Case Manager I
About The Position
The Case Manager I provides entry-level Enhanced Care Management (ECM) and Community Supports (CS) services to Medi-Cal members enrolled through IEHP and Molina Healthcare under California's CalAIM initiative. The Case Manager I serves as the primary point of contact for assigned members, conducts outreach and engagement, completes comprehensive needs assessments, and coordinates whole-person care across physical health, behavioral health, social services, and community-based supports. This role is ideal for early-career professionals beginning their case management careers under close clinical and programmatic supervision. Caseload of approximately 40 to 60 lower-acuity ECM members, with primary focus on Populations of Focus including individuals experiencing homelessness, individuals at risk of avoidable hospital or emergency department use, adults with serious mental illness or substance use disorder needs (lower complexity), and transition-age youth. CS coordination includes Housing Transition Navigation Services, Housing Deposits, Housing Tenancy and Sustaining Services, Medically Tailored Meals, Personal Care and Homemaker Services, Recuperative Care, and Sobering Centers, as authorized by the Managed Care Plan.
Requirements
- Foundational understanding of CalAIM, Medi-Cal managed care, social determinants of health, and trauma-informed care principles.
- Strong interpersonal and engagement skills with diverse populations.
- Basic proficiency with electronic health records, Microsoft Office, and care coordination platforms.
- Ability to work in community settings including member homes, shelters, hospitals, and SNFs.
- High school diploma or equivalent required; no degree required.
- One (1) or more years of relevant experience in case management, community health work, social services, peer support, outreach, or a related field required — lived experience with the populations served (housing instability, justice involvement, behavioral health) is valued and may substitute for formal work experience.
- Must possess a valid California driver's license, reliable transportation, and proof of auto insurance.
- Must clear LiveScan background check and TB clearance prior to start date.
Nice To Haves
- College coursework or a degree in Social Work, Psychology, Public Health, or Human Services is a plus but not required.
- CHW Certification a plus, or willingness to obtain within 90 days of hire.
- Bilingual (English/Spanish) preferred.
Responsibilities
- Conduct in-person and telephonic outreach to assigned ECM members in compliance with IEHP and Molina contact frequency standards.
- Complete CalAIM-compliant comprehensive assessments and develop individualized Care Plans in coordination with the member, the multidisciplinary care team, and the assigned ECM Lead Care Manager.
- Coordinate referrals and work with the ECM provider on Community Supports, primary care, behavioral health, housing services, and other community-based organizations.
- Document all member encounters, care plan updates, and care coordination activities in the electronic health record within required timeframes (typically 24 to 48 hours of contact).
- Participate in interdisciplinary care team (ICT) meetings and case conferencing.
- Support members during care transitions, including hospital and skilled nursing facility (SNF) discharges.
- Maintain accurate records to support Managed Care Plan reporting, encounter data submission, and audit readiness.
- Adhere to HIPAA, 42 CFR Part 2, and all applicable confidentiality requirements.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
