Senior Case Manager & ECM Lead

LifeLong Medical Care; Berkeley (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

LifeLong Medical Care is seeking a Case Manager IV to support patients with multiple complex care needs. You will conduct outreach, assess psychosocial needs, and help develop patient-centered care plans across home, clinic, and community settings.

You will lead Enhanced Care Management implementation, coordinate referrals, and provide housing navigation, with a focus on coordinating care for individuals with HIV/AIDS, chronic conditions, homelessness, and social needs.

Qualifications

• Commitment to working directly with low-income persons from diverse backgrounds in a culturally responsive manner.
• Commitment to harm reduction, housing first, and patient-centered care.
• Strong organizational and problem-solving skills with flexibility to adapt to change.

Responsibilities

• Outreach to patients via telephone and in person at LifeLong sites and communities to assess eligibility and engage care.
• Develop and maintain patient-centered care plans with input from patients and caregivers.
• Coordinate referrals to internal and external resources and assist with applications and releases of information.
• Maintain caseloads per LifeLong standards and use data registries to manage care and meet program requirements.
• Provide health education, harm reduction, and disease risk mitigation strategies to empower patient self-management.
• Lead housing navigation and connect patients to Coordinated Entry resources and housing supports.

Skills

Outreach

Care management

Care coordination

Data management

Harm reduction

Communication

Education

Bachelor’s degree in Social Work or related field

CADC certification or CA registration

Tools

Microsoft Office

EHR/HMIS systems

Data analysis tools

Job description

LifeLong Medical Care is seeking a Case Manager IV to support patients with multiple complex care needs. You will conduct outreach, assess psychosocial needs, and help develop patient-centered care plans across home, clinic, and community settings.

You will lead Enhanced Care Management implementation, coordinate referrals, and provide housing navigation, with a focus on coordinating care for individuals with HIV/AIDS, chronic conditions, homelessness, and social needs.