CalAIM Case Manager

Abrazar Inc•Westminster, CA

2d•$23 - $27•Onsite

About The Position

The Lead Care Manager plays an essential role in supporting Medi-Cal members with complex health and social needs on their path toward improved health, stability, and well-being. Through CalAIM’s Enhanced Care Management (ECM) program, this position provides direct care coordination and navigation services, including comprehensive assessment, individualized care planning, service coordination, referral follow-up, and ongoing member support. Guided by a person-centered, trauma-informed, and culturally responsive approach, the Lead Care Manager collaborates with members, providers, health plans, and community organizations to remove barriers to care, strengthen access to services, and promote better health outcomes. This role is ideal for a compassionate and skilled professional who is passionate about health equity, whole-person care, and creating lasting change in the lives of the individuals and families we serve. We welcome applicants who are compassionate, organized, and dedicated to improving the health and well-being of individuals and families with complex needs. Candidates with experience in care management, case management, healthcare navigation, behavioral health, social services, or care coordination are encouraged to apply.

Requirements

Have knowledge of chronic medical conditions, mental health, substance use, homelessness, and the social drivers of health.
Demonstrate strong care management and documentation skills, including assessment, care planning, coordination, and progress monitoring.
Apply a person-centered, trauma-informed, and culturally responsive approach when working with members.
Coordinate care across physical health, behavioral health, and social service systems to support whole-person care.
Have experience navigating healthcare systems, health insurance, and/or public benefits such as Medi-Cal, CalFresh, and CalWORKs.
Communicate effectively and build strong relationships with members, providers, and community partners.
Engage members through in-person, telephonic, and virtual outreach, including field-based services as needed.
Identify and address barriers to care, access, and engagement through problem-solving and advocacy.
Be highly organized, detail-oriented, and able to manage multiple priorities in a fast-paced environment.
Handle confidential information in accordance with HIPAA and program requirements.
Thrive in dynamic environments and adapt to changing priorities and member needs.
Work both independently and collaboratively within a multidisciplinary team.
Demonstrate a strong commitment to Abrazar’s mission and the communities we serve.
Be available for occasional evenings, weekends, and rotating on-call or phone coverage as needed.
Authorization to work in the United States
CPR and First Aid certification, or willingness to obtain certification
Successful completion of a TB test, background screening, and drug test
Have reliable transportation
Possess a valid driver’s license
Provide proof of current auto insurance and vehicle ownership for any personal vehicle used for work duties
Be able to qualify for coverage under Abrazar’s automobile insurance policy
Must be able to sit, stand, and walk frequently, including for extended periods during meetings, trainings, conferences, and community events held in the office or at offsite locations.
Must be able to work effectively in a standard office environment and move throughout the workspace to complete daily tasks, including accessing files, supplies, and office equipment.
Must be able to communicate clearly, accurately, and professionally in person, by phone, and in virtual settings.
Must be able to transport a laptop, files, and other work-related materials to and from meetings and community locations.
Must be able to drive to meet with members, providers, and community partners at various locations.
Must have sufficient manual dexterity to use a computer, write notes, operate office equipment, complete documentation, and manage files and paperwork.
Must have sufficient visual ability to read printed and electronic documents.
Must be able to independently analyze information, exercise sound judgment, solve problems, and make appropriate decisions in carrying out job duties.
Frequently required to use hands and fingers and to talk and hear.
Occasionally required to bend, stoop, kneel, crouch, climb, or balance.
Occasionally exposed to outdoor weather conditions and varying temperatures while traveling to off-site locations.
The noise level in the work environment is usually moderate.
Must be able to occasionally lift and/or move up to 50 pounds.

Nice To Haves

Two to three years of experience in care management, case management, healthcare navigation, or a related field.
Training in Motivational Interviewing, Trauma-Informed Care, Crisis Intervention, De-escalation, Harm Reduction, Domestic Violence, Substance Use, or Suicide Prevention.
Experience in community outreach, engagement, and partnership development.
Experience using electronic health records (EHR) or case management systems; experience with Efforts to Outcomes is a plus.
Strong computer skills, including Microsoft Office (Word, Excel, PowerPoint), with intermediate to advanced Excel proficiency.
Knowledge of local resources and services available in Orange County.
A bachelor’s degree in social work, human services, public health, or a related field (preferred).
Bilingual skills in English and Spanish or English and Vietnamese.
Availability to work occasional Saturdays.

Responsibilities

Provide direct care management and referral services to a caseload of approximately 30 members, including crisis intervention and health education.
Conduct comprehensive initial and ongoing assessments to identify needs across medical, behavioral health, substance use, housing, financial, and other social drivers of health.
Develop and implement individualized, person-centered care plans in collaboration with members and service providers, in alignment with CalAIM ECM standards.
Coordinate care across healthcare providers, behavioral health services, and community-based organizations to ensure seamless, integrated support.
Partner with medical professionals to support members managing chronic conditions such as diabetes, asthma, heart disease, hypertension, behavioral health conditions, and HIV.
Maintain consistent member engagement through in-person and virtual visits, providing ongoing support and monitoring progress toward care plan goals.
Connect members to public benefits, community resources, and supportive services to improve access to care and long-term stability.
Accurately document all assessments, care plans, services, and member interactions in compliance with program and funder requirements.