Lead Care Manager North LA/North OC
About The Position
Care Partners At Home is a leading provider of non-medical home care services in Orange County, LA, Inland Empire, San Diego, and Santa Barbara. We serve a diverse client population including Private clients, CalAIM Community Supports members, and Regional Center consumers. Our mission is to deliver high-quality, compassionate, and reliable care while supporting families, caregivers, and payer partners with excellence and accountability. The Lead Case Manager (LCM) supports patients through compassionate, patient-centered care as part of the Enhanced Care Management (ECM) team under the CalAIM initiative. The role manages a caseload of approximately 30–60 patients, providing hybrid field and office-based case management, meeting patients in their homes or community settings. Responsibilities include developing comprehensive care plans and coordinating services addressing physical health, mental health, substance use, and social determinants of health. The LCM also performs patient outreach, assessments, care coordination, transitional care, and referrals to community resources to support overall patient well-being.
Requirements
- Bilingual Spanish Required
- Education & Experience: Bachelor’s degree in social work, psychology, or related field with 1–2 years of case management/social services experience, or high school diploma with 4+ years of relevant experience.
- Community & Resource Knowledge: Experience with community outreach, field-based support, and connecting clients to healthcare and social service resources; strong knowledge of local services preferred.
- Technical & Communication Skills: Proficient with healthcare systems, EHRs, and computer applications; bilingual Spanish preferred.
- Field Requirements: Valid California driver’s license and ability to travel between sites and perform field-based work in various community settings.
- Successful completion of a federal background check.
Nice To Haves
- Preferred Master's degree in Social Work
Responsibilities
- Patient Outreach & Engagement: Conduct outreach, review referrals/records, and communicate with patients to determine eligibility and enroll them in the Enhanced Care Management (ECM) program.
- Care Planning & Coordination: Support development and implementation of person-centered care plans, coordinating services across physical health, mental health, substance use, social services, and community resources.
- Patient Support & Education: Coach patients using motivational interviewing and self-management strategies to help them manage health conditions and social needs.
- Resource Navigation & Access to Care: Assist with appointment scheduling, medication coordination, transportation, benefits applications (SSI, CalFresh, etc.), and transitional care after hospital discharge.
- Team Collaboration & Documentation: Work with multidisciplinary teams, maintain accurate EHR documentation, track patient progress, and coordinate successful transitions or program completion.
Benefits
- $500 Monthly Vehicle Stipend
- Medical, Dental, Vision, 401k with employer matching, Voluntary Life, Flex-Spending Account Options Savings
- Generous PTO Plan (15 Days) and encouragement to USE IT!
- 6 holidays
- 5 sick days
- Grow & Shine: Work alongside healthcare professionals who mentor and support your career growth.
- Open Doors, Open Minds: Transparent leadership that listens and values your voice.
- Work-Life Bliss: Team outings, company events, and a commitment to putting you first.
- An Office That Feels Like Home: Modern, welcoming, and dog-friendly (as long as Fido’s well-behaved!).
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
1-10 employees
