Case Manager II — ECM/CS (Lead Care Manager)

Simple Solutions Psychotherapy; Rancho Cucamonga (CA); On-site; USD 34,000 - 41,000; Full time

Job summary

Simple Solutions Psychotherapy is seeking a Case Manager II — ECM/CS (Lead Care Manager) to coordinate care for Medi-Cal members with complex needs. You will lead care planning, assessments, and cross-system collaboration with providers and community partners.

Qualified candidates have an MSW or a related bachelor’s degree with 3+ years of progressive case management, and bilingual English/Spanish is preferred. California driver’s license, LiveScan, and TB clearance are required.

Qualifications

• MSW preferred or Bachelor’s degree with 3+ years of progressive case management experience.
• Bilingual (English/Spanish) preferred.
• Valid California driver’s license, reliable transportation, and auto insurance required. LiveScan and TB clearance required.

Responsibilities

• Lead ECM Lead Care Manager for CalAIM ECM with primary accountability for the member's Care Plan and ICT coordination.
• Coordinate complex transitions of care from hospitals and facilities.
• Lead interdisciplinary care team meetings with primary care, behavioral health, and community partners.

Skills

Bilingual English/Spanish

Driver's license

LiveScan & TB clearance

Education

MSW preferred

Bachelor's degree in Social Work/Psychology/Nursing/Public Health (3+ yrs case mgmt)

Job description

Case Manager II — ECM/CS (Lead Care Manager)

We are a company that focuses on treating the whole person. Our work is grounded in understanding the emotional, psychological, social, and practical factors that impact an individual’s well being. We believe effective care requires compassion, accountability, collaboration, and a commitment to meeting people where they are while supporting meaningful growth and long term stability. Our team works across departments to provide coordinated, ethical, and person centered services that prioritize dignity, respect, and quality care.

At Simple Solutions Psychotherapy we believe "It's SIMPLE people just make it complicated."

The Case Manager for CalAIM Enhanced Care Management (ECM) and provides comprehensive, person-centered care coordination to Medi-Cal members with complex medical, behavioral health, and social needs. This role works collaboratively with healthcare providers, community-based organizations, and social service agencies to address health-related social needs and improve health outcomes in alignment with CalAIM program requirements.

The Case Manager serves as a primary point of contact for members, ensuring timely access to services, continuity of care, and advocacy across medical, behavioral health, and social systems.

The Case Manager II is an experienced ECM Lead Care Manager who carries a moderate-to-high acuity caseload, serves as the primary CalAIM Lead Care Manager for assigned members, and provides peer guidance to Case Manager I staff. This role independently manages complex care coordination across the full ECM Population of Focus categories, leads interdisciplinary care team meetings, and ensures compliance with IEHP, Molina, Kaiser and DHCS programmatic and documentation standards.

Minimum Qualifications

Master of Social Work (MSW) preferred, OR Bachelor's degree in Social Work, Psychology, Nursing, Public Health, or related field with three (3) or more years of progressive case management experience in Medi-Cal managed care, ECM, Community Supports, Health Homes, Whole Person Care, behavioral health, hospital case management, or community-based care coordination. Equivalent combinations of education and directly relevant case management experience will be considered. Prior experience as a Lead Care Manager under CalAIM ECM is strongly preferred. Bilingual (English/Spanish) preferred. ASW, AMFT, or APCC registration a plus. Valid California driver's license, reliable transportation, and auto insurance required. LiveScan and TB clearance required.

Caseload and Population

Caseload of approximately 30 to 50 moderate-to-high acuity ECM members. Serves as Lead Care Manager for members with complex co-occurring conditions, including individuals experiencing homelessness with serious mental illness, justice-involved adults and transition-age youth re-entering the community, individuals with high utilization patterns (frequent ED or inpatient use), pregnant and postpartum individuals with complex needs, and members transitioning from incarceration, hospitals, or institutions. Authorizes and coordinates the full menu of Community Supports.

• Serve as Lead Care Manager under CalAIM ECM, with primary accountability for the member's Care Plan, ICT coordination, and care continuity.
• Conduct comprehensive biopsychosocial assessments, risk stratification, and Care Plan development and revision in alignment with DHCS ECM Policy Guide standards.
• Lead and facilitate interdisciplinary care team meetings, including representatives from primary care, behavioral health, CS providers, MCP care managers, and community partners.
• Coordinate complex transitions of care from hospitals, SNFs, jails, and residential treatment, including 30-day post-discharge follow-up requirements.
• Authorize, refer to, and monitor Community Supports utilization, ensuring appropriate documentation and Managed Care Plan authorization workflows.
• Provide informal mentoring and case consultation to Case Manager I staff.
• Participate in quality improvement, case review, and program fidelity monitoring activities.
• Ensure all documentation meets MCP audit standards, encounter data submission requirements, and contractual deliverables for IEHP and Molina.

Knowledge, Skills, and Abilities

Working knowledge of the DHCS ECM Policy Guide, CS Policy Guide, MCP contracts, and Medi-Cal billing/encounter requirements. Demonstrated ability to manage complex caseloads independently. Strong clinical judgment in risk assessment, crisis response, and care plan development. Familiarity with motivational interviewing, harm reduction, trauma-informed care, and culturally responsive practice. Proficient in EHR documentation, care coordination platforms (e.g., MCP portals), and outcome tracking.

Apply today and help us make a difference.

The pay range for this role is:

25 - 30 USD per hour (8350 Archibald Avenue)