Lead Care Manager (internal title) serving as primary point of contact for clients and coordinating with doctors, specialists, pharmacists, social services, and caregivers.
Manage client cases, coordinate health care benefits, provide education, and facilitate timely, cost-effective access to care.
Assess member needs across physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and community-based services.
Oversee development of client care plans and SMART goals; evaluate progress and update goals.
Offer services where the member resides, seeks care, or finds most accessible (office-based, telehealth, or field-based).
Conduct outreach and engagement, log activity in CRM, and maintain up-to-date patient records in EMR and other systems.
Utilize evidence-based practices such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care.
Arrange transportation and complete required documentation and monthly reporting to ensure program compliance.
Attend assigned training and collaborate with care team to promote wellness, recovery, independence, resilience, and member empowerment.
Hybrid position requiring travel throughout Riverside County, CA.
Requirements
Willing and able to work Monday-Friday 8:30am-5:00pm, both in the field and remotely.
2+ years experience as a care manager, care navigator, or community health worker supporting vulnerable populations.
Working knowledge of government and community resources related to social determinants of health.
Clean driving record, valid driver's license, and reliable transportation.
Willing and able to travel throughout the Riverside County area.
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) is a plus.
Background check and possible drug/health screenings required prior to employment.
Vaccination requirement (COVID-19 and influenza) for patient-facing roles; accommodations considered.
Must be legally authorized to work in the United States; E-Verify upon hire.