Clinical Case Manager

About This Role

Serve as the primary point of contact for clients with complex needs, coordinating care with various providers and ensuring access to appropriate services. This role focuses on client advocacy, education, and case management to support wellness and independence.

Responsibilities

• Assess member needs in areas including physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, and housing
• Oversee the development of client care plans and goal settings
• Offer services where the member resides, seeks care, or finds most easily accessible (office-based, telehealth, or field-based)
• Connect clients to other social services and supports
• Advocate on behalf of the client with healthcare professionals
• Utilize evidence-based practices such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles
• Conduct outreach and engagement activities to facilitate linkage to the ECM program
• Evaluate client's progress and update SMART goals
• Provide mental health promotion
• Arrange transportation (e.g., ACCESS)
• Complete all documentation, including outcome measures, within established timeframes
• Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems
• Complete monthly reporting to ensure program compliance
• Attend training as assigned

Requirements

• LCSW, LMFT, or LPCC license in California
• 1+ year of experience as a care manager, care navigator, or community health worker supporting vulnerable populations
• Willing and able to work Monday-Friday 8:30am-5:00pm, both in the field and remotely, with flexibility for potential evenings and weekends
• Working knowledge of government and community resources related to social determinants of health
• Excellent oral and written communication skills
• Positive interpersonal skills
• Clean driving record, valid driver's license, and reliable transportation
• General computer skills and working knowledge of Google Workspace, MS Office, and the internet

Qualifications

• 1+ year of experience as a care manager, care navigator, or community health worker supporting vulnerable populations. 2 or more years preferred.

Nice to Have

• Bilingual (English/Spanish)

Skills

* Required skills