling, or geriatrics. Alternatively, in lieu of a Masters degree, an employee may qualify for a Care Manager II position with a BA or BS in Social Work or another appropriate major and a minimum of two (2) years of relevant social work experience and the ability to demonstrate autonomous work in conceptualizing and formulating biopsychosocial assessments, identifying care needs and necessary interventions, and then executing effective care interventions. BACKGROUND AND EXPERIENCE: One year working with disabled adults and/or older adults required. Experience with and understanding of the medical and psychosocial problems of functionally impaired adults and older adults. Experience working with individuals with mental and/or behavioral health diagnoses and substance abuse disorders highly desired. Exceptional communication and presentation skills relating to functionally impaired adults and older adults, their support systems and teams of health professionals. Demonstrates case management skills and experience in the community health care delivery system. Detail oriented with good problem solving skills and the ability to prioritize multiple tasks. Computer literacy required. COMPENSATION: Range: $84,077 - $100,485/annual This amount is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any specific employee, which is always dependent on actual experience, education and other factors. This range does not include any additional equity, benefits, or other non-monetary compensation which may be included. We encourage you to learn more about IOA by visit Beware of Hiring Scams We are aware that some third parties have reposted our job listings in an attempt to scam applicants. Please be cautious and only apply through our official channels. Institute on Aging will never request payment or sensitive personal information such as Social Security numbers during the hiring process. All official communication will come from a verified IOA email address. If you receive any suspicious communication or requests, report them to *****************************. All legitimate job openings can be found on the Institute on Aging Careers Page. We encourage you to learn more about IOA by visiting us here. IOA reserves the right to adjust work hours or duties when appropriate. Institute on Aging is an Equal Opportunity Employer. Institute on Aging is committed to cultivating a diverse and inclusive work environment and providing equal opportunities to all employees and job applicants without regard to age, race, religion, color, national origin, sex, sexual orientation, gender identity, genetic disposition, neuro-diversity, disability, veteran status or any other protected category under federal, state and local law. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.