Clinical Care Manager, CA — Complex Care Coordination

Independent Living Systems, llc; San Bernardino (CA); On-site; USD 36,000 - 60,000; Full time

Job summary

Independent Living Systems, LLC in Fontana, CA is seeking a Clinical Care Manager to oversee coordinating patient care and develop individualized care plans for patients with complex needs. The role requires collaboration with multidisciplinary teams and serving as a liaison for patients, families, and providers to ensure timely access to services.

The position demands a CA-licensed clinician with 5+ years in care coordination or case management, knowledge of Medi-Cal rules, strong

Qualifications

• Bachelor’s degree in Nursing, Social Work, Healthcare Administration, or a related field.
• Requires at least 5 years of experience in clinical care coordination or case management.
• Requires knowledge of and experience working with community agencies and programs.
• Current and valid licensure in CA (BSW, MSW, LVN, RN) in CA.
• Experience with Medi-Cal eligibility guidelines, application, and renewal/redetermination process.
• Strong problem-solving and customer service skills.
• CA resident and residing in CA while employed.
• CA Driver’s License required, use of personal vehicle and CA registration.
• Proof of auto insurance required.
• CPR Certification required.

Responsibilities

• Develop, implement, and monitor individualized care plans for patients with complex medical needs.
• Coordinate communication among healthcare providers, patients, and families to ensure continuity of care.
• Conduct comprehensive assessments to identify patient needs, risks, and barriers to care.
• Facilitate referrals to appropriate healthcare services and community resources.
• Track patient progress and outcomes, adjusting care plans as necessary to meet evolving needs.
• Ensure compliance with healthcare regulations, policies, and quality standards.
• Provide education and support to patients and families regarding treatment plans and health management.
• Collaborate with insurance providers and case management teams to optimize resource utilization.

Skills

Clinical care coordination

Case management

Customer service

Problem solving

Communication

Bilingual Spanish

Education

Bachelor’s degree in Nursing, Social Work, Healthcare Administration, or related field

Master’s degree in Nursing, Social Work, Public Health, or Healthcare Administration

CCM certification or equivalent credential

Job description

Independent Living Systems, LLC in Fontana, CA is seeking a Clinical Care Manager to oversee coordinating patient care and develop individualized care plans for patients with complex needs. The role requires collaboration with multidisciplinary teams and serving as a liaison for patients, families, and providers to ensure timely access to services.

The position demands a CA-licensed clinician with 5+ years in care coordination or case management, knowledge of Medi-Cal rules, strong