Case Manager

About CalPride

CalPride is a 501(c)(3) non-profit organization serving the LGBTQ community and our intersecting identities in California's Central Valley and Foothills. We proudly serve over 15,000 individuals a year throughout Stanislaus, Merced, Madera, Tuolumne, Calaveras, Amador, and Mariposa counties. CalPride provides comprehensive health equity, mental wellness, and educational resources- for free, for all. Our in-person services and events foster meaningful, safe spaces to learn, grow, connect, and heal together. CalPride is an Equal Opportunity Employer. We are an inclusive organization and actively promote equality of opportunity for all. We strongly encourage applications from all individuals, including 2SLGBTQIA individuals, people of color, women, people living with disabilities and chronic illnesses, foreign-born residents, older members of society, and others from marginalized groups and diverse backgrounds. As an LGBTQ -serving organization working towards building a world that begins with love, the intersecting experiences of our employees are essential.

Job Overview
The ECM/CS Case Manager provides intensive, field-based case management, delivering all seven DHCS-required ECM Core Service Components and coordinating access to Medi-Cal Community Supports. You will be responsible for outreach, assessments, care planning, advocacy, coordination, and follow-through for your assigned caseload.

This role is mobile and relationship-centered, requiring regular in-person visits and engagement in nontraditional settings.

Responsibilities

1.Frequent In-Person Visits & Member Engagement

• Conduct regular face-to-face visits in homes, shelters, encampments, hospitals, or community spaces.

Example: During a home visit, you notice a member struggling to stand. You arrange a walker, coordinate home health PT, and contact their MCP for durable medical equipment authorization.

2. Comprehensive Assessments & Member-Centered Care Plans

• Complete DHCS-aligned biopsychosocial assessments addressing medical, behavioral health, SUD, housing, SDOH, and functional needs.
• Develop member-driven care plans with goals that reflect their experiences, values, and priorities.
• Update plans regularly based on progress or new challenges.

3. Enhanced Care Coordination

• Schedule medical, behavioral health, and dental appointments.
• Arrange transportation, follow-up care, and reminders.
• Facilitate warm handoffs to SUD treatment, CHWs, peer support, or external agencies.
• Coordinate with PCPs, specialists, health plans, and social service providers.
• Example: A member discharged from the hospital needs follow-up labs, wound care, medication refills, and a ride home. You coordinate every piece to ensure no steps are missed.

4. Health Promotion & Coaching

• Provide education around chronic disease management, safer use, preventive screenings, and medication management.
• Support members in building confidence, self-advocacy skills, and coping strategies.

5. Transitional Care Support

• Assist members moving between institutions (hospital, jail, rehab, SNF, shelters).
• Communicate with discharge planners and ensure follow-up care is arranged.
• Reduce readmission risk through proactive outreach.

6. Supporting Families & Natural Supports

• Engage trusted family members, partners, or chosen support networks at the member’s request.
• Provide education and communication to help support and remain engaged appropriately.

7. Community Supports (CS) & Social Services Navigation

• Screen for social needs such as food insecurity, housing instability, transportation gaps, and safety concerns.
• Connect members with CalAIM Community Supports such as: * Housing Navigation * Tenancy-Sustaining Services * Medically Tailored Meals * Recuperative Care * Day Habilitation * Personal Care & Homemaker Services
• Track referrals, authorizations, and service outcomes.

Example: A single parent needs housing placement, childcare, and employment services. You coordinate CalWORKs, job training, childcare subsidies, and housing programs to stabilize the household.

8. Member Advocacy

• Navigate insurance barriers, request authorizations, and escalate denials.
• Advocate for equitable access to treatment, housing, and supportive services.

Example: If a needed medical procedure is denied, you gather documentation, collaborate with the care team, and initiate an appeal.

9. Documentation & Compliance

• Complete accurate, timely notes, assessments, care plans, outreach logs, and reporting in CalPride’s care management system.
• Maintain compliance with DHCS ECM standards, MCP policies, HIPAA, and CalAIM documentation rules.

10. Professional Development & Continuous Improvement

• Attend training in trauma-informed care, harm reduction, motivational interviewing, cultural humility, and CalAIM updates.
• Participate in case conferences, supervision, and team trainings.
• Offer feedback that helps improve CalPride’s ECM/CS program design.
• Build trust using trauma-informed and harm-reduction practices.
• Identify needs that are only visible in person (unsafe living environment, food shortages, mobility limits).

Skills

• Strong crisis intervention and crisis management skills with the ability to remain calm under pressure.
• Experience in addiction counseling, behavioral health, or social work is highly desirable.
• Excellent communication skills with proficiency in motivational interviewing techniques.
• Supervising experience or mentoring skills are preferred for guiding clients through recovery or development stages.
• Knowledge of Child Welfare systems, Section 8 housing programs, Medicare, and workforce development initiatives is advantageous.
• Ability to work collaboratively within a team environment while managing multiple priorities effectively.
• Compassionate approach with a commitment to client-centered care and community engagement. This position is ideal for individuals passionate about making a difference in people's lives through dedicated support and resource coordination within a dynamic social services setting.

QUALIFICATIONS

Minimum Qualifications

• Equivalent combination of education and meaningful experience; OR
• CHW/Peer Specialist background with relevant training.
• Experience working with at least one ECM Population of Focus (e.g., homelessness, SMI/SUD, LGBTQ individuals, justice-involved individuals).
• Strong documentation, communication, and organizational skills.
• Ability to conduct field-based work in diverse environments.
• Valid California driver’s license, reliable transportation, and auto insurance.

Preferred Qualifications

• Experience with Medi-Cal, CalAIM, ECM, or Community Supports.
• Bilingual (Spanish/English or other languages common in service areas).
• Familiarity with harm reduction, trauma-informed care, and LGBTQ cultural humility.

Experience in mobile outreach, housing navigation, case management, or behavioral health.

Pay: $28.00 - $34.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Mileage reimbursement
• Paid time off

Work Location: In person

Salary : $28 - $34