Case Manager

About the role

We're seeking an exceptional Lead Care Manager (LCM) to join our Enhanced Care Management (ECM) team. Under the direction of the Director of Enhanced Care Management, ECM Clinical Manager, and/or ECM Program Manager, the LCM serves as the client’s primary point of contact and works with all their providers—such as doctors, specialists, pharmacists, social services providers, and others—to ensure alignment on the client’s needs and care. The LCM manages client cases, coordinates health care benefits, provides education, and facilitates member access to care in a timely and cost-effective manner.

The LCM collaborates and communicates with the client’s caregivers, family support persons, other providers, and the Care Team to promote wellness, recovery, independence, resilience, and member empowerment while ensuring access to appropriate services and maximizing member benefits.

This is a hybrid position requiring travel throughout the Humboldt County area up to 5 days per week. Candidates must reside within a 20-mile radius of the assigned territory due to the frequency of travel.

Responsibilities

• Assess member needs in physical health, mental health, substance use disorder (SUD), oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral/linkage to community-based services and supports.
• Oversee the development of client care plans and goal settings.
• Provide services where the member resides, seeks care, or finds most accessible, including office-based, telehealth, or field-based settings.
• Connect clients to other social services and supports as needed.
• Advocate on behalf of the client with healthcare professionals (e.g., primary care providers).
• Utilize evidence-based practices such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles.
• Conduct outreach and engagement activities to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system.
• Evaluate client progress and update SMART goals.
• Provide mental health promotion.
• Arrange transportation (e.g., ACCESS).
• Complete all documentation, including outcome measures, within established timeframes.
• Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems.
• Complete monthly reporting to ensure program compliance.
• Attend assigned training.

Requirements

• 2+ years of experience as a care manager, care navigator, or community health worker supporting vulnerable populations.
• Willing and able to work Monday–Friday, 8:30 AM–5:00 PM Pacific Time, both in the field and remotely, with flexibility for potential evenings and weekends.
• Working knowledge of government and community resources related to social determinants of health.
• Clean driving record, valid driver’s license, and reliable transportation.
• Excellent oral and written communication skills.
• Positive interpersonal skills.
• General computer skills and working knowledge of Google Workspace, MS Office, and the internet.
• Bilingual (English/Spanish) strongly preferred.

Additional Information

• A background check, which may include a drug test or other health screenings, will be required prior to employment.
• Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved.
• Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.