COPE Health Solutions
Patient Care Navigator II, Enhanced Care Management (ECM)
COPE Health Solutions, Los Angeles, California, United States, 90079
Job Title: Patient Care Navigator II.
The Patient Care Navigator II is a role that blends care coordination responsibilities with community engagement. This role supports the Cal AIM Enhanced Care Management (ECM) program and maintains an assigned caseload. Patient Care Navigator II provides care coordination, connection to medical, behavioral health, and social services, and ongoing engagement to support members’ needs.
Job Details
FLSA Status: Exempt
Salary Range: $23.00-$27.00
Reports To: ECM Program Manager / Director
Direct Reports: No
Location: Los Angeles Onsite
Travel: Up to 80%
Work Type: Regular
Schedule: Full Time
Key Responsibilities
Maintain an assigned caseload of ECM Members in accordance with Medi-Cal guidelines. Provide ongoing outreach, engagement, and follow-up with members via phone and in-person visits, based on assigned tier level and member need.
Conduct face‑to‑face visits as required by member risk tier.
Provide care coordination support, including appointment scheduling, transportation arrangements, referral tracking, and follow‑up.
Ensure smooth transitions of care, including coordination with hospitals and facilities related to admissions and discharges.
Engage and support members using motivational interviewing.
Connect members to community resources and social services, including housing, food, transportation, and other identified needs.
Promote member self‑efficacy and shared decision‑making in care planning.
Collaborate with RNCMs, LVNs, BHCMs, CHWs, and other care team members regarding members’ care needs.
Support care team members with delegated clerical tasks as appropriate.
Assign members to appropriate Case Managers based on risk category and available clinical data.
Track and ensure completion of required assessments and screenings, including Health Assessments and Shared Care Plans.
Maintain timely, accurate documentation in the ECM care management platform in compliance with program requirements.
Additional Responsibilities
Attend meetings with providers, health plans, community partners, and internal stakeholders.
Complete additional tasks and projects assigned to support ECM program goals.
Qualifications
High school diploma or equivalent required; Associate’s or bachelor’s degree in health administration, Public Health, Social Work, Sociology, Psychology, or related field preferred.
Experience in care coordination, community health work, case management, or social services.
Experience working with high‑risk or vulnerable populations.
Strong interpersonal, organizational, and communication skills.
Ability to manage a caseload and prioritize multiple tasks in a fast‑paced environment.
Comfortable with field‑based, community, and home visits.
Proficiency with electronic health records and care management platforms.
Reliable transportation with active insurance coverage.
Preferred Qualifications:
Experience working within CalAIM, ECM, managed care, or Medicaid programs.
Knowledge of community‑based resources and social service systems.
Bilingual abilities preferred.
Benefits We offer comprehensive, affordable insurance plans for our team and their families, as well as a yearly stipend for wellness‑related activities and a paid parental leave program. Learn more about our benefits offerings at https://copehealthsolutions.com/careers/why-cope-health-solutions/.
About COPE Health Solutions COPE Health Solutions is a national tech‑enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team bring deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de‑risks the roadmap to advanced value‑based payment and improves quality and financial performance for providers, health plans and self‑insured employers. For more information, visit CopeHealthSolutions.com.
To Apply To apply for this position or for more information about COPE Health Solutions, visit https://copehealthsolutions.com/careers/open-positions/.
#J-18808-Ljbffr
The Patient Care Navigator II is a role that blends care coordination responsibilities with community engagement. This role supports the Cal AIM Enhanced Care Management (ECM) program and maintains an assigned caseload. Patient Care Navigator II provides care coordination, connection to medical, behavioral health, and social services, and ongoing engagement to support members’ needs.
Job Details
FLSA Status: Exempt
Salary Range: $23.00-$27.00
Reports To: ECM Program Manager / Director
Direct Reports: No
Location: Los Angeles Onsite
Travel: Up to 80%
Work Type: Regular
Schedule: Full Time
Key Responsibilities
Maintain an assigned caseload of ECM Members in accordance with Medi-Cal guidelines. Provide ongoing outreach, engagement, and follow-up with members via phone and in-person visits, based on assigned tier level and member need.
Conduct face‑to‑face visits as required by member risk tier.
Provide care coordination support, including appointment scheduling, transportation arrangements, referral tracking, and follow‑up.
Ensure smooth transitions of care, including coordination with hospitals and facilities related to admissions and discharges.
Engage and support members using motivational interviewing.
Connect members to community resources and social services, including housing, food, transportation, and other identified needs.
Promote member self‑efficacy and shared decision‑making in care planning.
Collaborate with RNCMs, LVNs, BHCMs, CHWs, and other care team members regarding members’ care needs.
Support care team members with delegated clerical tasks as appropriate.
Assign members to appropriate Case Managers based on risk category and available clinical data.
Track and ensure completion of required assessments and screenings, including Health Assessments and Shared Care Plans.
Maintain timely, accurate documentation in the ECM care management platform in compliance with program requirements.
Additional Responsibilities
Attend meetings with providers, health plans, community partners, and internal stakeholders.
Complete additional tasks and projects assigned to support ECM program goals.
Qualifications
High school diploma or equivalent required; Associate’s or bachelor’s degree in health administration, Public Health, Social Work, Sociology, Psychology, or related field preferred.
Experience in care coordination, community health work, case management, or social services.
Experience working with high‑risk or vulnerable populations.
Strong interpersonal, organizational, and communication skills.
Ability to manage a caseload and prioritize multiple tasks in a fast‑paced environment.
Comfortable with field‑based, community, and home visits.
Proficiency with electronic health records and care management platforms.
Reliable transportation with active insurance coverage.
Preferred Qualifications:
Experience working within CalAIM, ECM, managed care, or Medicaid programs.
Knowledge of community‑based resources and social service systems.
Bilingual abilities preferred.
Benefits We offer comprehensive, affordable insurance plans for our team and their families, as well as a yearly stipend for wellness‑related activities and a paid parental leave program. Learn more about our benefits offerings at https://copehealthsolutions.com/careers/why-cope-health-solutions/.
About COPE Health Solutions COPE Health Solutions is a national tech‑enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team bring deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de‑risks the roadmap to advanced value‑based payment and improves quality and financial performance for providers, health plans and self‑insured employers. For more information, visit CopeHealthSolutions.com.
To Apply To apply for this position or for more information about COPE Health Solutions, visit https://copehealthsolutions.com/careers/open-positions/.
#J-18808-Ljbffr