ECM Lead Care Coordinator

Community Action Partnership of Orange County•Orange, CA

1d•$27 - $30•Hybrid

About The Position

The Enhanced Care Management (ECM) Lead Care Coordinator delivers intensive, in-person care management to vulnerable populations, including people and families experiencing homelessness, high utilizers of services, children and youth involved in child welfare, and tenants in CAP OC housing units. The role addresses clinical and non-clinical needs and coordinates all aspects of ECM as part of each member’s multidisciplinary care team. The Lead Care Coordinator also assists with developing and implementing program procedures and oversees the provision of ECM services, including care-plan development and implementation. The position follows a hybrid schedule split among office, field, and remote work. The allocation may vary from week to week and can change based on program needs or the reporting manager’s discretion. Regular travel throughout Orange County is required, generally during the business day, with possible travel to Los Angeles County and the Inland Empire. The employee uses a personal vehicle; travel may also occur during evenings and may include out-of-area or overnight travel. Work locations can include outdoor community settings and varying weather conditions. Workdays and hours may change, and weekend, evening, or holiday work may be required when needed to meet client or production demands. The listed pay range is $27.00–$30.00 per hour. A medical examination, pre-employment physical, drug screen, Live Scan, and background check are required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

Bachelor’s degree in Nursing, Social Work, Public Health, Healthcare Administration, or a related field.
A minimum of 3–5 years of experience in care coordination, case management, or a related healthcare role.
Proven track record working with individuals experiencing homelessness or individuals with chronic conditions.
Valid California driver’s license and a driving record meeting the minimum standards of CAP OC’s insurance carrier.
Proof of vehicle insurance, access to a personal vehicle, and willingness to drive and travel when required.
Knowledge of medical terminology, health insurance plans (including Medicare, Medicaid, and private insurance), and claims processes.
Ability to create individualized comprehensive care or service plans and conduct thorough assessments of medical, social, and psychological needs.
Experience in case management, housing services, and addressing poverty-related issues; ability to coordinate care with healthcare providers.
Competence using assessment tools and methodologies.
Strong verbal and written communication, organizational, time-management, problem-solving, critical-thinking, interpersonal, and relationship-building skills.
Understanding of member privacy laws, such as HIPAA.
Ability to work independently and collaboratively, manage multiple members, and prioritize timely service delivery.
Ability to establish effective working relationships with staff, clients, and representatives of other organizations; demonstrate ethical conduct, inclusion, leadership, attention to detail, accuracy, and efficiency.
Computer literacy, including use of the Internet, web-based databases, Microsoft Office applications, virtual communication platforms, and computer databases for client records, statistics, and reports.
Ability to compile numerical and statistical information and complete mathematical equations and forms for reports or presentations.
Ability to work across office and community locations, including outdoors in varying temperatures and weather conditions; workdays and hours may change, and weekends, evenings, or holidays may be required when needed.
Ability to meet the position’s physical demands, including regularly lifting or moving objects up to 20 pounds.
Successful completion of required medical examination, pre-employment physical, drug screen, Live Scan, and background check.

Nice To Haves

Master’s degree.
Advanced care-management certification, such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ).
Bilingual English/Spanish communication skills, both written and oral.

Responsibilities

Conduct client screenings and assessments; develop, implement, and monitor individualized care and service plans.
Provide crisis intervention and connect clients to health, mental health, employment, housing, transportation, CalAIM community supports, and other community resources.
Supervise the provision of Enhanced Care Management services, including development and implementation of care plans.
Maintain accurate records of service objectives, outcomes, and other services in accordance with established guidelines.
Facilitate communication among interdisciplinary care-team members so they understand clients’ care plans.
Coordinate with clients’ medical, behavioral-health, specialist, housing-navigation, and other providers.
Accompany clients to office visits as needed.
Coordinate with individuals and organizations to provide a seamless client experience and avoid duplication of services.
Use motivational interviewing, trauma-informed care, and harm-reduction approaches.
Monitor clients’ adherence to treatment plans, including medication.
Provide health-promotion and self-management training.
Complete and submit program reports as scheduled or needed.
Engage eligible members.
Perform other duties as assigned.