Care Coordinator, Enhanced Care Management

Koinonia Family Services; Tustin (CA); Hybrid; USD 25,000 - 36,000; Part time

Benefits offered by this job

PTO

Paid holidays

401k plan

Remote work between sessions

Job summary

Koinonia Family Services in Tustin, CA, seeks a part-time ECM Care Coordinator to connect individuals with services, develop care plans, and coordinate care across health, social, and behavioral services in the greater Orange County area.

The role includes assessments, care planning, service coordination, and client education, with bilingual English/Spanish preferred. Remote work is available between in-person sessions; need valid driver's license for home visits.

Qualifications

• Minimum 2 years of case management (or related) experience.
• Ability to speak Spanish.
• Knowledge of community resources.
• Excellent interpersonal and communication skills.
• Comfortable talking to people and motivating them to seek services.
• Ability to collaborate with interdisciplinary teams.
• Experience with high-needs populations.
• Proficiency in electronic health records a plus.

Responsibilities

• Conduct assessments of individuals' needs and formulate individualized care plans.
• Educate and enroll clients about services, and motivate them to engage in services.
• Meet with individuals in their homes to facilitate services.
• Oversee and ensure seamless coordination of services and referrals.
• Act as liaison between individuals and healthcare providers and social services.
• Refer individuals to appropriate services as needed.
• Maintain regular contact with clients to review care plans and outcomes.
• Advocate for clients’ needs within healthcare and social service settings.
• Provide resources and guidance on health and lifestyle choices.
• Document services per ECM program standards.
• Collaborate with interdisciplinary teams and partners to enhance service delivery.

Skills

Spanish speaking

Case management

Interpersonal communication

Motivational interviewing

Home visits

Education

High school graduate / GED

Tools

Electronic health records

Job description

Description

Do you want to make a positive difference in the lives of youth and families? If yes, join the great team of people at Koinonia Family Services in

Job Details

Do you want to make a positive difference in the lives of youth and families? If yes, join the great team of people at Koinonia Family Services in Tustin working in our enhanced care management (ECM) program as a part‑time ECM Care Coordinator. As a Care Coordinator, your role involves connecting individuals to services and resources best aligned to meet their unique needs in the greater Orange County area. You'll undertake assessments, develop individualized care plans, oversee service coordination and referrals, and provide education to equip individuals with the tools to make informed, healthy lifestyle decisions. Bilingual skills in English and Spanish are strongly preferred.

Enhanced Care Management is a statewide Medi‑Cal benefit available to individuals with complex needs. The Care Coordinator (aka Lead Care Manager) will lead the assessment, care plan development and ongoing care management of eligible participants under the supportive guidance of an ECM Supervisor. Our program specifically targets foster youth and other at‑risk youth populations, but may also include their family members or other adults. The Care Coordinator utilizes motivational interviewing to engage individuals to support them in better managing their chronic conditions. The Care Coordinator actively engages individuals to remove barriers to health, social services, and behavioral health care.

The Care Coordinator Opportunity Includes

• A job with a purpose; help support people in need
• Hourly pay rate: Starting wage of $22.00 per hour, or higher with prior ECM experience
• Benefits include paid time off (PTO), paid holidays, and participation in our 401k plan
• Remote work available between in‑person sessions
• Work with a great team of people who care about each other and care about our mission to help youth and families find hope and healing
• Mileage reimbursement for miles driven for business

This is a part‑time role, initially offering 20–25 hours per week. Because this is a caseload‑driven position, scheduled hours may increase or decrease over time based on client assignments and business needs. Applicants should be available to work at least 20 hours per week, although weekly schedules may vary (no minimum hour guarantee). As caseloads grow, additional hours may become available; if caseloads decrease, scheduled hours may be adjusted accordingly. Shifts are generally scheduled during normal business hours and may extend into the early evening based on member needs. Some scheduling flexibility is available to accommodate your personal schedule, provided client and business needs continue to be met.

Key Responsibilities

• Conduct assessments of individuals' needs and formulate individualized care plans
• Enthusiastically educate and enroll clients about services, and motivate them to engage in services.
• Meet with individuals in their homes to facilitate services
• Oversee and ensure the seamless coordination of services, including physical, mental, dental care and social services
• Act as the primary liaison between individuals and their healthcare providers, and social services
• Stay informed about community resources and actively refer individuals to appropriate services as needed
• Maintain regular contact with clients to review and update care plans, and monitor clients' progress and outcomes
• Advocate for the needs and rights of clients within healthcare and social service settings
• Provide clients and families with resources and guidance on making informed health and lifestyle choices
• Document services according to ECM program standards
• Work closely with interdisciplinary teams, community partners, and stakeholders to enhance service delivery.

Qualifications

• A strong desire to help people in need achieve successful outcomes
• Ability to speak Spanish
• Minimum 2 years of case management (or related) experience
• Knowledge of community resources
• Excellent interpersonal and communication skills
• Comfortable talking to people and motivating them to seek services
• Ability to collaborate with interdisciplinary teams
• Experience with high‑needs populations
• Proficiency in electronic health records a plus
• A high degree of integrity, ethics and confidentiality
• Demonstrated ability to work independently and maintain productivity with minimal supervision
• Cultural sensitivity and awareness
• Valid driver's license and auto insurance

We are seeking candidates who speak Spanish (preferred) and have at least two years of related work experience in social work, case management, community engagement or customer service. High school graduate or GED required. Prior experience as a community health worker, peer support specialist, medical assistant or similar role is a plus.

Join Our Team

At Koinonia Family Services, we foster a supportive and inclusive work environment. In a recent employee satisfaction survey, 95% of employees reported strong coworker relationships, 96% were satisfied with their supervisors, and 94% felt respected at work. As a trauma‑informed agency, we prioritize a person‑centered treatment philosophy. Join us in making a meaningful impact on youth and families, bringing hope and healing to those in need.

Important Note

Qualified candidates must complete a criminal background clearance through the California Department of Justice and FBI to ensure eligibility for employment, as well as a pre‑employment physical and TB test.

This position requires a valid driver's license, auto insurance and reliable transportation as driving is an essential job function. ECM Care Coordinators are responsible for tasks such as visiting client homes, attending in‑person meetings, and engaging with community partners, often in locations not easily accessible by alternative transportation methods. The nature of these responsibilities necessitates the ability to drive to ensure timely, reliable, confidential and effective support for the youth and families we serve.

Koinonia Family Services is an equal‑opportunity employer.