Lead Care Manager

Job Title: Lead Care Manager (LCM) 

Program: Enhanced Care Management (ECM) Program 

Role Type: Full-time

About Correctional Health Treatment Centers 

Correctional Health Treatment Centers (CHTC) is a community-based, non-profit organization based in Southern California with the mission to increase access to care for individuals who are currently or were formerly involved in the criminal justice system. CHTC provides a continuum of holistic, person-centered care by addressing individuals’ medical and behavioral health needs as well as the social determinants of health needs that directly impact their well-being, such as homelessness. CHTC staff represent a diverse makeup of specialties, including medical directors, behavioral health specialists, case managers, socials workers, community health workers, front line jail operations and management, and reentry services coordinators. The CHTC CalAIM Program offers services in alignment with California’s Medi-Cal Transformation Initiative, which seeks to improve the quality of life and health outcomes of Medi-Cal Members. These services include Enhanced Care Management (ECM), a comprehensive set of case management services to support the highest-need and most-vulnerable individuals by coordinating services for their complex clinical and non-clinical needs and navigating the healthcare and social service systems. 

Duties and Responsibilities 

• Serve as the primary point of contact for ECM Program clients, their family, authorized representative (AR), caregiver, other authorized support person(s) as appropriate, and the multidisciplinary care team providing care to the client.  
• Conduct comprehensive assessments and develop comprehensive Care Plans with input from the client and/or their parent, caregiver, guardian and multidisciplinary care team, to ensure a whole-person approach is taken in identifying gaps in treatment or gaps in available and needed services. 
• Coordinate the delivery of services from various social service providers within Correctional Health Treatment Centers and the community for ECM Program participants. 
• Provide consultation, case management services, and guidance to ECM and Community Support (CS) Program clients, as well as liaison services with other agencies according to each client’s case plan. 
• Assist in formulating SMART goals, implementing the case plan, supervising its progress, and making revisions as needed. 
• Initiate and maintain communication with other agencies and members of the treatment team for each client. 
• Conduct weekly face-to-face visits (or as often as necessary) as part of the Care Plan development when necessary. 
• Develop individualized Care Plans that address clients’ clinical and non-clinical needs. 
• Write timely progress and quarterly reports, as well as required case notes. 
• Develop a transition plan for each client that includes post-planning and instruction. 
• Provide member and family education about chronic medical and behavioral health conditions to improve health literacy. 
• Gather input from other ECM Care Team members to prioritize member cases for systematic population/caseload review. 
• Work with members to identify health/wellness goals and incorporate these goals into Care Plans that facilitate communication among members and providers. 
• Consult with the ECM Care Team members about clinical concerns or questions and provide educational training on chronic disease states, prevention, treatment, medications, and healthy living. 
• Track and ensure required assessments and screenings are performed. 
• Keep client files updated with medical, legal, and social service-related documents. 
• Attend trainings and regular meetings. 
• Perform other duties and responsibilities as required by the ECM Program Supervisor. 

Required Education and Experience 

• Experience in case management.  
• Experience interacting with clients. 
• Experience working with clients with social determinants of health (SDoH) concerns. 
• Excellent organizational skills and attention to detail. 
• Excellent written and oral communication skills. 
• Proficient in Microsoft Office Suite or similar software. 

Preferred Experience 

• Lived experience in such areas such as homelessness, unstable housing, substance use disorders, mental health issues, abuse, family incarceration, foster care, exposure to violence, and financial instability. 
• Experience with Medi-Cal Transformation (CalAIM), Enhanced Care Management (ECM), or Community Supports Services. 
• Bilingual English and one of the local threshold languages. 

Legal Disclaimer(s) 

Correctional Health Treatment Centers is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment decisions are made based on qualifications, merit, and business need.