Justice Involved Lead Care Manager

About the role

This is a hybrid role based out of El Dorado County. The employee will report to the Sacramento office.

Responsibilities

• Conduct field-based, telephonic, facility-based, and community outreach to justice-involved members transitioning from incarceration.
• Complete comprehensive assessments to identify medical, behavioral health, substance use, and social determinants of health needs.
• Develop, implement, and maintain individualized Care Management Plans in accordance with DHCS ECM requirements.
• Coordinate physical health, behavioral health, substance use treatment, housing, transportation, and community support services.
• Collaborate with interdisciplinary care teams, healthcare providers, correctional facilities, probation/parole departments, and community-based organizations.
• Assist members with successful community reintegration, linkage to healthcare services, benefits enrollment, medication continuity, and housing stabilization.
• Support members in reducing avoidable emergency department utilization and barriers to long-term health stability.
• Maintain ongoing contact with members through in-person visits, telehealth, phone outreach, and community engagement.
• Advocate for members and assist with scheduling appointments, accessing treatment, and overcoming healthcare and social barriers.
• Maintain accurate, timely, and compliant documentation in accordance with DHCS, Medi-Cal, HIPAA, and organizational standards.
• Provide trauma-informed, culturally responsive, and member-centered care to diverse populations.
• Maintain professionalism, empathy, and ethical conduct while interacting with members, families, providers, and community partners.
• Participate in trainings, case conferences, supervision, audits, and quality improvement initiatives.
• Perform additional duties as assigned.

Populations of Focus

• Individuals transitioning from incarceration or correctional settings within the past 12 months.
• Individuals experiencing homelessness or housing instability.
• Individuals with serious mental illness and/or substance use disorders.
• Individuals at risk for avoidable hospital or emergency department utilization.
• Adults living in the community and at risk for long-term care institutionalization.
• Children and youth involved in child welfare or juvenile justice systems.
• Individuals with intellectual and/or developmental disabilities who qualify under ECM populations of focus.
• Pregnant and postpartum individuals experiencing health disparities or qualifying under ECM populations of focus.

Education and Experience

• High school diploma or GED required.
• Associate degree or higher in social work, psychology, healthcare, criminal justice, human services, or related field preferred.
• Minimum of one (1) year of experience in case management, care coordination, behavioral health, healthcare outreach, reentry services, or related field required.
• Experience working with justice-involved populations strongly preferred.
• Experience with Medi-Cal, CalAIM, ECM, behavioral health, homelessness services, or substance use treatment preferred.
• Valid California driver’s license, reliable transportation, and current automobile insurance required.

Required Skills/Abilities

• Excellent communication, interpersonal, customer service, and organizational skills.
• Ability to engage vulnerable and hard-to-reach populations using trauma-informed and culturally responsive approaches.
• Strong documentation, computer, email, and electronic health record skills.
• Ability to work independently and collaboratively within multidisciplinary teams.
• Strong problem-solving, critical thinking, and resource coordination skills.
• Ability to manage multiple members and priorities in a fast-paced environment.
• Knowledge of community resources, behavioral health systems, and social service programs preferred.

Physical Requirements

• Must be able to travel using personal vehicle to complete outreach visits and community-based member support.
• Mileage reimbursement provided in accordance with company policy.
• Prolonged periods of sitting, standing, driving, and computer use.
• Ability to occasionally lift up to 15 pounds.

Travel Details

• First week of employment will report to the Sacramento office.
• Mileage reimbursement is compensated at the IRS standard rate.
• Commute to the Sacramento office is considered work time.
• Staff member can leave their home at the start of their scheduled shift.

Benefits

• Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
• Short & Long-Term Disability Benefits: Protection when you need it most.
• Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
• Flexible Spending Accounts: Manage your finances with flexibility.
• Employee Assistance Program (EAP): Support when life throws challenges your way.
• 401(K): Building your financial future with us. Effective after 1 year of employment.
• Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
• Paid Holidays: Quality time to enjoy celebrations.
• Employee Referral Program: Share the opportunities and reap the rewards.
• Company Discount Program: Enjoy savings on everyday expenses and memberships.