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 Lead Case Manager II for CalAIM ECM care coordination. You will manage a moderate-to-high acuity caseload, serve as primary lead for assigned members, and mentor junior staff while ensuring compliance with program standards.

You will collaborate with medical and behavioral health teams, coordinate services across agencies, and drive care plans that improve outcomes for Medi-Cal members. California driver’s license required.

Qualifications

• Master of Social Work (MSW) preferred, OR Bachelor's degree in Social Work, Psychology, Nursing, Public Health, or related field with 3+ years of progression in Medi-Cal ECM/care coordination.
• Bilingual (English/Spanish) preferred.
• ASW/AMFT/APCC registration a plus.
• Valid California driver’s license and auto insurance required.

Responsibilities

• Lead CalAIM ECM care management for a caseload of 30–50 members with complex needs.
• Coordinate with healthcare providers, CS providers, and community partners.
• Conduct biopsychosocial assessments and develop/revise Care Plans per DHCS ECM policy guide.
• Lead interdisciplinary care team meetings and coordinate transitions of care.
• Authorize and monitor Community Supports and ensure proper documentation for audits.

Skills

Bilingual English/Spanish

Independent caseload management

Interdisciplinary collaboration

Education

MSW preferred

Bachelor's in Social Work/Psychology/Public Health

Tools

EHR systems

MCP portals / care coordination platforms

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.

The pay range for this role is:

25 - 30 USD per hour (8350 Archibald Avenue)