ECM Lead Care Manager

Child Care Resource Center•Palmdale, CA

3d•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 for members in the Birth Equity population of focus, including pregnant and postpartum individuals and families with infants up to 12 months old. Work includes 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 role involving in-person, community-based, virtual, and telephonic engagement within the service area. Approximately up to 40% local travel is required. Services may be delivered in an office, at home, in hospitals, parks, or other accessible community settings; the work also includes working from home and virtual visits. The schedule is typically Monday through Friday, with possible early mornings, late evenings, and weekends. The role partners with a Licensed Clinician on assessments and care coordination, develops and maintains individualized care plans, supports member engagement and access to services, and coordinates with healthcare providers and community organizations. It also conducts outreach and screenings, helps identify barriers to care, and completes required documentation in accordance with program, legal, ethical, and contractual requirements.

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.
Ability to meet CCRC requirements for approved drivers when driving on behalf of the agency, including a current California Driver’s License, current auto insurance, and DMV clearance.
Ability to work a schedule that may include early mornings, late evenings, and weekends.
Must complete background checks and any applicable role-specific clearances, which may include Live Scan/DOJ fingerprinting, health clearance, MVR/DMV clearance, or other checks as applicable.

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 commitment to serving the perinatal population.
Prior experience as a Community Health Worker, Peer Support Specialist, or in a similar role.
Ability to converse, write, and translate in English and Spanish.

Responsibilities

Partner with a Licensed Clinician to conduct and coordinate multidisciplinary assessments of 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 ongoing care coordination, service delivery, and goal tracking.
Serve as the primary contact for members and designated caregivers, coordinating communication across the multidisciplinary care team.
Help ensure members are connected to a primary care provider and have an identified Authorized Representative and/or caregiver; coordinate advocacy with providers and community partners with member consent.
Deliver services in settings accessible to members, including office-based, telehealth, and field-based settings.
Connect members to non-clinical social and health-related services, including transportation and interpreting services; provide health education and coaching, support engagement, and accompany members to appointments when appropriate.
Use Motivational Interviewing, Harm Reduction, and Trauma-Informed Care practices to engage members, support goal attainment, 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 ECM-related legal, ethical, contractual, HIPAA, confidentiality, and recordkeeping requirements.
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 per program and MCP requirements.
Identify barriers to care, including housing instability, domestic violence, behavioral health needs, and DCFS involvement, and incorporate findings into care planning and service coordination.
Conduct outreach to eligible MCP members using phone calls, mailed information, field visits, and other provider-defined methods.
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 training, webinars, conferences, and technical assistance meetings; and maintain relevant professional development and education.

Benefits

Medical insurance
Dental insurance
Vision insurance
Voluntary life insurance
Basic life insurance paid for by CCRC
Long-term disability paid for by CCRC
403(b) retirement savings plan with employer contribution and match, with 100% vesting
Vacation and sick time
Paid holidays
Paid winter break
Learning and professional development opportunities
Education reimbursement
Employee assistance and wellness programs
Public Service Loan Forgiveness eligibility through the organization’s 501(c)(3) designation