ECM Lead Care Manager

Child Care Resource Center • Palmdale, CA

1d

About The Position

The ECM Lead Care Manager serves as the primary point of contact for Managed Care Plan 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. Work 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 role 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, and community settings, including family homes, hospitals, parks, and other locations as required. The schedule is typically Monday through Friday, with the ability to work nontraditional 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.
• For driving on behalf of CCRC: current auto insurance, a current California Driver’s License, and DMV clearance are required to be an approved driver.
• Must meet applicable background and health clearance requirements for the role, which may include Live Scan/DOJ fingerprinting and health clearance.

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 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.
• Bilingual ability preferred, including the 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 to guide care coordination, service delivery, and goal tracking.
• Serve as the primary contact for members and designated caregivers, coordinating communication across the multidisciplinary care team.
• Ensure members are connected to a primary care provider and have an identified Authorized Representative and/or caregiver; coordinate advocacy with healthcare providers and community partners with member consent.
• Deliver services in settings that are accessible to members, including offices, telehealth, and community field locations.
• Connect members to non-clinical social and other health-related services, including transportation and interpreting services; support engagement through health education, coaching, and accompanying members to appointments when appropriate.
• Use evidence-based practices, including Motivational Interviewing, Harm Reduction, and Trauma-Informed Care, to engage members, support their 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.
• 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 members and support persons to promote enrollment, participation, and retention in ECM services.
• Complete required screenings and assessments, such as 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 service coordination.
• Conduct outreach to eligible Managed Care Plan members through phone calls, mailed information, field visits, and other provider-defined activities.
• Build and maintain relationships with healthcare providers, social service agencies, and community organizations to identify eligible members and facilitate referrals.
• Attend required staff, team, interdisciplinary care team, supervision, agency, provider-focused, training, webinar, conference, and technical assistance meetings.
• Maintain professional development and current perinatal and maternal health and mental health education and certifications as required.

Benefits

• Competitive compensation package.
• 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.
• 501(c)(3) designation; employees may apply for Public Service Loan Forgiveness.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED