ECM Lead Care Manager (4618)

Mercy House; Santa Ana (CA); On-site; USD 32,000 - 33,000; Full time

Benefits offered by this job

100% employer-paid medical insurance

Dental and vision coverage

PTO

FSA

Employee Assistance Program (EAP)

403(b) retirement plan with up to 3% (

Employee referral program

Mileage reimbursement

Training and orientation

Professional growth opportunities

Job summary

Mercy House in Santa Ana, CA seeks an ECM Lead Care Manager to coordinate medical and social supports for members facing homelessness. You will manage ~17–25 clients, develop personalized care plans, and collaborate with a multidisciplinary team to reach health and housing outcomes.

The role requires a Bachelor’s in Social Work or related field and at least 1 year of care coordination experience, with Spanish valued. Proficiency in Microsoft Office and HMIS is preferred.

Qualifications

• Bachelor’s Degree in Social Work (or related field) preferred.
• Minimum 1 year in care coordination or case management preferred, esp. with homelessness or high utilizers of hospital services.
• Spanish language ability is highly valuable.
• Proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint) required.

Responsibilities

• Manage a caseload of ~17–25 members, develop Care Plans with goals.
• Conduct outreach and enroll eligible members in ECM services.
• Provide services at member locations and coordinate transportation as needed.
• Advocate with healthcare providers and assist with discharge planning.
• Coordinate care with hospitals, behavioral health and LTSS providers.
• Maintain thorough documentation and support data collection and reporting.

Skills

Spanish language (valued)

Outreach and engagement

Care coordination

Education

Bachelor’s Degree in Social Work or related field

Tools

Microsoft Office

HMIS Data Entry/CalOptima Health

Job description

Job Details:
Job Location: Santa Ana, CA 92705
Position Type: Full Time
Education Level: 4 Year Degree
Salary Range: $23.00 - $24.00 Hourly
Job Shift: Day
Status: Full‑Time, Non‑Exempt
Schedule: Monday – Friday 8:30 a.m. – 5:00 p.m.

Mission Statement

"To be a leader in ending homelessness by providing a unique system of dignified housing opportunities, programs, and supportive services."

Benefits Offered

• 100% employer‑paid medical insurance at base tier
• Voluntary dental and vision coverage
• Paid Time Off (PTO)
• Flexible Spending Account (FSA)
• Employee Assistance Program (EAP)
• 403(b) retirement plan with up to 3% employer matching
• Paid on‑the‑job training and orientation
• Mileage reimbursement
• Employee referral program
• Opportunities for professional growth and advancement

Job Summary

The Enhanced Care Management (ECM) Lead Care Manager coordinates medical and non‑medical supportive services to meet the needs of each member. Services include physical, behavioral, dental, developmental, oral health, long‑term services and supports (LTSS), Specialty Mental Health Services, Drug Medi‑Cal/Drug Medi‑Cal Organized Delivery System programs, Community Supports, and other resources addressing social determinants of health (SDOH)—regardless of the care setting. The ECM Lead Care Manager collaborates closely with the CalAIM Community Supports Program to deliver team‑based, patient‑centered care for clients experiencing or at risk of homelessness.

Essential Duties and Responsibilities

Client / Service Delivery

• Manage a caseload of approximately 17–25 members, completing Health Needs Assessments and developing individualized Care Plans with measurable goals.
• Conduct outreach, engage, and enroll eligible members in ECM services, addressing barriers to access and care.
• Provide services at locations convenient for the member, including residences or places where they seek care, in alignment with CalOptima Health guidelines.
• Assist members with care engagement, medication reconciliation, scheduling and reminders, coordinating transportation, and attending critical medical visits when needed.
• Advocate on behalf of members with healthcare providers and assist with hospital discharge planning.
• Coordinate care with hospitals, behavioral health providers, specialists, dental providers, LTSS entities, and Community Supports partners.
• Utilize trauma‑informed care and motivational interviewing techniques to engage members.
• Monitor treatment adherence, including medication compliance.
• Provide health education, self‑management support, and care navigation to empower members.
• Communicate member updates, needs, and concerns to the multidisciplinary care team to enhance care outcomes.
• Perform additional duties as assigned or modified to support program goals.

Team / Staff Relations

• Collaborate as a team member within Mercy House, supporting the organization’s mission and core values.
• Participate in internal and external meetings and contribute to planning resident‑focused programs.
• Maintain adaptability in a fast‑paced, team‑based environment while demonstrating empathy, reliability, and effective communication with diverse populations.

Administration

• Maintain thorough and timely documentation for all assigned members, including Health Needs Assessments and Care Plans.
• Support data collection and reporting requirements.
• Ensure timely completion of all assigned tasks and meet documentation deadlines.
• Utilize technology and software tools proficiently (Microsoft Word, Outlook, Excel, PowerPoint) and any position‑specific systems.
• Respond to emails and phone inquiries promptly and manage workload independently while prioritizing responsibilities.

Qualifications Requirements

Education and Experience

• Education: Bachelor’s Degree in Social Work (or related field) preferred.
• Experience: Minimum of 1 year in care coordination or case management strongly preferred, especially with individuals or families experiencing homelessness, high utilizers of hospital or emergency services, serious mental illness (SMI) or substance use disorders (SUD), adults transitioning from nursing facilities to community settings, and adults with intellectual or developmental disabilities.
• Preferred educational background: Experience working in recovery, mental health, and co‑occurring disorders.
• For candidates without a BA/BS degree: At least 2 years of relevant experience working with individuals experiencing long‑term homelessness, low‑income backgrounds, and diverse populations, with a working knowledge of mental health and substance use issues.
• Preferred skills: Outreach and engagement, care planning, care coordination, health promotion, transitional care support, member and family education, and linkage to social services.
• Experience with HMIS Data Entry/CalOptima Health highly preferred.
• Preferred strategies: Housing First and harm reduction models, Motivational Interviewing, Patient‑Centered and Trauma‑Informed Care, Crisis Intervention, and Prevention strategies.
• Computer literacy: Proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint) required.

General

• Valid CA driver’s license, proof of insurance and a reliable vehicle required. Comfortable using own vehicle for home visits and community outreach.
• Ability to work effectively with a diverse population, plan, organize, and prioritize duties, and provide crisis intervention as needed.
• Excellent verbal and written communication skills, maintaining a positive, professional, and safe environment.
• Dependability, responsibility, and respectful communication mandatory.
• Fluency in Spanish is highly valuable.

Physical Requirements

• Ability to lift items weighing up to 50 pounds.
• Prolonged periods of sitting at a desk and working on a computer.

E‑Verify Participation

Mercy House is an E‑Verify employer. E‑Verify is an internet‑based system operated by the Department of Homeland Security in partnership with the Social Security Administration to electronically verify the employment eligibility of newly hired employees in the United States.

E‑Verify Participation Poster: https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf
E‑Verify Right to Work Poster: https://www.e-verify.gov/sites/default/files/everify/posters/IER_RightToWorkPoster%20Eng_Es.pdf