Salud Para La Gente
Under the direct supervision of the Director of Behavioral Health and Case Management or designee, the Case Manager I provides comprehensive case management services for patients eligible for Enhanced Care Management (ECM) or Complex Care Management (CCM). This role supports patients with complex medical, behavioral, and social needs, serving as a key member of the interdisciplinary care team. The position upholds Salud’s mission, vision, and values through excellence, collaboration, innovation, respect, community commitment, accountability, and ownership.
Duties & Responsibilities
Conduct outreach and engagement efforts to connect patients with ECM/CCM services, including in‑person community field visits.
Perform screenings and comprehensive intake assessments to determine patient needs and eligibility.
Independently manage a caseload of patients within productivity standards.
Develop, implement, and monitor patient goals and progress within individualized Care Management Plans (CMPs) in collaboration with patients, providers, social support networks, and the interdisciplinary care team.
Maintain accurate documentation in the electronic health record (EHR), ensuring timely data collection and compliance with reporting requirements.
Facilitate warm hand‑offs and ensure closed‑loop referrals to appropriate healthcare and social service providers.
Support patients in accessing and utilizing healthcare services—including medical, behavioral, dental, and substance use treatment, preventive care, and chronic disease management.
Provide education and training on self‑management skills to improve patient health outcomes.
Assist patients in accessing public benefits (e.g., SSI, CalFresh, cash aid) and gathering necessary documentation; facilitate referrals to Community Health Services when appropriate.
Advocate for patient needs and assist in overcoming barriers to care, including transportation and appointment scheduling.
Mental Health Crisis Navigation
Utilize de‑escalation and Motivational Interviewing techniques to manage crisis situations effectively.
Conduct risk assessments for patients experiencing acute mental health distress and coordinate with crisis response teams as needed.
Provide supportive interventions to stabilize patients and facilitate engagement with appropriate mental health services.
Maintain communication with emergency responders, hospitals, internal staff, and behavioral health teams to ensure continuity of care.
Offer psychoeducation to patients and their families on coping strategies and crisis prevention.
Follow up with patients and their families to ensure ongoing appropriate care.
Group Facilitation and Support Services
Collaborate with behavioral health and medical providers to facilitate psychoeducational and support groups covering chronic disease management, mental health, substance use recovery, and social skills development.
Provide patient‑centered coaching and peer support in group settings to promote shared learning and self‑efficacy.
Comprehensive Transitional Care
Coordinate hospital and institutional discharge planning and internal case management services to ensure seamless transitions.
Develop and implement transition care plans, including follow‑up appointments, medication reconciliation, and adherence support.
Work with community‑based organizations to secure necessary post‑discharge services and supports.
Monitor patients post‑discharge to prevent readmissions and improve long‑term health outcomes.
Community Collaboration and Advocacy
Develop and maintain professional relationships with internal and external stakeholders to enhance care coordination efforts.
Serve as a liaison between patients, providers, and community resources, advocating for patient needs.
Participate in interdisciplinary team meetings, case reviews, and collaborative problem‑solving discussions.
Stay informed of local and statewide policies affecting patient access to services and advocate for improvements in care delivery.
Compliance and Professional Development
Adhere to organizational privacy, security, and compliance policies, including HIPAA and OSHA regulations.
Engage in ongoing professional development through continuing education, training, and participation in relevant workshops.
Provide feedback to refine program workflows, policies, and procedures as needed.
Consistently adhere to and/or exceed Salud’s communication guidelines and expectations with co‑workers and patients.
Perform under limited supervision with accountability.
Perform other duties as assigned.
Requirements MINIMUM QUALIFICATIONS
Bachelor’s degree in Social Work, Psychology, or a related field and a minimum of six (6) months of experience in mental health services, intensive case management, or healthcare coordination; OR
Associate’s degree and three (3) years of direct service experience in mental health, community services, healthcare coordination, and/or case management; OR
High school diploma or GED and a minimum of four (4) years of direct service experience in the above areas.
Certifications
Community Health Worker (CHW) certification is required, or the ability to obtain certification within twelve (24) months of employment, depending on assignment.
Knowledge and Skills
Strong knowledge of community resources and ability to build rapport with diverse patient populations.
General understanding of the complex needs of families in our community.
Proficiency in time management, with the ability to prioritize tasks based on urgency and meet department productivity standards.
Competency in electronic health record (EHR) systems and data management. Knowledge of basic medical and psychiatric terminology, preferred.
Excellent oral and written communication skills.
Strong collaboration skills with interdisciplinary teams.
Preferred Experience
Experience in crisis intervention, behavioral health navigation, and trauma‑informed care practices.
Experience providing trauma‑informed and diversity‑informed mental health services to high‑risk individuals, caregivers, and/or families.
Bilingual in Spanish required; bicultural preferred.
Additional Requirements
Valid CA driver’s license and clean driving record.
Ability to travel between sites and perform duties in the field, including a variety of community‑based settings within Santa Cruz, Monterey, and San Benito counties, if needed.
Flexibility to work a variable schedule, including evenings and weekends, as needed.
Salary and Benefits Salary:
$33.37 - $40.56 per hour
Employment Type:
Full‑Time
Benefits:
available to all regular Salud employees working 24+ hours per week. Part‑time employees may receive some benefits on a pro‑rated basis.
Employer‑paid Medical, Dental, Vision, and Life Insurance Plans for employees.
Paid Time Off (PTO): 19 days per year.
Paid Holidays: 12 per year.
401(k) Retirement Plan with employer contribution.
Voluntary Long‑Term Disability.
Health Reimbursement Arrangement (HRA) and Flexible Spending Account (FSA).
Additional Information
Employees on temporary assignments are eligible for holiday pay and California sick pay, both pro‑rated based on hours worked.
On‑call employees are eligible for California sick pay, pro‑rated based on hours worked.
Salud is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Salud is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact the Salud Human Resources Department, 831‑728‑8250, and HRDept@splg.org. #J-18808-Ljbffr
Duties & Responsibilities
Conduct outreach and engagement efforts to connect patients with ECM/CCM services, including in‑person community field visits.
Perform screenings and comprehensive intake assessments to determine patient needs and eligibility.
Independently manage a caseload of patients within productivity standards.
Develop, implement, and monitor patient goals and progress within individualized Care Management Plans (CMPs) in collaboration with patients, providers, social support networks, and the interdisciplinary care team.
Maintain accurate documentation in the electronic health record (EHR), ensuring timely data collection and compliance with reporting requirements.
Facilitate warm hand‑offs and ensure closed‑loop referrals to appropriate healthcare and social service providers.
Support patients in accessing and utilizing healthcare services—including medical, behavioral, dental, and substance use treatment, preventive care, and chronic disease management.
Provide education and training on self‑management skills to improve patient health outcomes.
Assist patients in accessing public benefits (e.g., SSI, CalFresh, cash aid) and gathering necessary documentation; facilitate referrals to Community Health Services when appropriate.
Advocate for patient needs and assist in overcoming barriers to care, including transportation and appointment scheduling.
Mental Health Crisis Navigation
Utilize de‑escalation and Motivational Interviewing techniques to manage crisis situations effectively.
Conduct risk assessments for patients experiencing acute mental health distress and coordinate with crisis response teams as needed.
Provide supportive interventions to stabilize patients and facilitate engagement with appropriate mental health services.
Maintain communication with emergency responders, hospitals, internal staff, and behavioral health teams to ensure continuity of care.
Offer psychoeducation to patients and their families on coping strategies and crisis prevention.
Follow up with patients and their families to ensure ongoing appropriate care.
Group Facilitation and Support Services
Collaborate with behavioral health and medical providers to facilitate psychoeducational and support groups covering chronic disease management, mental health, substance use recovery, and social skills development.
Provide patient‑centered coaching and peer support in group settings to promote shared learning and self‑efficacy.
Comprehensive Transitional Care
Coordinate hospital and institutional discharge planning and internal case management services to ensure seamless transitions.
Develop and implement transition care plans, including follow‑up appointments, medication reconciliation, and adherence support.
Work with community‑based organizations to secure necessary post‑discharge services and supports.
Monitor patients post‑discharge to prevent readmissions and improve long‑term health outcomes.
Community Collaboration and Advocacy
Develop and maintain professional relationships with internal and external stakeholders to enhance care coordination efforts.
Serve as a liaison between patients, providers, and community resources, advocating for patient needs.
Participate in interdisciplinary team meetings, case reviews, and collaborative problem‑solving discussions.
Stay informed of local and statewide policies affecting patient access to services and advocate for improvements in care delivery.
Compliance and Professional Development
Adhere to organizational privacy, security, and compliance policies, including HIPAA and OSHA regulations.
Engage in ongoing professional development through continuing education, training, and participation in relevant workshops.
Provide feedback to refine program workflows, policies, and procedures as needed.
Consistently adhere to and/or exceed Salud’s communication guidelines and expectations with co‑workers and patients.
Perform under limited supervision with accountability.
Perform other duties as assigned.
Requirements MINIMUM QUALIFICATIONS
Bachelor’s degree in Social Work, Psychology, or a related field and a minimum of six (6) months of experience in mental health services, intensive case management, or healthcare coordination; OR
Associate’s degree and three (3) years of direct service experience in mental health, community services, healthcare coordination, and/or case management; OR
High school diploma or GED and a minimum of four (4) years of direct service experience in the above areas.
Certifications
Community Health Worker (CHW) certification is required, or the ability to obtain certification within twelve (24) months of employment, depending on assignment.
Knowledge and Skills
Strong knowledge of community resources and ability to build rapport with diverse patient populations.
General understanding of the complex needs of families in our community.
Proficiency in time management, with the ability to prioritize tasks based on urgency and meet department productivity standards.
Competency in electronic health record (EHR) systems and data management. Knowledge of basic medical and psychiatric terminology, preferred.
Excellent oral and written communication skills.
Strong collaboration skills with interdisciplinary teams.
Preferred Experience
Experience in crisis intervention, behavioral health navigation, and trauma‑informed care practices.
Experience providing trauma‑informed and diversity‑informed mental health services to high‑risk individuals, caregivers, and/or families.
Bilingual in Spanish required; bicultural preferred.
Additional Requirements
Valid CA driver’s license and clean driving record.
Ability to travel between sites and perform duties in the field, including a variety of community‑based settings within Santa Cruz, Monterey, and San Benito counties, if needed.
Flexibility to work a variable schedule, including evenings and weekends, as needed.
Salary and Benefits Salary:
$33.37 - $40.56 per hour
Employment Type:
Full‑Time
Benefits:
available to all regular Salud employees working 24+ hours per week. Part‑time employees may receive some benefits on a pro‑rated basis.
Employer‑paid Medical, Dental, Vision, and Life Insurance Plans for employees.
Paid Time Off (PTO): 19 days per year.
Paid Holidays: 12 per year.
401(k) Retirement Plan with employer contribution.
Voluntary Long‑Term Disability.
Health Reimbursement Arrangement (HRA) and Flexible Spending Account (FSA).
Additional Information
Employees on temporary assignments are eligible for holiday pay and California sick pay, both pro‑rated based on hours worked.
On‑call employees are eligible for California sick pay, pro‑rated based on hours worked.
Salud is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Salud is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact the Salud Human Resources Department, 831‑728‑8250, and HRDept@splg.org. #J-18808-Ljbffr