Care Manager Jobs

About The Position

Requirements

• Thorough knowledge of CalAIM Enhanced Care Management requirements.
• Strong understanding of trauma-informed, culturally responsive, and strengths-based care.
• Knowledge of Medi-Cal systems, Managed Care Plans, and Social Determinants of Health.
• Excellent leadership, coaching, and conflict resolution skills.
• Strong case assessment and care coordination abilities.
• Ability to analyze documentation for quality and compliance.
• Excellent organizational, time management, and problem-solving skills.
• Ability to manage competing priorities while maintaining attention to detail.
• Effective written and verbal communication skills.
• Ability to establish collaborative working relationships with multidisciplinary teams and community partners.
• Proficiency with Microsoft Office and electronic health record systems.
• Must be able to read, write, speak, and understand the English language.
• Able to report to work on a regular and reliable basis.
• Ability to work in an office, remotely, and in community work settings as required.
• Ability to maintain compliance with all HIPAA, confidentiality, and organizational safety requirements.
• Ability to travel locally.
• Ability to work a flexible schedule, including occasional evenings as needed.
• Ability to work with exposure to unpredictable environments during community visits.
• Ability to encounter individuals experiencing behavioral health crises, substance use, homelessness, or unsafe living conditions.
• A high school diploma or GED is required.
• Driving is an essential function of this job; as such, employees in this position will be required to provide their own vehicle for use in the course of employment.
• A valid CA driver’s license and minimum insurance coverage are required.
• Must be 21 years of age or older.

Nice To Haves

• Master's or bachelor’s degree in social work, Counseling, Marriage and Family Therapy, Psychology, Nursing, Public Health, or closely related behavioral health field is preferred.
• Active California licensure (LCSW, LMFT, LPCC, or RN where applicable) is preferred.
• Three years of experience providing care coordination, case management, or behavioral health services is preferred.
• Two years of supervisory or team leadership experience is preferred.
• Experience with Medi-Cal, CalAIM Enhanced Care Management, Whole Person Care, Complex Case Management, or similar integrated care programs is strongly preferred.
• Experience working with high-acuity children, youth, families, or vulnerable populations is preferred.

Responsibilities

• Provide individual and group supervision to Care Managers (CMs).
• Conduct regular case consultations and case supervision to ensure appropriate services, interventions, and quality care.
• Monitor staff productivity, documentation timeliness, billing compliance, and quality indicators.
• Review communimetric (CANS/ANSA) and psychometric (DASS) assessments, care plans, progress notes, risk assessments, and discharge documentation for accuracy and compliance.
• Ensure fidelity to CalAIM ECM requirements, organizational policies, and health plan contractual expectations.
• Support staff development through coaching, mentoring, performance feedback, and corrective action when needed.
• Participate in hiring, onboarding, orientation, and training of new staff.
• Provide guidance to interns, trainees, or other ECM staff as assigned.
• Assist with workload distribution and caseload balancing.
• Monitor member engagement, outreach efforts, and successful care transitions.
• Participate in quality improvement initiatives, audits, data analysis, and corrective action planning.
• Collaborate with program leadership on workflow improvements and operational planning.
• Represent the ECM program during internal meetings and external partner meetings as assigned.
• Maintain an active ECM caseload of approximately 25 members.
• Conduct outreach, engagement, comprehensive assessments, and person-centered care planning.
• Coordinate medical, behavioral health, social service, housing, education, and community resources.
• Conduct field-based and community-based visits as appropriate.
• Facilitate interdisciplinary care coordination meetings.
• Monitor member progress toward individualized goals.
• Assist members during care transitions including hospital discharge, placement changes, and transitions between providers.
• Maintain timely documentation in accordance with organizational and health plan requirements.
• Participate in after-hours consultation or crisis response as assigned.
• Maintain accurate productivity reports and supervision documentation.
• Attend required meetings, trainings, and professional development activities.
• Assist with policy development, workflow refinement, and implementation of new initiatives.
• Participate in program evaluation and reporting activities.
• Perform other duties as assigned.

Benefits

• medical
• dental
• vision
• life and accident insurance
• short and long-term disability plans
• retirement plan with company match
• paid vacation
• sick leave
• 11 paid holidays
• tuition reimbursement
• professional development and career advancement opportunities