Care Manager | ECM - Orange County

What You Will Do:

•    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.