Medium
CalAIM Case Manager Specialist - 2025320
Medium, Sacramento, California, United States, 95828
Overview
Are you a person of compassion? An advocate for justice? Someone who stands up for the rights of the vulnerable and speaks out for the marginalized, the exploited and the forgotten? Do you believe in our calling as Christians to welcome the least of these and love our neighbor? If you answered yes to any of the above, World Relief and millions of people around the world need you. We are rapidly expanding and growing our team to meet increasing needs. If you’re looking for a purpose-driven career in which you can grow your talents while standing up for the rights of the vulnerable, join us today. Organization summary World Relief is a global Christian humanitarian organization whose mission is to boldly engage the world’s greatest crises in partnership with the church. The organization was founded in the aftermath of World War II to respond to urgent humanitarian needs. For 80 years, across 100 countries, World Relief has partnered with local churches and communities to build a world where families thrive and communities flourish. Today, programming focuses on humanitarian and disaster response, community strengthening and resilience, and refugee and immigrant services and advocacy. This position is reliant upon funding and may be subject to modification or termination based on resource availability. Position summary
The CalAIM Case Manager provides person-centered care coordination and support for individuals with complex medical, behavioral, and social needs enrolled in California’s Enhanced Care Management (ECM) and Community Supports (CS) programs. Serving as the primary point of contact and advocate, this role ensures clients receive the services and resources they need to improve health, stability, and overall well-being. Working closely with healthcare providers, behavioral health professionals, housing and social service agencies, and community organizations, the CalAIM Case Manager develops individualized care plans, addresses barriers to care, and empowers clients through health education and coaching. This role will also coordinate with Housing Navigators to deliver Housing Navigation or Housing Tenancy services for clients dually enrolled in Community Supports, with the goal of promoting long-term independence and self-sufficiency. Responsibilities
Outreach & Engagement
Actively locate, contact, and engage clients eligible for ECM and Community Supports. Use culturally and linguistically appropriate outreach strategies to build trust and establish rapport. Conduct in-person meetings with clients in the community or at provider locations to assess needs and preferences. Document outreach and engagement efforts thoroughly and in a timely manner. Assessment & Care Management
Conduct comprehensive assessments to identify physical, behavioral, social, and environmental needs. Collaborate with clients and supervisors to develop individualized, person-centered care plans reflecting client goals and preferences. Address social determinants of health such as housing, food insecurity, and transportation. Provide ongoing support by accompanying clients to appointments, offering transportation when needed, and helping navigate complex health systems. Reassess needs regularly and update care plans as circumstances change. Enhanced Coordination of Care
Serve as the primary point of contact for clients, coordinating communication among all providers involved in their care. Act as a liaison among healthcare, behavioral health, housing, and community-based providers to ensure coordinated service delivery. Facilitate referrals to primary care, specialists, behavioral health services, and community resources. Schedule and remind clients of appointments, arrange transportation, and reduce barriers such as health literacy or psychosocial challenges. Advocate for client needs while promoting client voice, choice, and active participation in decision-making. Establish strong relationships with clients and families, providing practical assistance and emotional support. Health Promotion & Education
Deliver psychoeducation on proactive healthcare engagement. Educate clients on attending and preparing for regular medical appointments and risks of unmanaged conditions. Provide health education on chronic disease management, healthy behaviors, and preventive services (e.g., nutrition counseling, smoking cessation). Support clients in building daily living skills and long-term self-sufficiency. Coordination & Referrals
Connect clients to housing, food pantries, transportation, and public benefits. Facilitate access to Community Supports such as housing transition navigation, medically tailored meals, or respite care. Follow up to confirm services are received and troubleshoot barriers to access. Documentation & Compliance
Maintain accurate records of client contacts, intake forms, assessments, eligibility documentation, and referrals in the electronic health record system. Ensure compliance with program requirements, HIPAA regulations, and confidentiality protocols. Contribute to data quality assurance, reporting, and continuous quality improvement. Collaboration & Program Participation
Participate in multidisciplinary team meetings, trainings, and case reviews. Work collaboratively with internal teams (care coordinators, behavioral health, finance) and external partners (managed care plans, community organizations). Contribute to continuous program development and quality improvement initiatives. Job requirements
Mature and personal Christian faith Committed to World Relief’s mission, vision, and values Desire to serve and empower the Church to impact vulnerable communities Able to affirm World Relief’s Core Beliefs, Statement of Faith, Christian Identity, and National Association of Evangelicals’ For the Health of The Nation document Bachelor’s degree in Social Work, Psychology, Nursing, or related field; OR Associate’s degree with at least 2 years of mental health or social services experience; OR equivalent combination Minimum of 2 years of experience in case management or related social services Strong cultural competency and sensitivity to diverse populations Experience working with immigrant or vulnerable populations (homelessness, serious mental illness, substance use, justice involvement, or complex health conditions) Proficient verbal and written English communication skills Bilingual or multilingual in a language commonly spoken in the client community (e.g., Dari, Pashto) Knowledge of HIPAA and commitment to client privacy and data security Valid driver’s license, current auto insurance, and reliable transportation Preferred qualifications
Familiarity with Medi-Cal, CalAIM, and managed care systems. Strong understanding of medical terminology and chronic health conditions. Knowledge of local housing resources, HMIS, Continuum of Care systems, and community-based services. Demonstrated ability to provide trauma-informed, client-centered, and strengths-based services. Excellent interpersonal, organizational, and written communication skills. Proficient in documentation and case noting in electronic health management systems. Ability to apply professional judgment to complex issues, manage multiple priorities, and work independently and collaboratively. Excellent planning, organizing, prioritization, and time management skills. Able to work in a fast-paced, challenging, and multi-cultural environment. Ability to maintain positive, professional relationships with clients, colleagues, government agencies, and community partners. Demonstrated knowledge of community resources and social service systems. $27 - $29.50 an hour World Relief offers a competitive benefits package and employee discount program for full-time and part-time employees. World Relief is honored to be recognized with the Gold-level Cigna Healthy Workforce Designation for exceeding the core components of our well-being program including leadership and culture, program foundations and execution, and whole person health. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. For World Relief staff, strong commitment to the mission, vision, and values of World Relief is essential, and Christian faith is a prerequisite for employment, based upon United States federal guidelines in Title VII of the Civil Rights Act of 1964.
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Are you a person of compassion? An advocate for justice? Someone who stands up for the rights of the vulnerable and speaks out for the marginalized, the exploited and the forgotten? Do you believe in our calling as Christians to welcome the least of these and love our neighbor? If you answered yes to any of the above, World Relief and millions of people around the world need you. We are rapidly expanding and growing our team to meet increasing needs. If you’re looking for a purpose-driven career in which you can grow your talents while standing up for the rights of the vulnerable, join us today. Organization summary World Relief is a global Christian humanitarian organization whose mission is to boldly engage the world’s greatest crises in partnership with the church. The organization was founded in the aftermath of World War II to respond to urgent humanitarian needs. For 80 years, across 100 countries, World Relief has partnered with local churches and communities to build a world where families thrive and communities flourish. Today, programming focuses on humanitarian and disaster response, community strengthening and resilience, and refugee and immigrant services and advocacy. This position is reliant upon funding and may be subject to modification or termination based on resource availability. Position summary
The CalAIM Case Manager provides person-centered care coordination and support for individuals with complex medical, behavioral, and social needs enrolled in California’s Enhanced Care Management (ECM) and Community Supports (CS) programs. Serving as the primary point of contact and advocate, this role ensures clients receive the services and resources they need to improve health, stability, and overall well-being. Working closely with healthcare providers, behavioral health professionals, housing and social service agencies, and community organizations, the CalAIM Case Manager develops individualized care plans, addresses barriers to care, and empowers clients through health education and coaching. This role will also coordinate with Housing Navigators to deliver Housing Navigation or Housing Tenancy services for clients dually enrolled in Community Supports, with the goal of promoting long-term independence and self-sufficiency. Responsibilities
Outreach & Engagement
Actively locate, contact, and engage clients eligible for ECM and Community Supports. Use culturally and linguistically appropriate outreach strategies to build trust and establish rapport. Conduct in-person meetings with clients in the community or at provider locations to assess needs and preferences. Document outreach and engagement efforts thoroughly and in a timely manner. Assessment & Care Management
Conduct comprehensive assessments to identify physical, behavioral, social, and environmental needs. Collaborate with clients and supervisors to develop individualized, person-centered care plans reflecting client goals and preferences. Address social determinants of health such as housing, food insecurity, and transportation. Provide ongoing support by accompanying clients to appointments, offering transportation when needed, and helping navigate complex health systems. Reassess needs regularly and update care plans as circumstances change. Enhanced Coordination of Care
Serve as the primary point of contact for clients, coordinating communication among all providers involved in their care. Act as a liaison among healthcare, behavioral health, housing, and community-based providers to ensure coordinated service delivery. Facilitate referrals to primary care, specialists, behavioral health services, and community resources. Schedule and remind clients of appointments, arrange transportation, and reduce barriers such as health literacy or psychosocial challenges. Advocate for client needs while promoting client voice, choice, and active participation in decision-making. Establish strong relationships with clients and families, providing practical assistance and emotional support. Health Promotion & Education
Deliver psychoeducation on proactive healthcare engagement. Educate clients on attending and preparing for regular medical appointments and risks of unmanaged conditions. Provide health education on chronic disease management, healthy behaviors, and preventive services (e.g., nutrition counseling, smoking cessation). Support clients in building daily living skills and long-term self-sufficiency. Coordination & Referrals
Connect clients to housing, food pantries, transportation, and public benefits. Facilitate access to Community Supports such as housing transition navigation, medically tailored meals, or respite care. Follow up to confirm services are received and troubleshoot barriers to access. Documentation & Compliance
Maintain accurate records of client contacts, intake forms, assessments, eligibility documentation, and referrals in the electronic health record system. Ensure compliance with program requirements, HIPAA regulations, and confidentiality protocols. Contribute to data quality assurance, reporting, and continuous quality improvement. Collaboration & Program Participation
Participate in multidisciplinary team meetings, trainings, and case reviews. Work collaboratively with internal teams (care coordinators, behavioral health, finance) and external partners (managed care plans, community organizations). Contribute to continuous program development and quality improvement initiatives. Job requirements
Mature and personal Christian faith Committed to World Relief’s mission, vision, and values Desire to serve and empower the Church to impact vulnerable communities Able to affirm World Relief’s Core Beliefs, Statement of Faith, Christian Identity, and National Association of Evangelicals’ For the Health of The Nation document Bachelor’s degree in Social Work, Psychology, Nursing, or related field; OR Associate’s degree with at least 2 years of mental health or social services experience; OR equivalent combination Minimum of 2 years of experience in case management or related social services Strong cultural competency and sensitivity to diverse populations Experience working with immigrant or vulnerable populations (homelessness, serious mental illness, substance use, justice involvement, or complex health conditions) Proficient verbal and written English communication skills Bilingual or multilingual in a language commonly spoken in the client community (e.g., Dari, Pashto) Knowledge of HIPAA and commitment to client privacy and data security Valid driver’s license, current auto insurance, and reliable transportation Preferred qualifications
Familiarity with Medi-Cal, CalAIM, and managed care systems. Strong understanding of medical terminology and chronic health conditions. Knowledge of local housing resources, HMIS, Continuum of Care systems, and community-based services. Demonstrated ability to provide trauma-informed, client-centered, and strengths-based services. Excellent interpersonal, organizational, and written communication skills. Proficient in documentation and case noting in electronic health management systems. Ability to apply professional judgment to complex issues, manage multiple priorities, and work independently and collaboratively. Excellent planning, organizing, prioritization, and time management skills. Able to work in a fast-paced, challenging, and multi-cultural environment. Ability to maintain positive, professional relationships with clients, colleagues, government agencies, and community partners. Demonstrated knowledge of community resources and social service systems. $27 - $29.50 an hour World Relief offers a competitive benefits package and employee discount program for full-time and part-time employees. World Relief is honored to be recognized with the Gold-level Cigna Healthy Workforce Designation for exceeding the core components of our well-being program including leadership and culture, program foundations and execution, and whole person health. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. For World Relief staff, strong commitment to the mission, vision, and values of World Relief is essential, and Christian faith is a prerequisite for employment, based upon United States federal guidelines in Title VII of the Civil Rights Act of 1964.
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