Enhanced Care Management (ECM) Lead Case Manager

Location: North Hollywood, CA
Schedule: Monday–Friday, 8:00 AM–5:00 PM
Pay: $28–$30/hour
Language: Bilingual English/Spanish required

About the Role

We are seeking a bilingual Enhanced Care Management (ECM) Case Manager to join our team in North Hollywood. This position will provide hands-on case management and care coordination for approximately 40–45 clients, helping patients navigate healthcare services, community resources, and social supports.

The ideal candidate has prior ECM and/or CalAIM experience and can step into an established caseload with minimal training. Experience in an FQHC, community-based organization, behavioral health, social services, or healthcare setting is highly valued.

This role is approximately 50% telephonic and 50% in-person, with most in-person interactions taking place at the clinic before or around patients' medical appointments.

Key Responsibilities

• Manage an assigned caseload of approximately 40–45 ECM members.
• Conduct patient outreach, engagement, intake, and enrollment activities.
• Connect members with healthcare, social services, community resources, and other supportive services.
• Coordinate medical appointments, referrals, transportation, follow-up care, and preventive services.
• Monitor patient progress toward care plan goals, treatments, and medications.
• Follow up with patients after emergency room visits and hospitalizations.
• Advocate for patients and assist them in navigating the healthcare system.
• Provide health education, wellness resources, and self-management support.
• Use motivational interviewing and trauma-informed care approaches when working with patients.
• Collaborate with physicians, nurse practitioners, behavioral health providers, care coordinators, referral teams, and other interdisciplinary staff.
• Manage internal and external referrals and assist with resolving barriers to specialty care.
• Complete ECM authorizations and referral documentation with Managed Care Plans.
• Maintain accurate patient records and documentation in NextGen EMR.
• Maintain enrollment information, census records, assessments, care plans, and outreach documentation.
• Track daily, weekly, and monthly outreach and intake activity for reporting purposes.
• Maintain compliance with HIPAA, privacy, confidentiality, and organizational requirements.
• Participate in team meetings, committees, training sessions, and interdisciplinary case collaboration.

 

In addition to case management responsibilities, this position will provide operational support to the program, including:

• Manage the Field Medicine calendar and NextGen schedules.
• Conduct routine chart reviews to identify documentation, assessment, care plan, and compliance gaps.
• Support monitoring of productivity, documentation compliance, and member engagement metrics.
• Provide coaching and operational support to staff.
• Assist with monthly reporting and audit preparation.
• Review billing reports and help identify workflow corrections and improvements.
• Update workflows, checklists, protocols, and procedures as processes change.
• Generate reports for program leadership as needed.
• Support staff development, training, and capacity-building initiatives.
• Monitor referral pipelines, enrollment trends, and caseload capacity.
• Assist with specialty referral workflows and healthcare navigation.
• Support platform access, supply orders, and other program operations.

 

Qualifications

• Bilingual English/Spanish.
• Previous Enhanced Care Management (ECM) and/or CalAIM experience required.
• Associate's degree in Social Work, Human Services, Psychology, Public Health, or a related field OR two years of professional/practicum experience in a medical, behavioral health, or social services setting.
• Experience with case management, care coordination, healthcare navigation, or social services.
• Strong documentation and organizational skills.
• Ability to work effectively with patients, providers, and interdisciplinary teams.
• Valid California driver's license.
• Current vehicle insurance and reliable transportation.
• Ability to work onsite Monday–Friday, 8:00 AM–5:00 PM.

 

Preferred

• FQHC, community health center, CBO, behavioral health, or managed care experience.
• Experience working with Medi-Cal Managed Care Plans, including LA Care, Health Net, Blue Cross, or Molina.
• Experience with NextGen EMR.
• Experience with specialty referrals and referral management.
• Previous lead, mentoring, quality assurance, chart review, or program coordination experience.
• Knowledge of CalAIM/ECM documentation, authorization, enrollment, and reporting requirements.

 

 

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.