LCM Lead Care Manager

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SPANISH SPEAKERS ONLY FOR SANTA CRUZ LOCATION

Job Title: Lead Care Manager

Position: Remote

Hours: 9 am to 530 pm (PST)

Pay rate: $14/hr

The Lead Care Manager works under the Director of Community Support to guide clients through the intake and service connection process. This role supports individuals accessing a range of Community Supports services-including Housing Navigation Housing Deposits Housing Tenancy and Sustaining Services (HTSS) Respite Services Nursing Facility Transition/Diversion Community Transition Services and Personal Homemaker Services.

You will act as a key resource to clients and partners facilitating transitions and ensuring continuity of care. This position requires a strong foundation in healthcare systems and a deep understanding of social determinants of health.

About Community Supports

Community Supports through CalAIM is a statewide initiative that enhances client outcomes by addressing non-medical needs-such as housing food security and transportation. These services aim to stabilize lives reduce healthcare disparities and support long-term wellness by focusing on the whole person.

Key Responsibilities

Client Interaction and Assessment

• Serve as the primary point of contact for new clients needing support services
• Conduct comprehensive assessments to determine eligibility and service needs
• Gather required documentation while maintaining HIPAA compliance

Collaboration

• Partner with ECMs (Enhanced Care Managers)-licensed or medically trained professionals responsible for coordinating care for clients with complex needs such as chronic conditions or behavioral health issues
• Coordinate care planning with other healthcare professionals and housing partners

Health Education

• Provide basic education around chronic illness management and preventative care
• Empower clients to engage in their care plans effectively

Care Transitions

• Manage and track transitions between providers services and care settings
• Ensure continuity during discharges and relocations

Housing Services Coordination

• Housing Navigation: Help clients search for and secure suitable housing
• Develop individualized housing support plans
• Housing Deposits: Manage logistics and funds for securing housing
• Housing Tenancy & HTSS: Support clients in maintaining long-term housing stability

Support Services Coordination

• Coordinate Respite Services for caregiver relief
• Assist with Nursing Facility Diversions to community settings like RCFEs and ARFs
• Manage Community Transitions for clients moving from skilled nursing to independent living
• Arrange Personal Homemaker Services for daily living support

Community Representation

• Attend community housing meetings and stakeholder events
• Advocate for the needs of vulnerable populations

Resource Development

• Research housing options including Section 8 and 811 Housing Project
• Identify and coordinate financial support and subsidies

Documentation and Reporting

• Use EMR (Electronic Medical Records software) to document client records services and case notes
• Submit monthly reports and support outcome tracking

Staff Training and Collaboration

• Educate team members about housing programs and client engagement strategies
• Collaborate with ECMs to ensure wraparound care for clients

Advocacy and Client Support

• Promote access to benefits and services
• Offer in-person and virtual check-ins to support client stability

Required Qualifications

Experience

• Minimum 1 year in healthcare housing case management social work or public health
• Preferred: experience in project-based housing or low-income support services
• Lived experience in systems of care is highly valued

Skills

• Compassionate client-focused and culturally competent
• Organized and detail-oriented with strong written/verbal communication
• Comfortable with Microsoft Office Suite
• Independent worker who thrives in a team
• Bilingual Spanish or other language preferred

Education

• MA CNA or equivalent education and experience in a healthcare-related field

Client Rights

• Respect confidentiality and privacy of patient care information
• Treat all clients with dignity respect and compassion
• Report any allegations of abuse or neglec