Care Coordinator (CTRI) Jurupa Valley, CA

The Care Coordinator (CC) is a core member of the Enhanced Care Management (ECM) team working alongside the ECM lead care Manager RN Care Manager Behavioral Health Care Manager and Community Health Worker to deliver coordinated person-centered care for high-need Medi-Cal members. The CC manages a Tier 3 (lower-risk) caseload provides care coordination support social support services for ECM members conducts follow-ups and ensures members are connected to services that address medical behavioral and social needs. This position requires consistent onsite presence community engagement and supportive collaboration across the care team.

This is a full time (40 hours per week) benefited position. Employment is provided by Heluna Health.

The pay rate for this role is $26.43 to $28.85 per hour depending on experience and qualifications.

Interested candidates should submit a resume and cover letter for consideration.

ESSENTIAL FUNCTIONS

Enrollment & Care Planning

• Conduct CHA (Comprehensive Health Assessment) to finalize ECM member enrollment.
• Collaborate with the member to develop a person-centered Care Plan addressing:
• Social needs (housing food transportation benefits)
• Physical and behavioral health needs
• Members personal goals strengths and priorities
• Update the care plan as needs change or milestones are reached.
  
  

Care Coordination & Social Support

• Connect members to social resources including:
• Housing and shelter programs
• Transportation services
• Food and basic needs programs
• Medical & behavioral health appointments
• Public benefits (CalFresh SSI Medi-Cal etc.)
• Assist with referrals appointment scheduling paperwork and follow-ups.
• Maintain ongoing outreach and engagement through phone in-person and home visits. .

Monitoring Documentation & Case Management

• Maintain regular contact with assigned caseload to support stability and progress.
• Track retention service completion care plan goals and key barriers.
• Document all member interactions in EHR system in real time.
• Monitor engagement and escalate high-risk/complex cases to medical and Behavioral health support team.
  
  

Interdisciplinary Team Collaboration

• Participate in weekly case conferences.
• Share progress updates identify challenges and adjust care strategies collaboratively.
• Coordinate warm handoffs and shared planning with ECM LCM CHWs BH CM and NP.

JOB QUALIFICATIONS

Education/Experience

• A Bachelors degree or higher from an accreditedâcollege or university in Health Information Systems Public Health Public Policy Psychology Social Work or a related field
• Experience with researching studying and making recommendations to support health or social service programs or policy.
• Bilingual proficiency (English and Spanish) strongly preferred.
• Three (3) years in a highly responsible management experience in program administration for underserved populations preferred.
• Strong organizational skills including an ability to manage multiple work projects simultaneously track project details and meet deadlines.
• Strong technical skills with Microsoft excel and experience with database management (e.g. Electronic Health Record Systems) preferred.
• Ability to attend meetings provide training technical assistance and other job-related duties in locations throughout Southern California and have reliable transportation to carry out essential functions.

Certificates/Licenses/Clearances

• A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.
• Background clearance to include Livescan and TB test

Other Skills Knowledge and Abilities

• Proficient skill set in using an array of Microsoft Office Suite software programs such as Word Excel PowerPoint Access Adobe Reader One Note Outlook Publisher Teams Outlook Zoom etc.
• Able to multi-task and set workload priorities for time sensitive projects/tasks.
• Ability to problem solve and make recommendations to processes policies etc.
• Able to communicate with all levels of personnel e.g. written verbal in a professional and concise/clear manner; ability to work within a project team and/or independently.
• Able to work in a very diverse environment and with diverse individuals.
• Ability to be flexible in meeting changing work tasks and timelines; must be dependable and reliable.

PHYSICAL DEMANDS

Stand Frequently

Walk Frequently

Sit Frequently

Handling / Fingering Occasionally

Reach Outward Occasionally

Reach Above Shoulder Occasionally

Climb Crawl Kneel Bend Occasionally

Lift / Carry Occasionally - Up to 30 lbs.

Push/Pull Occasionally - Up to 30 lbs.

See Constantly

Taste/ Smell Not Applicable

Not Applicable Not required for essential functions

Occasionally (0 - 2 hrs./day)

Frequently (2 - 5 hrs./day)

Constantly (5 hrs./day)

WORK ENVIRONMENT

General Office Setting Indoors Temperature Controlled.

EEOC STATEMENT

It is the policy of Heluna Health to provide equal employment opportunities to all employees and applicants without regard to age (40 and over) national origin or ancestry race color religion sex gender sexual orientation pregnancy or perceived pregnancy reproductive health decision making physical or mental disability medical condition (including cancer or a record or history of cancer) AIDS or HIV genetic information or characteristics veteran status or military service.

Required Experience:

IC