ECM Care Coordinator

Akido•Pomona, CA

About The Position

The ECM Care Coordinator supports members with complex medical and social needs in managing their health and overall wellbeing. The role helps motivate behavioral changes to improve health outcomes through education, peer support, and shared experiences. The coordinator also works alongside Akido’s proprietary technology, including AI-guided tools that support structured medical investigation and informed clinical decision-making. The position involves managing a patient caseload, conducting outreach and enrollment, coordinating care and services, and documenting encounters. Work may include sedentary office duties as well as active, field-based engagement, including walking and standing for extended periods. The role requires travel of 50–75%. The hourly pay range is $28–$28 USD.

Requirements

High school diploma or equivalent.
At least 2 years of experience working with CalAIM populations of focus, including people experiencing homelessness, adults with SMI/SUD, adults transitioning from incarceration, or adults with complex medical needs.
Ability to work in a dynamic, outdoor environment.
Ability to work independently and collaboratively within a team.
Ability to prioritize multiple and competing tasks.
Strong communication skills, including the ability to articulate relevant personal experiences.
Excellent oral communication and interpersonal skills.
Comfort using computers to document information in case management software.
Willingness to travel 50–75%.
Valid driver’s license, automobile insurance, and reliable transportation.

Nice To Haves

Bilingual in English and Spanish is strongly preferred.

Responsibilities

Manage a caseload of patients, including completing assessment forms, developing care plans in partnership with members and clinical teams, and carrying out activities aligned to the care plan.
Build rapport with patients to increase the likelihood of positive behavior changes.
Coach patients to minimize risks associated with identified health conditions and behaviors.
Accompany members to medical and social services appointments.
Connect members to appropriate programs to address barriers to care and enhance compliance.
Link members to local, county, and state services; follow up with members and serve as a patient advocate.
Introduce systems and strategies to promote self-management and self-efficacy.
Document information from every encounter in designated information systems.
Conduct outreach and engage eligible patients to enroll them into the Akido ECM Program.
Perform other duties as assigned.