Community Health Worker

Internal Title: Clinical Lead Care Manager

We are looking for a highly skilled Clinical Lead Care Manager (CLCM) to join our team serving Sacramento County, CA. Reporting to the ECM Clinical Manager, the CLCM acts as the client’s primary point of contact, partnering with healthcare providers and support services to ensure coordinated, aligned, and comprehensive care.The CLCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The CLCM collaborates and communicates with the client’s caregivers/family support persons, other providers, and others in the Care Team to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit.

This is a hybrid position that requires traveling throughout the Sacramento County area up to 5 days per week. Candidates wishing to be considered must reside within 25-miles of the assigned territory due to frequency of travel.

Hybrid (in-person and remote) care management duties as described below:

Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports

Oversees the development of the client care plans and goal settings

Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services

Connect clients to other social services and supports that are needed

Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)

Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles

Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system