Care Coordinator, Enhanced Care Management

Koinonia Family Services -•Sacramento, CA

1d•Hybrid

About The Position

As a part-time ECM Care Coordinator with Koinonia Family Services, you will serve clients throughout the Greater Sacramento region, including Sacramento County and Placer County. This role is crucial in connecting individuals, particularly foster youth and other at-risk youth populations, to services and resources tailored to their unique needs. You will lead the assessment, care plan development, and ongoing care management of eligible participants under the guidance of an ECM Supervisor. Utilizing motivational interviewing, you will engage individuals to support them in managing chronic conditions and removing barriers to health, social services, and behavioral health care. This is a part-time role offering 25-28 hours per week, with a variety of shifts available, including afternoons and early evenings, and remote work options between in-person sessions.

Requirements

A strong desire to help people in need achieve successful outcomes
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
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
At least two years of related work experience in social work, case management, community engagement or customer service.
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.
Prior ECM experience (for higher pay rate)

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.