Job Title: Lead Case Manager - Enhanced Care Management
Job Type: Full-time
Pay: $29.00 - $32.00 per hour
Schedule: Monday - Friday, (8:30am-5:00pm)
Work Location: Santa Clara County, Remote/In The Field

POSITION OVERVIEW

As a Lead Case Manager, you will go beyond creating care plans-you will build trusting relationships with members, provide advocacy, and ensure they receive the medical, social, and community-based services they need to thrive.
This role is ideal for someone who is compassionate, resourceful, and dedicated to making a lasting impact on individuals facing complex health and social challenges.

QUALIFICATIONS

• Drivers License & Auto Insurance
• Residency: Must reside in Santa Clara County
• Experience: 3-5 years in case management, social services, or healthcare
• Knowledge: Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management

SKILLS:

• Strong communication, empathy, and cultural competence
• Needs assessment, care planning, and service coordination
• Motivational interviewing and advocacy
• Time management and organizational ability
• Proficiency with case management software and related tools
• Successful completion of a pre-screen assessment required

• Conduct frequent in-person visits in homes, shelters, and community settings to assess needs and build trust.
• Coordinate end-to-end services including medical appointments, follow-up care, transportation, housing, food assistance, and other social supports.
• Advocate for members by securing authorizations, arranging peer-to-peer reviews, and navigating insurance or service denials.
• Act as a central point of contact between members, families, providers, and community organizations.
• Maintain accurate documentation of assessments, care plans, and progress notes.
• Identify and connect members with local resources such as childcare, workforce development, and housing assistance.
• Monitor member progress through regular communication and adjust care plans as needed.
• Stay current with Medi-Cal, CalAIM, and ECM regulations to ensure compliance.
• Participate in trainings, workshops, and professional development opportunities.