ECM Care Coordinator

Akido

10h•$28 - $28

About The Position

The Community Health Worker (CHW) will support members with complex medical and social needs with managing their own health and wellbeing. CHW will assist in motivating behavioral changes in patients to improve health outcomes in members through education, peer support, and the relaying of shared experiences. This role offers the opportunity to work alongside Akido’s proprietary technology, including AI-guided tools that support structured medical investigation and informed clinical decision-making.

Requirements

High School Diploma or equivalent
2+ years of experience with and comfort working with CalAIM populations of focus (people experiencing homelessness, adults with SMI/SUD, adults transitioning from incarceration, adults with complex medical needs)
Ability to work in a dynamic, outdoors environment
Ability to work independently as well as part of a team
Ability to prioritize multiple and competing tasks
Ability to communicate effectively, including articulating one’s own relevant personal experiences
Excellent oral communication skills, as well as strong interpersonal skills
Ability to use computers to document information into case management software
Travel 50-75% – must have a valid driver’s license, automobile insurance and reliable transportation

Nice To Haves

Bilingual in English and Spanish strongly preferred

Responsibilities

Manage a caseload of patients. This includes completing assessment forms with them, developing care plans for patients (with patients and clinical teams), and carrying out activities according to the care plan.
Build rapport with patients with a goal of increasing the likelihood of positive behavior changes.
Coach patients to minimize risks associated with the identified common health conditions and behaviors.
Accompany members to medical and social services appointments.
Connect members to appropriate programs to address barriers to care and to enhance compliance.
Link members to local, county and state services. Follow up with members and serve as a member advocate.
Introduce systems to promote self-management & self-efficacy.
Document information from every encounter in designated information systems.
Outreach and engage with eligible patients to enroll them into the Akido ECM Program.
Other duties as assigned.