Lead ECM Care Manager: Care Coordination & Housing Support

St. John's Community Health; Gardena (CA); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Free medical, dental & vision

13 paid holidays + PTO

403(b) retirement match

Life insurance

Tuition reimbursement

SEIU union

Flexible Spending Account

Continued workforce development &培训

Career growth

Job summary

St. John's Community Health is seeking a Lead Care Manager to outreach and enroll clients in enhanced care management under ECM.

You will coordinate with leadership, providers, and managed care plans to assess needs of high-acuity patients and connect them with medical, psychiatric, social, and educational services. You will develop care/service plans, oversee program implementation, and ensure team-based, patient-centered care for homeless or at-risk individuals, including billing per managed

Qualifications

• Bachelor's Degree (Preferred) and/or 2-4 years' experience in similar field.
• Bilingual English & Spanish (Preferred).
• CPR Certification required.
• BLS preferred.
• Familiar with managed care plans and/or Medi-Cal.
• Experience with Electronic Health Record systems; eCW preferred.
• Ability to work independently and as part of a team.
• Availability Monday–Friday, with some Saturdays and evenings as needed.

Responsibilities

• Conduct assessments and coordinate all aspects of care, transportation, referrals, and scheduling for patients.
• Promote self-management and link patients to community resources including public benefits.
• Crisis management and patient advocacy.
• Maintain patient files and track appointments, services, and follow-ups per DHCS ECM requirements.
• Serve as liaison between clients and community resources and medical offices.
• Collaborate with medical providers, specialists, therapists, and social workers to develop care plans with SMART goals.
• Attend staff meetings and trainings as required.
• Strengthen clients’ ability to access education, health, and social/behavioral services.

Skills

Bilingual English & Spanish

CPR Certified

Independent worker

Managed care familiarity

Education

Bachelor's Degree (Preferred)

Tools

eCW

Job description

St. John's Community Health is seeking a Lead Care Manager to outreach and enroll clients in enhanced care management under ECM.

You will coordinate with leadership, providers, and managed care plans to assess needs of high-acuity patients and connect them with medical, psychiatric, social, and educational services. You will develop care/service plans, oversee program implementation, and ensure team-based, patient-centered care for homeless or at-risk individuals, including billing per managed