Case Worker - CalAIM

Wellpath • Dublin, CA

4d • Onsite

About The Position

The CalAIM Case Worker supports the successful reintegration of CalAIM-eligible individuals by helping coordinate the development and execution of reentry care plans under the direction of the RN Discharge Planner. This role assists with Medi-Cal eligibility screenings and identifies individuals who qualify for CalAIM Justice-Involved services. The position works closely with managed care plans, in-reach providers, and community partners to coordinate timely communication and service delivery. The role helps ensure individuals are connected to needed services and supports as they transition back into the community.

Requirements

• Must maintain CPR certification, and any other certifications (such as First Aid) required by contract.
• Strong communication, documentation, and coordination skills, as well as a working knowledge of Medi-Cal processes and CalAIM policy requirements, are essential.

Nice To Haves

• Bachelor's degree in Social Work, Business Administration, or other health-related fields from an accredited college or university is preferred
• Previous experience in developing successful transition plans involving community resources for persons with medical, substance use, and/or mental illness is preferred.

Responsibilities

• Coordinate with Medi-Cal eligibility technicians and Health and Human Services staff to support appropriate activation of Justice-Involved aid codes and service timing.
• Gather clinical and logistical information, monitor release dates, document consents, and support continuity-of-care handoffs.
• Ensure timely documentation in the EHR and coordinate with in-reach partners and Medi-Cal eligibility staff to support service delivery.
• Activate Justice-Involved aid codes in the state reentry portal in accordance with required release timelines.
• Support continuity of care and compliance with CalAIM requirements under the clinical oversight of the RN Discharge Planner.

Benefits

• Comprehensive benefits including medical, dental, vision, paid time off, and 401k
• DailyPay, receive your money as you earn it!
• Tuition Assistance and dependent Scholarships
• Employee Assistance Program (EAP) including free counseling and health coaching
• Company paid life insurance
• Tax free Health Spending Accounts (HSA)
• Wellness program featuring fitness memberships and product discounts
• Preferred banking partnership and discounted rates for home and auto loans

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level