Bilingual ECM Behavioral Health Care Manager- Full-Time

The Staff Pad has partnered with a mission-driven Federally Qualified Health Center in Pomona, CA, dedicated to improving the health and well-being of underserved communities.

We are seeking a compassionate ECM Behavioral Health Care Manageer to support members through care coordination, outreach, appointment scheduling, and connections to healthcare and community resources.

Reporting to the Director of Behavioral Health and the Enhanced Care Management Program Director, this role works closely with the interdisciplinary care team to help members navigate complex healthcare and social service systems, improve access to care, address social determinants of health, and achieve better health outcomes.

The coordinator supports individualized care goals through culturally responsive services while maintaining accurate documentation and adhering to IEHP requirements and HRSA/Uniform Data System (UDS) reporting standards.

Schedule:

• Full-Time | Non-Exempt | Monday–Friday | 8:00 AM–5:00 PM

• Occasional Saturdays as needed

What You'll Do

Key Responsibilities

• Program Operations & Caseload Management

• Manage an assigned ECM member caseload in accordance with Medi-Cal guidelines

• Conduct outreach to connect eligible members with ECM services and assist in scaled metrics

• Conduct assessments and surveys to identify member needs, risks, and care gaps

• Track required assessments, screenings, Health Assessments, and Shared Care Plans

• Assign members to appropriate case managers based on risk level and clinical data

• Document member interactions, care coordination, and referrals accurately and promptly in the EHR or care management platform

• Maintain confidentiality and comply with HIPAA and organizational policies

• Ensure timely, accurate ECM documentation in compliance with program and state requirements

• Care Coordination & Transitions of Care

• Coordinate appointments, transportation, referrals, and follow-up care

• Help members navigate healthcare, behavioral health, social services, and community resources

• Coordinate care transitions with hospitals, facilities, and providers during admissions and discharges

• Communicate regularly with interdisciplinary team members to support coordinated care

• Identify psychosocial and behavioral health needs and facilitate appropriate referrals

• Maintain compliant documentation of outreach, enrollment, and enabling services in accordance with HRSA and UDS reporting standards

• Member Engagement & Support

• Conduct phone and in-person outreach to promote ECM engagement

• Assign members to appropriate ECM care team members based on risk tier

• Build trusting relationships to support ongoing engagement in medical and behavioral health care

• Use motivational interviewing to encourage behavior change and care plan participation

• Connect members with housing, food, transportation, and other community resources

• Promote member self-efficacy and shared decision-making in care planning

• Clinical Collaboration & Team Support

• Collaborate with interdisciplinary team members to coordinate member care

• Participate in weekly and ad hoc case reviews and consult with the Care Manager before taking clinical action

• Provide administrative and clerical support to care teams as assigned and appropriate

• Additional Responsibilities

• Attend meetings with providers, health plans, community partners, and internal stakeholders

• Travel between the clinics and community sites as needed

• Complete additional tasks and projects supporting ECM program goals

• What We Are Looking For

• Education and Experience

• High school diploma or equivalent required; Associate’s or Bachelor’s degree in a related field preferred

• LCSW/LMFT experience required

• Behavioral health case management experience preferred

• 3+ years of relevant experience preferred

• Experience in care coordination, community health, case management, or social services required

• Experience supporting individuals with complex medical and behavioral health needs preferred

• Additional Skills and Attributes

• Bilingual in English and Spanish required

• Clinical knowledge of substance use disorders and serious mental illness

• Ability to provide whole-person care that is culturally appropriate, respectful, and patient-centered

• Strong interpersonal, organizational, customer service, and communication skills

• Ability to manage a caseload, prioritize tasks, and meet productivity benchmarks

• Proficiency with electronic health records and care management systems

• Basic computer skills, including Microsoft Word, Excel, and Outlook

• Reliable transportation to travel independently between work locations

• Knowledge of community resources and social service systems

• Ability to move between rooms and departments

• Ability to type and work on a computer for extended periods

• Physical Requirements

• Prolonged sitting at a desk with frequent standing and walking

• Manual dexterity for writing and handling documents

• Effective communication in person, by phone, and electronically

• Ability to lift and carry up to 30 pounds occasionally

• Ability to operate standard office equipment and mobile technology

• What You Can Expect

• Collaborative and supportive ECM team

• Access to the IEHP portal and training on its use

• Training on ECM programs, services, and community resources

• Health insurance, with 95% of employee premiums covered by the employer

• Dental and vision insurance, with 100% of employee premiums covered by the employer

• VTO (Volunteer Time Off) eligibility

• Support for professional license renewals

• Dedicated time for continuing education and professional development

• If you are passionate about helping individuals overcome barriers to care and connecting underserved communities with essential health and social services, we encourage you to apply and make a meaningful impact through compassionate, member-centered support.