Case Manager - Care Coordinator

Responsibilities

• Collect and verify vital household documentation during intake; identify and initiate requests for any missing or necessary records.
• Conduct comprehensive household assessments to evaluate client needs and develop individualized service and care plans with clearly defined short-term goals.
• Perform initial and ongoing evaluations to reassess needs and modify care plans as necessary for optimal support.
• Facilitate referrals and connect eligible clients to Enhanced Care Management (ECM) services.
• Collaborate closely with Housing Navigators and internal departments at Illumination Foundation to support clients in achieving stable, permanent housing; assist with coordination and logistics of housing move-ins.
• Maintain organized, confidential case files and generate accurate statistical reports for program performance monitoring and evaluation.
• Develop and maintain a network of partnerships with community service providers to expand available resources and strengthen referral pathways.
• Engage in scheduled team meetings and interdisciplinary case conferences to discuss client progress and align care strategies.
• Participate in audits, team meetings, and quality assurance reviews to ensure program compliance and continuous improvement.
• Participate in regular supervision meetings to review client progress, refine care strategies, and enhance service delivery in alignment with organizational goals.
• Collaborate with Care Team members—including Care Coordinators, primary care physicians, and other healthcare providers—to ensure integrated, client-centered care.
• Connect ECM members to essential social services and supports, such as transportation, food assistance, and behavioral health resources.
• Cookordinate discharge planning by working closely with hospital staff to ensure smooth transitions of care and continuity of support post-discharges.
• Conduct regular follow-up meetings with clients to reassess household needs, update service goals, and ensure progress is being made.
• Provide targeted referrals to appropriate community resources and services, and follow up to confirm successful linkage and engagement.
• Observe for indicators of emotional, physical, or sexual abuse and report concerns to Child Protective Services (CPS) in accordance with mandated reporting laws.
• Advocate on behalf of clients in areas such as housing, healthcare access, education, and overall social and emotional wellbeing.
• Aid clients with accessing transportation resources to support attendance at appointments, services, or essential activities.
• Encourage and facilitate client participation in Illumination Home + Health programs, workshops, and community activities to promote engagement and empowerment.
• Collaborate with parents and work closely with CFPNs (Child and Family Program Navigators) to address concerns related to parenting, child development, school attendance, and family dynamics.
• Provide referrals and resources for children based on assessed needs to support healthy development and academic success.

Qualifications

• Bachelor’s degree in Social Services, Human Services, or a related field; or an equivalent combination of education, training, and relevant experience.
• Demonstrated experience in case management or a related role within nonprofit settings, homeless services, mental health, or supportive housing programs.
• Basic computer proficiency, including familiarity with Microsoft Office applications (Word, Excel, Outlook) and database systems such as HMIS.
• Valid California driver’s license and a clean driving record.
• Reliable personal vehicle with current proof of auto insurance.
• Strong written and verbal communication skills, with the ability to effectively interact with diverse populations, interdisciplinary teams, and community partners.
• Experience working with individuals experiencing homelessness, as well as those living with mental health conditions or physical/behavioral disabilities.
• Familiarity with Permanent Supportive Housing (PSH) models and housing-first approaches to care.
• Bilingual proficiency in Spanish and English is highly desirable and strongly preferred.

Benefits

• Medical Insurance funded by Illumination Health + Home (Kaiser and Blue Shield), depending on the plan
• Dental and Vision Insurance
• Life, AD&D and LTD Insurance funded 100% by Health + Home
• Employee Assistance Program
• Professional Development Reimbursement
• 401K with Company Matching
• 10 days vacation PTO/year
• 6 days sick PTO/year
• 10 days holiday PTO/year
• Potential eligibility for the Public Service Loan Forgiveness Program (PSFL) for federally qualified loans