LEAD CARE MANAGER (South Bay Coverage)

Blehealth, Llc; Carson (CA); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Mileage reimbursement

Free life insurance

401(k) eligibility

Job summary

BLEHEALTH is seeking a Lead Care Manager to coordinate care for chronically ill and high-risk members in the South Bay area within the ECM program. This role involves conducting field visits, coordinating with providers, families, and community resources, and ensuring adherence to Medi-Cal ECM guidelines.

The ideal candidate will have strong care coordination, time management, and communication skills, with a valid CA driver’s license and CPR certification.

Qualifications

• Valid California driver's license, auto insurance, and a clean driving record.
• Reliable personal vehicle within a 20-mile radius.
• Ability to visit hospitals, member homes, and community locations for ECM services.
• Negative TB test and CPR certification.
• Live Scan background check completion.
• Ability to meet daily productivity expectations.

Responsibilities

• Coordinate care across clinics, hospitals, specialists, and community agencies to ensure seamless service and avoid duplication.
• Oversee ECM services delivery and ensure implementation of individualized care plans.
• Provide services where the member lives and seeks care with cultural awareness.
• Assess unmet medical, behavioral, and social needs and develop comprehensive care plans.
• Support access to medical, behavioral health, and specialty care, and arrange transportation.
• Accompany members to office visits, maintaining professional boundaries.
• Monitor treatment adherence and medication compliance.
• Provide health promotion and culturally/linguistically appropriate education.
• Promote timely access to care and reduce ER visits and readmissions through quality improvement.
• Use motivational interviewing and trauma-informed care to build trust.
• Increase member capacity for self-management and shared decision-making.
• Connect members to community resources to improve health and well-being.
• Apply crisis navigation skills for urgent or complex needs.
• Serve as primary point of contact for members, caregivers, providers, payers, and partners.
• Maintain relationships with primary and specialty providers for transitions of care.
• Work with hospital staff on discharge planning and follow-up.
• Facilitate and attend meetings with members and providers.
• Communicate with members via face-to-face, email, phone, text, and other approved methods.
• Work independently and with diverse teams, showing teamwork and organization.
• Identify high-risk members and add to registry or EHR.
• Monitor care plan adherence and adjust plans as needed.
• Maintain accurate documentation and meet productivity expectations (min 30 schedules per day).
• Attend ECM trainings and meetings.
• Provide feedback to support program improvement.
• Ensure services align with MCP guidelines.
• Use Microsoft Office and other systems to support documentation and reporting.
• Handle PHI in compliance with HIPAA.
• Follow BLE Health’s password and data-security protocols; limit personal tasks and errands to designated breaks.

Skills

Driving within service area

Care coordination

Communication skills

HIPAA compliance

Time management

Cultural sensitivity

Education

Associate or bachelor’s degree in health science or related field

Tools

Microsoft Office (Word, Excel, PowerPoint)

Job description

BLEHEALTH is seeking qualified candidates who reside within the South Bay service area and are able to work exclusively within this geographic region. Candidates must live in or near ZIP codes 90230–90293, 90731–90755, and 90801–90899, and must demonstrate reliable access to the South Bay community for field‑based duties, member visits, provider coordination, and in‑person engagements as required.

Job Description

The Lead Care Manager plays a vital role in supporting chronically ill and high‑risk members by coordinating care, reducing barriers, and improving health outcomes. This position works in continuous partnership with members, families/caregivers, providers, hospitals, and community resources to deliver high‑quality, person‑centered Enhanced Care Management (ECM) services.

Key Responsibilities

Care Coordination & Member Support

• Coordinate care across clinics, hospitals, specialists, and community agencies using strong care coordination, case management, and organizational skills to ensure a seamless experience and avoid duplication of services.
• Oversee the delivery of ECM services and ensure implementation and follow‑through of individualized care plans, applying project management and prioritization skills.
• Provide services where the member lives, seeks care, or feels most comfortable, demonstrating flexibility, cultural awareness, and strong interpersonal skills.
• Assess unmet medical, behavioral, and social needs and develop comprehensive care plans using critical thinking, problem‑solving, and clinical judgment.
• Support access to medical, behavioral health, and specialty care; arrange transportation and assist with appointment scheduling using effective communication and coordination abilities.
• Accompany members to office visits when appropriate, maintaining professional boundaries and member‑centered engagement.
• Monitor treatment adherence, including medication compliance, using attention to detail and follow‑through.
• Provide health promotion, self‑management coaching, and culturally/linguistically appropriate education using motivational interviewing and trauma‑informed care techniques.
• Promote timely access to care, preventive services, and reduced emergency room utilization and hospital readmissions through proactive planning and quality‑improvement practices.

Member Engagement & Health Promotion

• Use motivational interviewing, trauma‑informed care, and harm‑reduction approaches to build trust and support behavior change.
• Increase member capacity for self‑management and shared decision‑making through clear communication and coaching skills.
• Connect members to relevant community resources to improve health, stability, and overall well‑being using resource navigation and problem‑solving abilities.
• Apply crisis navigation skills when members present with urgent or complex needs.

Collaboration & Communication

• Serve as the primary point of contact, advocate, and informational resource for members, caregivers, providers, payers, and community partners using strong interpersonal and relationship‑building skills.
• Maintain strong relationships with primary care and specialty providers, ensuring timely communication and coordination during transitions of care through professional collaboration and follow‑up.
• Work closely with hospital staff on discharge planning and follow‑up using effective teamwork and care‑transition management.
• Facilitate and attend meetings between members, caregivers, providers, and community partners as needed, demonstrating clear communication and facilitation skills.
• Communicate with members through face‑to‑face visits, secure email, phone calls, text messages, and other approved methods using professional communication and documentation skills.
• Work independently and collaboratively with diverse teams, applying team‑building, adaptability, and strong organizational skills.

Program Support & Compliance

• Identify high‑risk members and ensure they are added to the registry or flagged in the EHR, demonstrating strong data accuracy and attention to detail.
• Monitor care plan adherence, evaluate effectiveness, and adjust plans as needed using quality‑improvement principles and analytical skills.
• Maintain accurate, timely documentation and meet productivity expectations, including a minimum of 30 schedules per day, supported by effective time‑management and prioritization abilities.
• Attend all required ECM trainings, webinars, and meetings, applying continuous learning and change‑management skills to daily practice.
• Provide feedback to support ongoing improvement of the ECM program using critical thinking and process‑improvement tools.
• Ensure all services are delivered in accordance with Medi‑Cal Managed Care Plan (MCP) guidelines, demonstrating regulatory awareness and compliance discipline.
• Use Microsoft Office (Word, Excel, PowerPoint) and other systems effectively to support documentation, reporting, and communication.
• Handle all Protected Health Information (PHI) in full compliance with HIPAA; public or shared spaces may not be used for work at any time.
• Follow BLE Health’s password and data‑security protocols, including secure storage, device protection, and regular password updates.
• Limit personal tasks and errands to designated break and lunch periods to maintain productivity and workflow integrity.

Qualifications

Required

• Valid California driver’s license, active auto insurance, and a clean driving record
• Reliable personal vehicle and ability to drive within a 20‑mile radius of your local service area as needed.
• Be able to visit hospitals, member homes, and community locations as needed to support field‑based Enhanced Care Management services.
• Negative TB test and current CPR certification prior to hire.
• Successful completion of a Live Scan fingerprint/background check.
• Ability to consistently meet daily productivity expectations.

Preferred

• Associate or bachelor’s degree in health science, social services, or a related field.
• Experience as a Social Worker, LVN, or in case management.
• Familiarity with CalAIM, Enhanced Care Management (ECM), or Medi‑Cal managed care programs.

Benefits

Immediate Benefits

• Mileage reimbursement provided per applicable state and federal guidelines.

Benefits After 90‑Day Probationary Period

• Free life insurance.
• 401(k) eligibility after 1,000 hours of service.