Patient Care Manager

Job Title: Care Coordinator/Patient case manager.

Company: Zoya Enhanced Care Management (ECM)
Location: Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Santa Cruz, Solano, and Sonoma.
Job Type: Full-Time or Part time
Schedule: Monday – Friday, with flexible hours as needed
Salary: $23 – $27 per hour
Reports To: Program Manager / ECM Supervisor

Position Summary

Zoya Enhanced Care Management (ECM) is seeking a compassionate and motivated Care Coordinator to provide comprehensive care coordination services to high-risk Medicaid Members. The ECM Care Coordinator will use a whole-person approach to assist Members in accessing medical, behavioral health, housing, and social services to improve their health outcomes and quality of life.

This position involves field-based services, including home visits, community outreach, and collaboration with healthcare providers and community partners.

Essential Duties and Responsibilities

The ECM Care Coordinator will:

Member Outreach and Engagement

• Conduct outreach to assigned Members through in-person visits, phone calls, and community outreach
• Establish trusting relationships with Members
• Educate members about ECM services and available resources
• Engage hard-to-reach and high-risk populations

Assessment and Care Planning

• Complete comprehensive assessments of Member needs, including:
• Medical
• Mental health
• Substance use
• Housing
• Social determinants of health
• Develop individualized, person-centered care plans with Member input
• Review and update care plans regularly

Care Coordination

• Coordinate services with:
• Primary care providers
• Mental health providers
• Substance use treatment providers
• Housing agencies
• Community organizations
• Schedule appointments and provide reminders
• Assist Members in accessing services
• Accompany Members to critical appointments when necessary

Transitional Care Support

• Support Members during hospital admissions and discharges
• Coordinate follow-up care
• Ensure continuity of care

Health Education and Support

• Educate members about:
• Medication adherence
• Chronic disease management
• Healthy lifestyle choices
• Help Members develop self-management skills

Documentation

• Document all Member contacts and services accurately and timely
• Maintain complete and compliant Member records
• Use electronic care management systems

Team Collaboration

• Participate in team meetings and case conferences
• Communicate regularly with supervisors and team members
• Participate in required trainings

Required Qualifications

Applicants must meet one or more of the following:

Education and Experience

Preferred:

• Bachelor’s degree in:
• Nursing
• Social Work
• Public Health
• Psychology
• Human Services
• Certified Medical Assistant
• Or related field

OR

Minimum:

• High School Diploma or GED AND
• At least 2 years of experience working with high-risk populations

Experience Working With:

• Medicaid population
• Homeless individuals
• Mental health
• Substance use disorder
• Chronic medical conditions
• Care coordination or case management

Preferred Qualifications

Highly preferred:

• Registered Nurse (RN)
• Licensed Social Worker
• Community Health Worker certification
• Care Coordination experience
• ECM experience
• Bilingual (Spanish, Somali, Amharic, Arabic, or other languages)

Required Skills

Must have:

• Strong communication skills
• Ability to work independently
• Ability to work in community settings
• Strong documentation skills
• Basic computer skills
• Reliable transportation
• Valid driver’s license

Work Environment

This position is:

• Field-based
• Includes home visits
• Includes community visits
• Includes office work

Physical Requirements

Must be able to:

• Travel to client locations
• Sit, stand, and walk for extended periods

Background Requirements

Must pass:

• Criminal background check
• Driver’s license check

Benefits

Zoya Enhanced Care Management (ECM)

• Competitive salary
• Flexible schedule
• Paid training
• Career growth opportunities
• Supportive team environment

Why Join Zoya Enhanced Care Management (ECM)?

We are committed to improving the lives of vulnerable populations through compassionate, person-centered care.

How to Apply

Submit:

• Resume
• Cover letter

To:

Email: zoyacareecmcalprovide2026@gmail.com
Subject: ECM Care Coordinator Application

Pay: $23.00 - $27.00 per hour

Work Location: Hybrid remote in California City, CA 93505