Care Manager | ECM - Orange County

• Conduct outreach to identify and engage eligible in ECM services, using multiple strategies and modalities for engagement.
• Interview and conduct assessments of students’ needs, including medical, behavioral, and social factors.
• Develop, implement, and monitor personalized care plans in collaboration with students, their families, healthcare providers, and community resources.
• Monitor and evaluate the effectiveness of care plans and making adjustments as needed to student goals.
• Serve as the primary point of contact for the student, relevant family members, and other supports.
• Operate as part of the student’s multi-disciplinary care team.
• Coordinate care across multiple providers and services, ensuring seamless integration of medical and social care.
• Act as a student advocate, ensuring the student’s needs and preferences are central to care decisions.
• Facilitate regular team meetings to review patient cases, address challenges, and share successes.
• Travel locally to deliver services to students in the community where they live, work, or frequent.
• Document services in the agency’s Electronic Health Record within 72 hours of each service and in compliance with agency policy, as well as contractual, state, and federal regulations.
• Coordinate and link the client to needed mental health, substance abuse, and housing resources.
• Maintained concise and comprehensive case records on all participants seeking services.
• Provide accurate daily and monthly documentation and case notes as per funding source guidelines.
• Attend workshops, meetings, and trainings as requested by supervisor.
• Provide in-person pre-release case management services within Orange County jail facilities, including conducting assessments, initiating care plans, and engaging students before release.
• Complete and maintain clearance for county jail access, including passing all required background checks and complying with facility-specific rules and regulations at all times.
• Adhere to all county jail visiting policies, procedures, and security protocols, demonstrating professionalism and compliance in a custodial setting.
• Deliver comprehensive pre-release planning, including development of individualized care plans, coordination of benefits, and linkage to housing, medical, and behavioral health services.
• Conduct post-release follow-up services in the community, ensuring continuity of care and successful transition from custody to community-based support systems.
• Schedule and coordinate medical and behavioral health appointments for students upon release, ensuring access to immediate and ongoing care.
• Provide transportation support upon release, including picking up students from local custody facilities and transporting them to approved destinations such as housing placements, shelters, or family residences.
• Facilitate enrollment into Enhanced Care Management (ECM) services, ensuring all eligibility, documentation, and onboarding requirements are completed accurately and in a timely manner.
• Balance responsibilities across both custodial (jail-based) and community-based service delivery, demonstrating adaptability and strong time management skills.
• Performs other related duties as assigned.

What You Will Bring

• Education and
• Experience:
• Required:
• Bachelor’s degree in social work, psychology, public health, or related field; or Associate’s degree
• A minimum of two years’ experience in a client-related field, providing case management and community outreach. OR
• The equivalent of a high school diploma and three cumulative (3) years of experience of administrative responsibility in providing outreach, substance abuse counseling, reentry services, and case management within a culturally diverse population.
• Must be able to pass a comprehensive background check and obtain clearance to enter and work within Orange County jail facilities.
• Experience working with justice-involved or formerly incarcerated populations strongly preferred.
• Comfortable working in both secure custodial environments and community-based field settings.
• Strong communication and interpersonal skills, capable of building relationships with students, families, team members, and community partners.
• Understand various ethnic and socioeconomic backgrounds within a multicultural environment.
• Knowledge of how to administer assessments, substance abuse counseling, reentry services, and case management within a culturally diverse population, preferably with both men and women.
• This position requires local travel and the ability to navigate public transportation with students.
• Required to use company vehicle as well as personal vehicle to visit county jails and transport clients to and from appointments and other locations as needed.
• Required to have car insurance, a vehicle, and a valid driver’s license

Preferred

• Bilingual, fluent Spanish/English oral and written skills are highly desirable.
• Certifications or
• Licenses:
• Required: NONE.
• Preferred: Community Health Worker certification through California’s HCAI Department.
• Driver’s
• License
• Skills/Abilities:
• Excellent interpersonal and communication skills and the ability to work effectively with a wide range of constituencies in the community and within the organization.
• Knowledge of contract parameters, objectives, milestones, and other deliverables.
• Knowledge of contracting process and associated local, state, federal, and other regulations.
• Ability to integrate budgetary and service utilization data, forecast expenditures, and respond to ensure both effective provider utilization and budget compliance.
• Ability to multi-task, identify problems, provide recommendations to management teams, and implement any applicable systems.
• Ability to work constructively with diverse people and with parties that may have divergent perspectives and interests.
• Ability to clearly express concepts and direction, both orally and in writing, and to prepare complex reports, policies, and procedures.
• Understand and appropriately apply Amity policies and procedures and adhere to agency-wide practices and regulations.
• Strong oral and written communication skills.
• Proficient with software such as Microsoft Office Suite (Word, Excel. Email, Internet, etc.).
• ADA
• Information:
• Physical
• Requirements:
• Faculty must frequently lift and/or move up to 50 pounds.
• Frequently required to sit and/or stand for extended periods of time.
• Frequently required to type for extended periods of time.
• Occasionally required to reach, walk, climb, pull, push, grasp, stretch, stoop.
• Frequently required to talk, hear, see, and use repetitive motions.
• Frequently able to communicate in verbal and written form.
• Frequently able to use all types of vision, such as close vision, distance vision, color vision, peripheral vision, and depth perception, to complete daily tasks.
• Required to wear comfortable and office appropriate clothes.
• Mental
• Demands:
• Ability to change direction as priorities shift.
• Ability to thrive in an environment that requires one to adapt to changing circumstances.
• Ability to professionally work under pressure with difficult or temperamental & faculty.
• Ability to handle mental and emotional stress related to the position.
• Work
• Conditions:
• Generally, in an indoor office setting.
• Environmental
• Conditions:
• The noise level in the work environment is moderate but can be loud.
• The temperature in the work environment is usually moderate to cool but can be cold or hot.

Travel

• May travel locally by vehicle.

What We Bring

Medical, Dental, Vision. Paid vacation, sick time, & holidays. 401K, HSA, & Life insurance programs. Organization committed to community action. Community oriented workplace.

\n $26 - $28 an hour \n