Lead Care Manager serving as primary contact and coordinating care among providers to ensure client needs are met
Manage client cases, coordinate healthcare benefits, provide education and facilitate timely, cost-effective access to care
Assess member needs across physical, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and community services
Oversee development of client care plans and SMART goals; evaluate progress and update goals
Offer services in-office, via telehealth, or field-based where member resides or seeks care
Connect clients to social services and supports; arrange transportation (e.g., ACCESS)
Advocate with healthcare professionals and utilize evidence-based practices like Motivational Interviewing, Harm Reduction, Trauma-Informed Care
Conduct outreach and engagement; log activity in CRM and maintain EMR and business system records
Complete documentation and monthly reporting; attend assigned training
Hybrid role requiring travel throughout Santa Clara County and field work
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
Excellent oral and written communication skills
Positive interpersonal skills required
General computer skills and working knowledge of Google Workspace, MS Office and the internet
Bilingual English/Spanish is a plus
Background check (may include drug/health screenings) required prior to employment
COVID-19 and influenza vaccination required for patient/client-facing roles (accommodations considered)
Employment eligibility verification via E-Verify required upon hire