ECM Lead Care Manager (5869)

Status: Full-Time, Non-Exempt
Pay: $23.75 - $25.25/hour
Schedule: Monday - Friday 8:30 a.m. - 5:00 p.m.

Mission Statement: "To be a leader in ending homelessness by providing a unique system of dignified housing opportunities, programs, and supportive services."

Benefits Offered:

• Flexible medical coverage options
• Voluntary dental, vision, life, accident, critical illness, and hospital insurance
• Paid Time Off (Vacation + Sick Pay)
• Flexible Spending Account
• Employee Assistance Program
• 403(b) savings plan with up to 3% company matching
• Paid on-the-job training and orientation
• Mileage reimbursement
• Referral bonus program
• Opportunities for career growth

Job Summary: The Enhanced Care Management (ECM) Lead Care Manager is responsible for coordinating medical and non-medical supportive services to meet the needs of each member. These services include physical, behavioral, dental, developmental, oral health, long-term services and supports (LTSS), Specialty Mental Health Services, Drug Medi-Cal/Drug Medi-Cal Organized Delivery System programs, Community Supports, and other resources addressing social determinants of health (SDOH)—regardless of the care setting. The ECM Lead Care Manager collaborates closely with the CalAIM Community Supports Program to deliver team-based, patient-centered care for clients experiencing or at risk of homelessness.

Essential Duties and Responsibilities:
Client/Service Delivery

• Manage a caseload of approximately 17–25 members, meeting regularly to complete Health Needs Assessments and develop individualized Care Plans with measurable short- and long-term goals
• Conduct outreach, engage, and enroll eligible members in ECM services, addressing barriers to access and care
• Provide services at locations that are accessible and convenient for the member, including their residence or places where they seek care, in alignment with CalOptima Health guidelines
• Assist members with care engagement, including medication reconciliation, scheduling and reminding about appointments, coordinating transportation, and attending critical medical visits when needed
• Advocate on behalf of members with healthcare providers and assist with hospital discharge planning
• Coordinate care with hospitals, behavioral health providers, specialists, dental providers, LTSS entities, and Community Supports partners
• Utilize trauma-informed care and motivational interviewing techniques to engage members
• Monitor treatment adherence, including medication compliance
• Provide health education, self-management support, and care navigation to empower members
• Regularly communicate member updates, needs, and concerns to the multidisciplinary care team to enhance care outcomes
• Perform additional duties as assigned or modified to support program goals

Team/Staff Relations

• Collaborate as a team member within Mercy House, supporting the organization’s mission and core values
• Participate in internal and external meetings and contribute to planning resident-focused programs
• Maintain adaptability in a fast-paced, team-based environment while demonstrating empathy, reliability, and effective communication with diverse populations

Administration

• Maintain thorough and timely documentation for all assigned members, including Health Needs Assessments and Care Plans
• Support data collection and reporting requirements
• Ensure timely completion of all assigned tasks and meet documentation deadlines
• Utilize technology and software tools proficiently (e.g., Microsoft Word, Outlook, Excel, PowerPoint), along with any position-specific systems
• Respond to emails and phone inquiries promptly and manage workload independently while prioritizing responsibilities

Knowledge of:

• Confidentiality standards and ethical considerations in case management
• Best practices for clinical documentation and adherence to program guidelines