JOB DESCRIPTION

Position: CICM Case Manager

Pay Range: $25-$37 PER HR

Reporting To: VP of Waiver and Case Management

Work Type: remote

POSITION SUMMARY:

The CICM Case Manager is responsible for providing person-centered care management services to eligible members with medical, behavioral health, or social needs. This role includes outreach, engagement, assessment, care planning, care coordination, service navigation, and ongoing follow-up. The CICM Care Coordinator maintains an active caseload and works collaboratively with health plans, community partners, service providers, and internal staff to reduce barriers, improve access to services, and support members in achieving their wellness goals.

QUALIFICATIONS:

1. Minimum of two years’ experience in case management, community outreach, social services, behavioral health support, or similar member-facing work.
2. Bachelor’s Degree in Health Care or related field preferred.
3. Experience working with individuals experiencing homelessness, medical complexity, behavioral health needs, or social barriers.
4. Experience with Medicare/DSNP, Medi-Cal or safety-net healthcare environments preferred.
5. Strong interpersonal skills and ability to build trust with diverse populations.
6. Knowledge of community resources, housing programs, social supports, and care coordination practices.
7. Ability to work independently, prioritize responsibilities, and maintain boundaries.
8. Strong written and verbal communication skills.
9. Proficient with EMR systems.
10. Bilingual in Spanish Preferred.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

The following is a representation of the major duties and responsibilities of this position. The agency will make reasonable accommodations to allow otherwise qualified applicants with disabilities to perform essential functions.

1. Conduct outreach and engagement activities to connect eligible members with services.
2. Perform comprehensive assessments capturing member needs related to medical care, behavioral health, housing, transportation, benefits, and social determinants of health.
3. Develop person-centered care plans with member input that reflect goals, strengths, barriers, and service coordination needs.
4. Provide ongoing care coordination, warm hand-offs, education, and advocacy to support member progress.
5. Facilitate communication among member support systems, including healthcare providers, social service agencies, health plans, behavioral health, and housing programs.
6. Conduct field-based activities, including home visits, office visits, and community outreach.
7. Use motivational interviewing, trauma-informed care, and culturally responsive approaches to engage members with varying levels of readiness.
8. Assist members in accessing transportation, scheduling appointments, applying for benefits, and connecting with appropriate programs or services.
9. Support transition activities such as hospital discharge coordination, navigating new providers, or connecting to long-term supports.
10. Maintain timely and accurate documentation in accordance with internal and external programmatic standards.
11. Track member progress toward goals through case notes, care plan updates, and authorized service logs.
12. Meet required engagement, visit, and contact frequency benchmarks based on acuity and program guidelines.
13. A significant amount of driving is required.
14. Performs other duties as assigned.

PHYSICAL REQUIREMENTS:

• Stand, sit, talk, hear, and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis up to 20% of the time.
• Reach, stoop, kneel and bend up to 15% of the time
• Moderate amount of walking up to 15% of the time.
• Moderate amount of driving up to 50%of the time.
• Close vision requirements due to computer work on a frequent basis
• Light to moderate lifting may be required up to 25lbs on a frequent basis.
• Pushing and pulling up to 25lbs.

I have reviewed and accepted the requirements of the job including the job description outlined

above.