Care Coordinator, Enhanced Care Management

Koinonia Family Services•Concord, CA

2d•Hybrid

About The Position

As a part-time ECM Care Coordinator in the East Bay area, working within Koinonia Family Services' Enhanced Care Management (ECM) program, you will play a key role in connecting individuals to services and resources tailored to meet their unique needs. Your responsibilities will include conducting assessments, developing individualized care plans, overseeing service coordination and referrals, and providing education to help individuals make informed, healthy lifestyle choices. We are seeking candidates with strong bilingual or multilingual proficiency to ensure effective communication with our diverse client base. Enhanced Care Management is a statewide Medi-Cal benefit available to individuals with complex needs. The Care Coordinator will lead the assessment, care plan development and ongoing care management of eligible participants under the supportive guidance of an ECM Supervisor. Our program specifically targets foster youth and other at-risk youth populations, but may also include their family members. The Care Coordinator utilizes motivational interviewing to engage individuals to support them in better managing their chronic conditions. The Care Coordinator actively engages individuals to remove barriers to health, social services, and behavioral health care. This role offers 20-25 hours per week, with shifts typically running from early afternoon to early evening. The position is primarily remote, involving client visits in the field and occasional in-person meetings at the Modesto office. We are seeking someone to provide services in Richmond, Berkeley, Alameda, Oakland, Concord, and surrounding areas.

Requirements

A strong desire to help people in need achieve successful outcomes
Proficient bilingual or multilingual abilities are a plus
Minimum 2 years of case management (or related) experience
Knowledge of community resources
Excellent interpersonal and communication skills
Comfortable talking to people and motivating them to seek services
Ability to collaborate with interdisciplinary teams
Experience with high-needs populations
Proficiency in electronic health records a plus
A high degree of integrity, ethics and confidentiality
Demonstrated ability to work independently and maintain productivity with minimal supervision
Cultural sensitivity and awareness
Valid driver’s license and auto insurance
High school graduate or GED required
Bilingual or multilingual candidates who have at least two years of related work experience in social work, case management, community engagement or customer service.

Nice To Haves

Prior experience as a community health worker, peer support specialist, medical assistant or similar role is a plus.

Responsibilities

Conduct assessments of individuals' needs and formulate individualized care plans
Enthusiastically educate and enroll clients about services, and motivate them to engage in services.
Meet with individuals in their homes to facilitate services
Oversee and ensure the seamless coordination of services, including physical, mental, dental care and social services
Act as the primary liaison between individuals and their healthcare providers, and social services
Stay informed about community resources and actively refer individuals to appropriate services as needed
Maintain regular contact with clients to review and update care plans, and monitor clients' progress and outcomes
Advocate for the needs and rights of clients within healthcare and social service settings
Provide clients and families with resources and guidance on making informed health and lifestyle choices
Document services according to ECM program standards
Work closely with interdisciplinary teams, community partners, and stakeholders to enhance service delivery.