Care Coordinator, Enhanced Care Management

Koinonia Family Services -•Concord, CA

1d•Hybrid

About The Position

The Enhanced Care Management (ECM) program is a statewide Medi-Cal benefit designed to assist individuals with complex needs. As an ECM Care Coordinator at Koinonia Family Services, you will lead the assessment, care plan development, and ongoing care management for eligible participants, with support from an ECM Supervisor. This role primarily targets foster youth and other at-risk youth populations, and may also include their family members. The Care Coordinator utilizes motivational interviewing techniques to engage individuals and support them in managing their chronic conditions, actively working to remove barriers to health, social services, and behavioral health care. This is a part-time position, initially offering 20-25 hours per week, with the potential for hours to increase or decrease based on client assignments and business needs. Shifts are generally scheduled during normal business hours and may extend into the early evening, with some flexibility available.

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, reliable personal vehicle and auto insurance
High school graduate or GED required.

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 or agreed upon locations in the community 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.