Care Coordinator - Recuperative Care, Housing & Enhanced Care Management

Anchor Co-Living•Sacramento, CA

1d•Hybrid

About The Position

Anchor Co-Living is seeking a compassionate and highly organized Care Coordinator to support members through recovery, connect them to critical resources, help them navigate the path to housing, and build the skills they need to remain stable. This role involves supporting members through multiple stages of their journey, including Recuperative Care, Housing Navigation, Housing Tenancy & Sustaining Services, and Enhanced Care Management. The Care Coordinator acts as a coordinator, advocate, problem-solver, and steady hand, ensuring accurate and timely documentation of all interactions and interventions.

Requirements

LVN or higher clinical credential
Experience in care coordination, case management, or community-based services
Strong written and verbal communication skills
Strong, timely, and accurate documentation habits
Experience working in EMR systems
Ability to coordinate across multiple providers, organizations, and priorities
Strong follow-through and attention to detail
Ability to learn quickly, take ownership, document carefully, and follow things through to completion.

Nice To Haves

Experience working within CalAIM
Experience with Recuperative Care
Housing Navigation experience
Housing Tenancy & Sustaining Services experience
Enhanced Care Management experience
Managed care plan reporting experience
Authorization tracking and renewal experience
Experience collaborating with healthcare providers, MCPs, and community-based organizations

Responsibilities

Conduct and document daily member check-ins in the EMR.
Coordinate meals and other essential needs for Recuperative Care members.
Communicate and coordinate with healthcare providers and community partners.
Facilitate referrals to appropriate services and resources.
Help members arrange transportation to medical appointments.
Upload and maintain required documentation in member records.
Track authorizations and ensure they are renewed before they lapse.
Support managed care plan reporting and other MCP requirements.
Become knowledgeable about local housing resources and help members identify opportunities such as income-based housing, affordable housing, room-share opportunities, transitional housing, permanent housing, housing assistance programs, and community-based housing resources.
Help members navigate housing applications, understand next steps, and connect with the right organizations.
Work with members to strengthen everyday skills for successful independent living, including budgeting, managing household expenses, communicating with landlords and roommates, cleaning and maintaining a living space, organization, household management, independent-living skills, healthy communication, and conflict resolution.
Help identify challenges early and work with members on practical solutions to prevent housing crises.
Coordinate medical, behavioral health, and social services.
Work directly with members to identify health, social, and economic goals.
Develop individualized care plans.
Turn goals into measurable, actionable steps.
Track progress and adjust plans as circumstances change.
Coordinate referrals and follow through to confirm services were received.
Document engagement, interventions, barriers, and progress in the EMR.
Collaborate with providers, MCPs, community organizations, and other members of the care team.