Case Manager I: CalAIM Care Coordinator (Bilingual)

Simple Solutions Psychotherapy; Rancho Cucamonga (CA); Sur place; USD 34 000 - 41 000; Plein temps

Résumé du poste

Simple Solutions Psychotherapy in California is hiring a Case Manager I to deliver Enhanced Care Management and Community Supports for Medi-Cal members under CalAIM. The role focuses on outreach, assessments, and care coordination across health and social services.

You will work with teams, travel to member homes and community sites, document encounters in the EHR within 24 to 48 hours, and support transitions from hospital or SNF.

Qualifications

• Foundational knowledge of CalAIM, Medi-Cal managed care, and IEHP/Molina ECM requirements.
• Experience in care coordination and community health work preferred.
• Bilingual English/Spanish is preferred.

Responsabilités

• Conduct in-person and telephonic outreach to assigned ECM members in compliance with IEHP and Molina standards.
• Complete CalAIM-compliant comprehensive assessments and develop individualized care plans with the care team.
• Coordinate referrals and work with ECM providers on Community Supports and housing services.
• Document all encounters, care plan updates, and coordination activities in the EHR within 24–48 hours.
• Participate in ICT meetings and case conferencing.
• Support members during care transitions, including hospital and SNF discharges.
• Maintain records for Managed Care Plan reporting and audits.
• Adhere to HIPAA, 42 CFR Part 2, and confidentiality requirements.

Connaissances

CalAIM knowledge

Stakeholder engagement

EHR proficiency

Bilingual English/Spanish

Care coordination

Formation

College coursework or degree in Social Work, Psychology, Public Health, or Human Services

Outils

Electronic Health Records (EHR)

Microsoft Office

Description du poste

Simple Solutions Psychotherapy in California is hiring a Case Manager I to deliver Enhanced Care Management and Community Supports for Medi-Cal members under CalAIM. The role focuses on outreach, assessments, and care coordination across health and social services.

You will work with teams, travel to member homes and community sites, document encounters in the EHR within 24 to 48 hours, and support transitions from hospital or SNF.