ECM Lead Care Manager

Vista Del Mar • Los Angeles, CA

3d • Hybrid

About The Position

The Enhanced Care Management (ECM) Lead Care Manager (LCM) is responsible for coordinating care, improving health outcomes, enhancing client satisfaction, and reducing unnecessary healthcare utilization. ECM is a comprehensive, client-centered approach that integrates services across healthcare and social service systems to support individuals with complex or high needs. The LCM plays a key role in developing a coordinated network of services and supports that empower clients to better navigate and manage their care over time.

Requirements

• Bachelor’s degree in social work, psychology, public health, or related field and minimum two (2) years of relevant experience in case management, care coordination, or community outreach OR equivalent combination of education and experience, including at least three (3) years of experience providing outreach or care coordination services within diverse populations
• Experience working with individuals with complex or high needs across health and social service systems
• Strong communication, interpersonal, and relationship-building skills
• Ability to engage individuals and families from diverse cultural and socioeconomic backgrounds
• Ability to travel locally within Los Angeles County and provide field-based services
• Valid driver’s license, reliable transportation, and current auto insurance
• Strong organizational and time management skills
• Passion for supporting maternal and infant health and wellness for birth equity–eligible populations of focus (POFs), with interest in addressing health disparities.
• CPR and First Aid certification (may be obtained upon employment and maintained thereafter)

Nice To Haves

• Bilingual (Spanish/English) strongly preferred
• Experience with electronic health record (EHR) or care management systems
• Knowledge of trauma-informed care, motivational interviewing, and person-centered approaches
• Experience supporting individuals with complex needs or high-acuity care coordination
• Strong crisis response and de-escalation skills

Responsibilities

• Engage eligible clients in ECM services using multiple outreach and engagement strategies, including community-based and in-person approaches.
• Conduct comprehensive assessments of clients’ medical, behavioral, and social needs, and develop, implement, and oversee individualized care plans in collaboration with clients, families, providers, and community resources.
• Monitor and evaluate care plan effectiveness and make adjustments as needed to support client goals and evolving needs.
• Serve as the primary point of contact for clients, families, and care team members, ensuring consistent communication and coordination.
• Lead and coordinate the interdisciplinary care team to ensure integrated care across all providers supporting clients with complex or high needs.
• Coordinate care across multiple providers and systems to ensure seamless integration of services.
• Act as a client advocate, ensuring client needs, preferences, and goals remain central to care planning and decision-making.
• Support client engagement by addressing barriers to care, including appointment coordination, transportation support, reminders, accompaniment to key appointments, and assistance with care navigation needs.
• Maintain regular contact with clients and their identified support persons to promote continuity and stability of care.
• Coordinate and link clients to appropriate community resources and supports based on identified needs.
• Develop and maintain collaborative relationships with community partners and providers to strengthen referral pathways and improve access to coordinated care for ECM-eligible clients.
• Support care transitions and collaborate with internal and external partners to ensure continuity across settings and services.
• Conduct outreach and engagement activities to identify and connect eligible clients to ECM services, with a focus on improving access for underserved and high-need populations.
• Provide field-based services by traveling within Los Angeles County to deliver services in the community where clients live, work, or access services.
• Maintain timely, accurate, and compliant documentation in the Electronic Health Record (EHR), including completion within required timeframes (e.g., within 72 hours), in accordance with agency, contractual, state, and federal requirements.
• Participate in required trainings, meetings, and professional development activities.
• Perform other related duties as assigned.

Benefits

• Medical, Dental, Vision
• FSA/Dependent Care and Supplemental benefits through The Standard
• 403(b) – 3% Employer contribution based off annual salary
• 4 Mental Health Days
• Up to 12 Paid Holidays
• Up to 25% for Cell Phone Discounts with 3 Major Carriers (AT&T, Verizon, Sprint)

What This Job Offers

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