Amity Foundation·Los Angeles, California
Coordinate medical, behavioral, and social services for high-need populations to improve health outcomes and reduce healthcare utilization. Provide pre-release case management within jail facilities and post-release support in the community to prevent recidivism and secure permanent housing.
Specifications Title: ECM Care Manager Reports To: ECM/CS Project Director Job Number: Department: JIR-ECM Position Number: Location: FLSA Exemption Status: Non-Exempt Supervises: N/A Position Status: Full Time Revised: 03/23/2026 Job Summary: The Enhanced Care Management (ECM) Advocate is responsible for the and coordination, improving health outcomes, enhancing satisfaction, and reducing unnecessary healthcare utilization. ECM is a comprehensive, patient-centered approach to healthcare that aims to improve outcomes for high-need populations. This involves the coordination of medical, behavioral, and social services to address the full range of patient needs, focusing on those with complex and chronic conditions. ECM programs are designed to optimize care delivery, reduce unnecessary hospitalizations, and improve the overall quality of life for . The intention of our services is to help people who have not been able to get the needed help in terms of Housing, Mental Health, Substance Abuse treatment, and linkages to community resources to help minimize recidivism. The role of the ECM Advocate is to help create a supportive network of services and resources for the client to prevent reincarceration and support long term permanent housing goals. This position specifically serves students across Orange County, including both in-custody services within county jail settings and post-release services in the community. The ECM Advocate must be comfortable working in secure correctional environments and in the field, ensuring continuity of care from incarceration through successful community reintegration. This role requires strict adherence to county jail access protocols, safety procedures, and visiting regulations, while also maintaining flexibility to meet students in community-based settings throughout the county. Essential Duties: 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. 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.
May travel locally by vehicle.
This job description is intended to describe the general nature and work responsibilities of the position. It is not possible or desirable to commit every detailed aspect of each job to a written description. This job description and the duties of this position are subject to change, modification, and addition as deemed necessary by the company. Job descriptions alone cannot be used as an argument to refuse work assignments. Faculty are required to comply with supervisory instructions and perform other job duties, responsibilities and assignments required by company officials. This job description does not constitute an employment contract between the company and any employee. The job responsibilities of this position may include cross-training in other functions to ensure satisfactory operation. I have read the above job description, understand its contents, and have had an opportunity to discuss with my supervisor or the hiring manager. By signing below, I agree and understand what is expected of me, and will comply with all requirements of this position. ___________________________________________________________________ ____________________ Employee Signature Date ___________________________________________________________________ ____________________ Employer Signature Date \n
\n $26 - $28 an hour \n
Requires a Bachelor's degree in a related field or an Associate's degree with two years of experience, or a high school diploma with three years of relevant experience. Must possess a valid driver's license, vehicle insurance, and the ability to pass a comprehensive background check for jail access.
Market context
In California, case manager roles for older adults are often tied to aging services, county programs, and community-based care coordination. Competitive candidates usually bring experience with older adults, familiarity with Alameda County resources, and APS collaboration skills. Review the AI-summarized requirements and benefits here to quickly compare fit, then prepare one example showing how you coordinated services across agencies.