Lead Care Manager Spanish Speaker MSW LA/OC/IE

Care Partners•Diamond Bar, CA

7d•$85,000 - $95,000•Hybrid

About The Position

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
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.
Master's degree in Social Work
Experience with community outreach, field-based support, and connecting clients to healthcare and social service resources; strong knowledge of local services preferred.
Proficient with healthcare systems, EHRs, and computer applications
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

bilingual Spanish preferred

Responsibilities

Conduct outreach, review referrals/records, and communicate with patients to determine eligibility and enroll them in the Enhanced Care Management (ECM) program.
Support development and implementation of person-centered care plans, coordinating services across physical health, mental health, substance use, social services, and community resources.
Coach patients using motivational interviewing and self-management strategies to help them manage health conditions and social needs.
Assist with appointment scheduling, medication coordination, transportation, benefits applications (SSI, CalFresh, etc.), and transitional care after hospital discharge.
Work with multidisciplinary teams, maintain accurate EHR documentation, track patient progress, and coordinate successful transitions or program completion.