Care Manager-In person-Contra Costa County, California
About The Position
The Care Manager provides person-centered care management services to eligible members with medical, behavioral health, or social needs. The role includes outreach, engagement, assessment, care planning, care coordination, service navigation, and ongoing follow-up. The Care Manager maintains an active caseload and collaborates with health plans, community partners, service providers, and internal staff to reduce barriers, improve access to services, and support members in achieving wellness goals. This is a field-based role involving regular travel for home visits, community coordination, and partner meetings. The Care Manager must have reliable transportation, be able to meet members safely in community settings, and provide proof of auto liability insurance at the limits required by California. The role requires the ability to perform essential job functions such as lifting 5–10 pounds, and a TB test is required.
Requirements
- High school diploma and equivalent work or lived experience serving similar populations.
- Minimum 1–2 years of experience in case management, community outreach, social services, behavioral health support, or similar member-facing work.
- Experience working with individuals experiencing homelessness, medical complexity, behavioral health needs, or social barriers.
- Strong interpersonal skills and ability to build trust with diverse populations.
- Knowledge of community resources, housing programs, social supports, and care coordination practices.
- Ability to work independently, prioritize responsibilities, and maintain boundaries.
- Strong written and verbal communication skills.
- Proficiency with electronic records and mobile work tools.
- Reliable transportation and ability to meet members safely in community settings.
- Proof of auto liability insurance with limits required by the state of California.
- Ability to perform essential job functions such as lifting 5–10 pounds.
- TB test.
Nice To Haves
- Experience with Medicare/DSNP, Medi-Cal, or safety-net healthcare environments.
- Bilingual/bicultural skills.
Responsibilities
- Conduct outreach and engagement activities to connect eligible members with services.
- Perform comprehensive assessments of member needs related to medical care, behavioral health, housing, transportation, benefits, and social determinants of health.
- Develop person-centered care plans with member input that reflect goals, strengths, barriers, and service coordination needs.
- Provide ongoing care coordination, warm hand-offs, education, and advocacy to support member progress.
- Facilitate communication among members’ support systems, including healthcare providers, social service agencies, health plans, behavioral health, and housing programs.
- Conduct field-based activities, including home visits, office visits, and community outreach.
- Use motivational interviewing, trauma-informed care, and culturally responsive approaches to engage members with varying levels of readiness.
- Assist members with transportation, appointment scheduling, benefits applications, and connections to appropriate programs or services.
- Support transitions such as hospital discharge coordination, navigating new providers, and connecting members to long-term supports.
- Maintain timely and accurate documentation in accordance with internal and external programmatic standards.
- Track member progress toward goals through case notes, care plan updates, and authorized service logs.
- Meet engagement, visit, and contact frequency benchmarks based on acuity and program guidelines.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
