Community Care Navigator for ECM & Social Supports

Ministerial Association of Colusa C; Yreka (CA); On-site; USD 60,000 - 85,000; Full time

Job summary

PneumaCare Health and Wellness seeks a Community Care Coordinator to implement Enhanced Care Management and Community Supports. You will engage members, coordinate care plans, and collaborate with clinicians to align services with goals.

You will travel to client homes and community sites, working under the CalAIM framework to ensure seamless care and outcome tracking. Strong communication and documentation are essential.

Qualifications

• Medical Assistant, CNA, or Behavioral Health paraprofessional with at least 2 years of case management or related experience.
• AA in social work, sociology, human services or related fields preferred, 3-4 years of home health and/or social services case management experience.
• Possess a combination of skills and experience relevant to the role, including case management, social services, healthcare, mental health support, and homelessness intervention.

Responsibilities

• Engages eligible members and offers services where they live or access care.
• Oversee provision of ECM and CS services and update care plans.
• Coordinate with ECM member via phone or in-person for assessment and education visits.
• Collaborate with the member to set Plan goals and coordinate with providers.
• Assist with data input and reporting using case documentation systems.
• Attend trainings and provide updates to staff; develop workflows and protocols.

Skills

Documentation

Multi-tasking

Collaboration

Communication

Computer skills

MS Outlook

MS Word

MS Excel

Travel

Education

AA in social work or related field

Tools

Microsoft Outlook

MS Word

MS Excel

Job description

PneumaCare Health and Wellness seeks a Community Care Coordinator to implement Enhanced Care Management and Community Supports. You will engage members, coordinate care plans, and collaborate with clinicians to align services with goals.

You will travel to client homes and community sites, working under the CalAIM framework to ensure seamless care and outcome tracking. Strong communication and documentation are essential.