Street Health ECM Care Coordinator

St. Vincent De Paul Village•San Diego, CA

11h•$24 - $28•Onsite

About The Position

At Father Joe’s Villages, healthcare is more than providing medical services—it is about meeting people where they are, building trust, and helping individuals overcome barriers to health, housing, and long-term stability. Many of the individuals we serve face significant challenges navigating healthcare systems while experiencing homelessness, behavioral health conditions, substance use disorders, and other complex needs. Our Street Health team bridges the gap between vulnerable community members and the care and resources they need. Through field-based outreach, engagement, and Enhanced Care Management (ECM), we help individuals access healthcare, behavioral health services, housing resources, and supportive services that promote improved health outcomes and greater stability. Every day, this team builds meaningful relationships, removes barriers to care, and helps individuals connect to services that support long-term wellbeing. What Success Looks Like This is a community-based role that combines outreach, engagement, care coordination, case management, and healthcare navigation. Successful Care Coordinators are approachable, organized, and committed to building trust with individuals who may be disconnected from traditional healthcare and social service systems. They are comfortable working independently in the field while collaborating closely with healthcare providers, case managers, managed care plans, and community partners. Success in this role means building strong relationships with members, accurately coordinating care across multiple systems, connecting individuals to critical resources, and helping members achieve their health and housing goals. You'll help improve access to care, strengthen continuity of services, and support positive outcomes for individuals with complex medical, behavioral health, and social service needs.

Requirements

High School Diploma or GED required
Minimum two (2) years of experience providing ECM, care coordination, case management, community health, street outreach, healthcare navigation, behavioral health, or related services supporting vulnerable populations.
Valid California Driver's License required.
First Aid and CPR certification, or ability to obtain within the required timeframe
Must be at least 21 years of age.

Nice To Haves

Associate degree in Social Work, Human Services, Psychology, Public Health, or a related field preferred.
Experience working with individuals experiencing homelessness, housing instability, behavioral health conditions, substance use disorders, or other complex needs strongly preferred.
Community Health Worker (CHW), Certified Peer Support Specialist, Mental Health First Aid (MHFA), Crisis Prevention Institute (CPI), or similar certifications preferred.

Responsibilities

Conduct community outreach, field visits, home visits, and other engagement activities to identify and enroll individuals eligible for Enhanced Care Management (ECM) services.
Build trust-based relationships with individuals experiencing homelessness and other barriers to health and housing stability using trauma-informed, Housing First, and harm-reduction approaches.
Educate eligible individuals regarding ECM services and facilitate program enrollment.
Maintain an assigned caseload of ECM members and provide ongoing care coordination and case management services.
Complete assessments and participate in Interdisciplinary Care Team (ICT) meetings to develop, implement, and monitor individualized care plans.
Coordinate medical care, behavioral health services, substance use treatment, housing resources, transportation, public benefits, and other supportive services.
Connect members to the Coordinated Entry System (CES), healthcare providers, housing programs, public benefits, and other community resources.
Monitor member progress and provide ongoing follow-up through field visits, clinic visits, phone contacts, and community-based engagement activities.
Maintain timely and accurate documentation of assessments, care plans, outreach activities, referrals, and care coordination services in required systems.
Collaborate with Street Health Outreach Workers, healthcare providers, managed care plans, and community partners to support integrated, person-centered care.