CalAIM Enrollment Specialist — ECM/CS Support

Sbnbcc; Santa Barbara (CA); On-site; USD 41,000 - 44,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

403(b) contribution and matching

Generous paid time off

Job summary

New Beginnings is seeking a CalAIM Enrollment Specialist to support Enhanced Care Management and Community Supports under CalAIM. This role collaborates with Authorization and Billing to ensure compliant enrollment, eligibility tracking, and accurate documentation in HMIS.

Responsibilities include processing enrollments, maintaining eligibility, monitoring authorizations, and contributing to process improvements to enhance ECM and CS program efficiency.

Qualifications

• Bachelor’s degree in social work, psychology, counseling, nursing, public health, or related field.
• 1–2 years of experience with Medi-Cal/CenCal systems management.
• Experience in reviewing care coordination tasks.
• Familiarity with CalAIM or similar healthcare programs preferred.
• Familiarity with utilization management, provider oversight, and billing processes.

Responsibilities

• Enroll homeless services clients in CenCal and CalAIM; process enrollment paperwork.
• Track eligibility to prevent lapses and maintain coverage.
• Review case notes for accuracy and CalAIM reimbursement readiness.
• Monitor authorizations and ensure timely reauthorizations.
• Optimize CalAIM processes to improve service delivery and program efficiency.
• Review HMIS documentation and assist with claims reviews as needed.
• Participate in meetings and contribute to quality improvement initiatives.

Skills

Medi-Cal knowledge

CalAIM familiarity

Communication skills

Organizational skills

Data analysis

HIPAA compliance

Driver's license

Field work suitability

Education

Bachelor’s degree in social work, psychology, counseling, nursing, public health, or related field

Tools

HMIS software

Microsoft Office

Care management software

Job description

New Beginnings is seeking a CalAIM Enrollment Specialist to support Enhanced Care Management and Community Supports under CalAIM. This role collaborates with Authorization and Billing to ensure compliant enrollment, eligibility tracking, and accurate documentation in HMIS.

Responsibilities include processing enrollments, maintaining eligibility, monitoring authorizations, and contributing to process improvements to enhance ECM and CS program efficiency.