Sunlight

Manager

• Maintain ongoing caseload of families through the utilization of evidence-based approaches to promote engagement and achievement of health goals
• Use relationship-based and trauma-informed strategies to support families with healthcare navigation, social support coordination, and addressing barriers — understanding that many families involved in child welfare have lived experiences causing them to be initially hesitant or distrusting of systems
• Conduct periodic telephonic and SMS outreach to ensure timely follow-up with family members
• Work with families to identify health and wellness goals, incorporating them into family-centered Care Plans aligned with CalAIM ECM requirements
• Support clinical team members (nurse care managers, behavioral health specialists, medical providers) with care coordination and delegated tasks
• Collaborate on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with supervising clinical staff before taking clinical actions
• Consistently meet monthly encounter and documentation metrics to ensure compliance with health plan regulations (LA Care, HealthNet, Molina)
• Identify and break down barriers ensuring families' continuation with the program and successful navigation of child welfare proceedings
• Assist families in securing connections to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups across physical health, behavioral health, substance use treatment, housing, and family stabilization services
• Coordinate care management appointments through collaboration with external and internal providers, child welfare social workers, legal advocates, and court personnel
• Utilize care management platform and internal collaboration tools to document encounters, track care plans, and coordinate with team members
• Conduct face-to-face meetings with families at courthouse locations, particularly for initial referrals and comprehensive assessments, to establish trust and rapport
• Meet families in courthouse, community, and home settings throughout the care journey

Lead Care Manager