Lead Care Manager- 249196

Medix™; Monterey (CA); On-site; USD 50,000 - 70,000; Full time

Job summary

A healthcare organization is seeking a Lead Care Manager in Monterey, California. This role is focused on supporting members enrolled in the CalAIM Enhanced Care Management program through community-based case management and care coordination. Ideal candidates will have a background as a Medical Assistant, Certified Nursing Assistant, or Community Health Worker, and must possess a valid driver's license and reliable transportation. Bilingual candidates are preferred. The position involves significant community interaction and home visits.

Qualifications

• Experience in community health roles such as MA, CNA, or CHW.
• Ability to conduct home visits and navigate housing services.
• Valid driver's license and reliable transportation.

Responsibilities

• Provide case management and support for ECM program members.
• Conduct community outreach and engagement activities.
• Coordinate housing navigation services and conduct home visits.
• Support members in accessing resources and benefits.

Skills

Compassionate care

Community engagement

Resource navigation

Understanding insurance benefits

Education

Medical Assistant (MA)

Certified Nursing Assistant (CNA)

Community Health Worker (CHW)

Job description

Position Overview

We are seeking compassionate and driven Lead Care Managers to support members enrolled in the CalAIM Enhanced Care Management (ECM) program. Lead Care Managers are assigned to enrolled members to coordinate services, provide resource navigation, and address social determinants of health through a whole-person, person-centered approach.

This role is highly community-based, with approximately 90% of work conducted in members’ homes, as well as hospitals, shelters, and clinics. Telehealth services may be provided when appropriate based on member preference or scheduling needs.

Key Responsibilities

• Provide community-based case management, care coordination, and member support for individuals enrolled in the CalAIM Enhanced Care Management (ECM) program
• Conduct outreach and engagement activities, including tabling and community events, and collaborate with team members to engage hard-to-reach or socially isolated members
• Coordinate housing navigation services, including housing assessments, individualized housing support plans, security deposit assistance, utility setup, and education on landlord/tenant rights
• Conduct health and safety home visits and unit habitability inspections in members’ homes, as well as visits to hospitals, shelters, and clinics; provide telehealth services as appropriate
• Support members in accessing community resources, benefits advocacy, and public assistance, including obtaining identification and documentation and supporting SSI eligibility and application processes
• Enroll new members into the CalAIM program and maintain accurate, compliant documentation and housing charts in accordance with agency and contractual requirements
• Educate and guide members in understanding, navigating, and utilizing their insurance benefits to address social determinants of health and complex care needs

Required Qualifications

• Medical Assistant (MA), Certified Nursing Assistant (CNA), or Community Health Worker (CHW) background and experience
• Reside within the county and have the ability to travel locally
• Valid driver’s license, clean driving record, active car insurance, and reliable transportation

Preferred Qualifications

• Bilingual in Spanish (preferred, not required)
• Field-based role with frequent home, community, hospital, shelter, and clinic visits
• Combination of in-person services and telehealth, depending on member needs