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
  • Member’s 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 Bachelor's degree or higher from an accredited college 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.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.