Health Equity Lead Care Manager

YoloCares • Davis, CA

8d • $23 - $26 • Hybrid

About The Position

As a Health Equity Lead Care Manager, you'll help individuals and families navigate healthcare and social service systems, connect with essential resources, and overcome barriers to care. You'll provide care management, education, advocacy, outreach, and resource navigation while collaborating with healthcare and community partners to coordinate services. This lead-level individual contributor role independently manages an assigned caseload and supports clients with complex needs.

Requirements

• High school diploma or equivalent.
• Experience in healthcare, community health, care coordination, case management, social services, patient navigation, behavioral health, or a related field.
• Experience working with individuals experiencing complex health, social, behavioral health, or socioeconomic needs.
• Strong communication, relationship-building, organization, and problem-solving skills.
• Ability to independently manage an assigned caseload while working effectively as part of an interdisciplinary team.
• Ability to maintain accurate, timely, and confidential documentation.
• Ability to participate in community-based outreach activities and travel as required.
• Ability and willingness to participate in required weekend outreach activities when assigned.

Nice To Haves

• Community Health Worker (CHW) certification. Employees who do not hold a CHW certification at the time of hire must obtain certification within 12 months of employment.
• Experience with Enhanced Care Management (ECM), CalAIM, or Medi-Cal programs.
• Experience in palliative care, hospice, serious illness, supportive care, or end-of-life services.
• Experience working with individuals experiencing homelessness or housing instability.
• Experience with community outreach, health education, or health promotion.
• Bilingual or multilingual skills; Spanish is a plus.

Responsibilities

• Build trusting relationships with clients and families and learn about their goals, strengths, needs, and barriers to care.
• Manage an assigned caseload and provide ongoing care management, education, coordination, and advocacy.
• Help clients navigate healthcare systems, schedule appointments, access benefits, and connect with appropriate services.
• Connect clients and families with healthcare, behavioral health, housing, food, transportation, financial assistance, and other community resources.
• Follow up with clients to monitor needs, referrals, services, and care-plan goals.
• Advocate for clients and families and help reduce barriers to care.
• Identify and appropriately escalate clinical, safety, or other concerns to the appropriate member of the care team.
• Conduct outreach and engagement with ECM-eligible and enrolled members.
• Educate clients about Enhanced Care Management services and available resources.
• Support care planning, referrals, follow-up, and coordination of services.
• Collaborate with healthcare providers, interdisciplinary teams, community-based organizations, and other partners to promote continuity of care.
• Participate in care team meetings, case conferences, and other coordination activities.
• Build and maintain relationships with community partners and strengthen referral networks.
• Identify social drivers of health that may affect access to care and quality of life.
• Provide culturally and linguistically responsive services and education.
• Help clients navigate healthcare and social service systems in ways that promote health equity.
• Participate in community outreach activities such as health fairs, events, resource fairs, screenings, and enrollment and engagement activities.
• Help identify community needs, service gaps, and opportunities to improve access to care and resources.
• Support complex cases and assist with problem-solving and resource navigation.
• Serve as a knowledgeable resource to colleagues and community partners.
• Share knowledge of community resources, ECM processes, and health equity practices.
• Contribute to program initiatives, workflow improvements, community partnerships, and special projects.
• Model YoloCares' values of collaboration, respect, compassion, accountability, and service.
• Maintain accurate, timely, and confidential documentation of client interactions, referrals, care coordination, and follow-up.
• Complete required documentation related to payer, program, and Quality Improvement Program (QIP) requirements.
• Participate in required training and quality improvement activities.

Benefits

• Comprehensive health insurance for employees (up to 100% employer-paid, depending on plan), with additional support toward covering dependents.
• Dental insurance
• Vision insurance
• Life insurance
• Flexible spending account (FSA)
• Employee assistance program (EAP)
• Retirement plan with company matching
• Generous paid time off (PTO)
• Paid holidays
• Paid sick leave
• Training and professional development opportunities
• Mileage reimbursement

What This Job Offers

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