ECM Lead Care Manager

Child Care Resource Center • Los Angeles, CA

1d • Onsite

About The Position

The ECM Lead Care Manager serves as the primary point of contact for Managed Care Plan (MCP) members and their support systems, coordinating care across clinical, behavioral health, and community-based services. The role provides whole-person care management to members in the Birth Equity population of focus, including pregnant and postpartum individuals and families with infants up to 12 months old. It emphasizes engagement, assessment, care planning, resource linkage, and collaboration with multidisciplinary care teams to address medical, behavioral, and social determinants of health.

This is a full-time, field-based position involving in-person, community-based, virtual, and telephonic engagement within the service area. Approximately up to 40% local travel is required. The work environment combines office, home, healthcare, and community settings, including family homes, hospitals, parks, and other locations. The typical schedule is Monday through Friday, with the ability to work non-traditional hours, including early mornings, late evenings, and weekends.

Requirements

• One of the following education and experience combinations: bachelor’s degree and two years of relevant case management or care coordination experience; associate of arts degree and three years of relevant experience; or high school diploma or equivalent and four years of relevant experience.
• At least two years of experience working with pregnant individuals, children, and/or parents or caregivers.
• At least two years of experience coordinating services across healthcare, behavioral health, and community systems.
• Computer skills, including web browsing, email, data entry, and word processing.
• Proficiency with Zoom, Adobe Suite, and Windows-based programs, including Microsoft Outlook, Word, Excel, Teams, and PowerPoint.
• If driving on behalf of CCRC, ability to meet approved-driver requirements, including maintaining current auto insurance and a current California Driver’s License, and obtaining DMV clearance.
• Ability to work a non-traditional schedule at times, including early mornings, late evenings, and weekends.
• Successful completion of applicable background and health clearances; additional role-dependent clearances may include Live Scan/DOJ fingerprinting, DMV/MVR clearance, or other listed clearances.

Nice To Haves

• Bachelor’s degree in early childhood education, social work, public health education, psychology, or a related field.
• Two or more years of experience working with pregnant parents and families with children under 12 months old.
• Experience working with Electronic Health Records (EHR), EXYM, and linkages to local community resources.
• Familiarity with trauma-informed care and the effects of domestic violence, child abuse, parental alcohol and/or substance abuse, and perinatal depression on child development, parenting, family, and general functioning, or willingness to be trained.
• Lived experience and a commitment to serving the perinatal population.
• Prior experience as a Community Health Worker, Peer Support Specialist, or in a similar role.
• Bilingual ability; ability to converse, write, and translate in English and Spanish.

Responsibilities

• Partner with a Licensed Clinician to conduct and coordinate multidisciplinary assessments of members’ physical health, behavioral health, oral health, and social support needs, and identify appropriate referrals and community-service linkages.
• Develop, implement, and maintain individualized Care Plans/Action Plans for care coordination, service delivery, and goal tracking.
• Serve as the primary contact for members and designated caregivers, coordinating communication across the multidisciplinary care team.
• Support members in connecting with a primary care provider and identifying an Authorized Representative and/or caregiver; coordinate advocacy with providers and community partners with member consent.
• Deliver services where members live, seek care, or can most easily access them, including office-based, telehealth, and field-based settings.
• Connect members to non-clinical social and health-related services; coordinate transportation and interpreting services; and support engagement through health education, coaching, and appointment accompaniment when appropriate.
• Use Motivational Interviewing, Harm Reduction, and Trauma-Informed Care practices to engage members, support goals, and promote self-management.
• Coordinate transitional care planning with hospitals, emergency departments, and other institutional providers; monitor progress, update goals, and conduct pre-graduation assessments to support transitions or discharge from ECM services.
• Provide health promotion services that encourage healthy lifestyle choices and help members monitor and manage their health.
• Complete required documentation accurately and on time, and comply with legal, ethical, and contractual requirements, including HIPAA, confidentiality, and recordkeeping standards.
• Conduct outreach, engagement, and follow-up with MCP members and support persons to encourage enrollment, participation, and retention in ECM services.
• Complete required screenings and assessments, including ACEs, PHQ-9, GAD-7, and clinical and non-clinical assessments, and document results according to program and MCP requirements.
• Identify barriers to care, such as housing instability, domestic violence, behavioral health needs, and DCFS involvement, and incorporate findings into care planning and coordination.
• Conduct outreach to eligible MCP members using phone calls, mailed information, field visits, and other defined engagement methods to support ECM enrollment.
• Build and maintain collaborative relationships with healthcare providers, social service agencies, and community organizations to identify eligible members and facilitate referrals.
• Attend required staff, team, interdisciplinary care team, and supervision meetings; attend assigned and mandatory trainings, webinars, conferences, and technical assistance meetings; and maintain relevant professional development and certifications.

Benefits

• Medical, dental, vision, and voluntary life insurance.
• Basic life insurance and long-term disability paid for by CCRC.
• Employer contribution and employer match in the 403(b) Retirement Savings Plan, with 100% vesting.
• Vacation and sick time, holidays, and paid winter break.
• Learning and professional development opportunities, including education reimbursement.
• Employee Assistance and Wellness Programs.
• Eligibility to apply for Public Service Loan Forgiveness based on the organization’s 501(c)(3) designation.

What This Job Offers

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