aba case manager

case manager

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catastrophic / field nurse case manager Jobs in Los Angeles

catastrophic / field nurse case manager

client services manager Jobs in Los Angeles

client services manager

care manager

BLEHEALTH, LLC

<div>BLEHEALTH is seeking qualified candidates who reside within the Metro Los Angeles area and are able to work exclusively within this service region. Candidates must live in or near ZIP codes 90001&ndash;90089 and demonstrate reliable access to the Metro LA community for field‑based duties, member visits, provider coordination, and in‑person engagements as required.
Job Description
The Lead Care Manager plays a vital role in supporting chronically ill and high‑risk members by coordinating care, reducing barriers, and improving health outcomes. This position works in continuous partnership with members, families/caregivers, providers, hospitals, and community resources to deliver high‑quality, person‑centered Enhanced Care Management (ECM) services.
Key Responsibilities
Care Coordination &amp; Member Support<ul><li>
Coordinate care across clinics, hospitals, specialists, and community agencies using strong care coordination, case management, and organizational skills to ensure a seamless experience and avoid duplication of services.</li><li>
Oversee the delivery of ECM services and ensure implementation and follow‑through of individualized care plans, applying project management and prioritization skills.</li><li>
Provide services where the member lives, seeks care, or feels most comfortable, demonstrating flexibility, cultural awareness, and strong interpersonal skills.</li><li>
Assess unmet medical, behavioral, and social needs and develop comprehensive care plans using critical thinking, problem‑solving, and clinical judgment.</li><li>
Support access to medical, behavioral health, and specialty care; arrange transportation and assist with appointment scheduling using effective communication and coordination abilities.</li><li>
Accompany members to office visits when appropriate, maintaining professional boundaries and member‑centered engagement.</li><li>
Monitor treatment adherence, including medication compliance, using attention to detail and follow‑through.</li><li>
Provide health promotion, self‑management coaching, and culturally/linguistically appropriate education using motivational interviewing and trauma‑informed care techniques.</li><li>
Promote timely access to care, preventive services, and reduced emergency room utilization and hospital readmissions through proactive planning and quality‑improvement practices.</li></ul>
Member Engagement &amp; Health Promotion<ul><li>
Use motivational interviewing, trauma‑informed care, and harm‑reduction approaches to build trust and support behavior change.</li><li>
Increase member capacity for self‑management and shared decision‑making through clear communication and coaching skills.</li><li>
Connect members to relevant community resources to improve health, stability, and overall well‑being using resource navigation and problem‑solving abilities.</li><li>
Apply crisis navigation skills when members present with urgent or complex needs.</li></ul>
Collaboration &amp; Communication<ul><li>
Serve as the primary point of contact, advocate, and informational resource for members, caregivers, providers, payers, and community partners using strong interpersonal and relationship‑building skills.</li><li>
Maintain strong relationships with primary care and specialty providers, ensuring timely communication and coordination during transitions of care through professional collaboration and follow‑up.</li><li>
Work closely with hospital staff on discharge planning and follow‑up using effective teamwork and care‑transition management.</li><li>
Facilitate and attend meetings between members, caregivers, providers, and community partners as needed, demonstrating clear communication and facilitation skills.</li><li>
Communicate with members through face‑to‑face visits, secure email, phone calls, text messages, and other approved methods using professional communication and documentation skills.</li><li>
Work independently and collaboratively with diverse teams, applying team‑building, adaptability, and strong organizational skills.</li></ul>
Program Support &amp; Compliance<ul><li>
Identify high‑risk members and ensure they are added to the registry or flagged in the EHR, demonstrating strong data accuracy and attention to detail.</li><li>
Monitor care plan adherence, evaluate effectiveness, and adjust plans as needed using quality‑improvement principles and analytical skills.</li><li>
Maintain accurate, timely documentation and meet productivity expectations, including a minimum of 30 schedules per day, supported by effective time‑management and prioritization abilities.</li><li>
Attend all required ECM trainings, webinars, and meetings, applying continuous learning and change‑management skills to daily practice.</li><li>
Provide feedback to support ongoing improvement of the ECM program using critical thinking and process‑improvement tools.</li><li>
Ensure all services are delivered in accordance with Medi‑Cal Managed Care Plan (MCP) guidelines, demonstrating regulatory awareness and compliance discipline.</li><li>
Use Microsoft Office (Word, Excel, PowerPoint) and other systems effectively to support documentation, reporting, and communication.</li><li>
Handle all Protected Health Information (PHI) in full compliance with HIPAA; public or shared spaces may not be used for work at any time.</li><li>
Follow BLE Health&rsquo;s password and data‑security protocols, including secure storage, device protection, and regular password updates.</li><li>
Limit personal tasks and errands to designated break and lunch periods to maintain productivity and workflow integrity.</li></ul>
Qualifications
Required<ul><li>
Valid California driver&rsquo;s license, active auto insurance, and a clean driving record</li><li>
Reliable personal vehicle and ability to drive within a 20‑mile radius of your local service area as needed.</li><li>
Be able to visit hospitals, member homes, and community locations as needed to support field‑based Enhanced Care Management services.</li><li>
Negative TB test and current CPR certification prior to hire.</li><li>
Successful completion of a Live Scan fingerprint/background check.</li><li>
Ability to consistently meet daily productivity expectations.</li></ul> 
Preferred<ul><li>
Associate or bachelor&rsquo;s degree in health science, social services, or a related field.</li><li>
Experience as a Social Worker, LVN, or in case management.</li><li>
Familiarity with CalAIM, Enhanced Care Management (ECM), or Medi‑Cal managed care programs.</li></ul>
 Benefits
Immediate Benefits<ul><li>
Mileage reimbursement provided per applicable state and federal guidelines.</li></ul>
Benefits After 90‑Day Probationary Period<ul><li>
Free life insurance.</li><li>
401(k) eligibility after 1,000 hours of service.</li></ul></div>

LEAD CARE MANAGER (Metro LA Coverage)

Pair Team

<div><h2 class="jobSectionHeader">About Pair Team</h2> 


At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve.

We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.

Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.

We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.

At Pair Team, were not just delivering care - we're building the future of more equitable, community-driven healthcare. 


Our Values
<ul>
<li>Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.</li>
<li>Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.</li>
<li>Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.</li>
<li>Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.</li>
<li>Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.</li>
</ul><h3 class="jobSectionHeader">In the News</h3>
<ul><li>Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most</li>
<li>TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team</li>
<li>Axios: Pair Team collects $9M for Medicaid-based care</li>
</ul>
<h2 class="jobSectionHeader"> 
About the Opportunity</h2>

Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time Lead Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.

We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We believe in the power of trust and relationships to successfully engage those who may have never received the kind of whole-health care that Pair Team can provide. 

This position primarily allows for remote work; however, it includes 2-3 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 2-3 times per month, close to your city, while the majority of your duties, approximately 90%, will be performed from your home 

<h3 class="jobSectionHeader">
What You'll Do</h3>
<ul><li>Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals</li>
<li>Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system</li>
<li>Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members</li>
<li>Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan</li>
<li>Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks</li>
<li>Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions</li>
<li>Consistently meet monthly encounter metrics to ensure compliance with health plan regulations</li>
<li>Identify and break down barriers ensuring individuals' continuation with the program</li>
<li>Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups</li>
<li>Coordinate physical care management appointments through collaboration with external and internal providers</li>
<li>Utilize external and internal online platforms to collaborate with team members and carry out daily tasks</li></ul> 

<h3 class="jobSectionHeader">
What You'll Need</h3>
<ul><li>1+ years of general work experience (Case Management preferred)</li>
<li>You are physically located in California
<ul><li>Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations</li>
<li>Virtual Ops requires a quiet, HIPAA compliant and internet connected space</li>
</ul></li><li>Bilingual &ndash; English/Spanish</li>
<li>Strong understanding of cultural fluency</li>
<li>High degree of empathy</li>
<li>Ability to work collaboratively in a multidisciplinary team</li>
<li>An eye for optimization</li>
<li>Organizational skills</li>
<li>Ability to remain patient when faced with adversity</li>
<li>Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing</li>
<li>A valid driver's license and auto liability insurance</li>
</ul><h3 class="jobSectionHeader">Preferred Qualifications:</h3>
<ul><li>Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder</li>
<li>2+ years of case management experience</li>
<li>Experience with motivational interviewing</li>
<li>Knowledge of medical terminology</li>
<li>Zest for problem solving, seeking answers, and thinking outside the box</li>
<li>Detail-oriented and organized self-starter who is a rockstar multitasker</li>
<li>Reliable and comfortable in an ever-changing environment</li></ul> 

<h3 class="jobSectionHeader">
Because We Value You</h3>
<ul><li>Salary: $22-$25/hour</li>
<li>Comprehensive health, vision &amp; dental insurance</li>
<li>401k</li>
<li>Monthly $100 work from home expense stipend for your WFH days</li>
<li>Gas reimbursements for your on-site engagement days</li>
Flexible vacation policy <li>- take the time you need to recharge!</li>
<li>We provide all of the equipment needed for the role</li>
<li>Opportunity for rapid career progression with plenty of room for personal growth!</li></ul><div> 
Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.

Pair Team participates in E-Verify to verify employment eligibility for new hires. 
 
Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use.

We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to recruiting@pairteam.com.

Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!</div></div>

Bilingual Case Manager (Remote Flexible, Spanish Speaking)

Providence Health & Services

<div>
 
 Description
 
 
 
 The Care Management Recovery Advocate (CMRA) is responsible for providing overall management and communication of clinically-based appeals between Providence Health and Services, California Region (PH&amp;S) outside payers. Activities will be patient-focused, uniform, compliant, and support steadfast advocacy for reimbursement of services provided to patients served within the PH&amp;S ministries.
 
 
 Providence caregivers are not simply valued &ndash; they&rsquo;re invaluable. Join our team at Providence California Regional Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
 
 
 
 Required Qualifications
 
 
 
 <ul>
 <li>
 Associate's Degree in Nursing.
 </li>
 <li>
 Upon hire: California Registered Nurse License
 </li>
 <li>
 2 years Direct patient care experience in an acute care setting. Other direct patient care experience may considered (in lieu of acute care).
 </li>
 <li>
 2 years experience as a case manager in an acute care setting.
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Bachelor's Degree in Nursing., Or
 </li>
 <li>
 Master's Degree in Nursing.
 </li>
 <li>
 Upon hire: Case management certification
 </li>
 <li>
 Experience working with denials and appeals in/for an acute care setting.
 </li>
 <li>
 Experience in a multi-hospital and/or integrated healthcare system.
 
 
 </li>
 </ul>
 
 Why Join Providence?
 
 
 
 Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
 
 
 
 About Providence
 
 
 
 At Providence, our strength lies in Our Promise of &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
 
 
 Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
 
 
 Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
 
 
 Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
 
 
 
 About The Team
 
 
 
 The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between. In Southern California, Providence provides care throughout Los Angeles County, Orange County, High Desert and beyond.
 
 
 Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
 
 
 Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
 
 
 
 Requsition ID:
 
 424197
 
 
 
 Company:
 
 Providence Jobs
 
 
 
 Job Category:
 
 Care Management
 
 
 
 Job Function:
 
 Clinical Care
 
 
 
 Job Schedule:
 
 Full time
 
 
 
 Job Shift:
 
 Day
 
 
 
 Career Track:
 
 Nursing
 
 
 
 Department:
 
 7000 UTILIZATION MGMT CA SOCAL
 
 
 
 Address:
 
 CA Mission Hills 15031 Rinaldi St
 
 
 
 Work Location:
 
 Providence Holy Cross Medical Ctr-Mission Hills
 
 
 
 Workplace Type:
 
 Remote
 
 
 
 Pay Range:
 
 $57.28 - $88.92
 
 
 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
</div>

Appeals RN - Care Management Full- time Day - REMOTE

Mom's Meals, a PurFoods Company

<div><div>The Manager of Healthcare Partnerships will maintain Managed Medicaid channel growth through continued development of relationships at Managed Medicaid, AAA, CBO, PACE and/or state case management agencies. The position will concentrate on supporting health plan and agency partners with successful Medically Tailored Meal programs through responsive account management and expanding knowledge of referral pathways by leading field-based members. This position will have a relationship-oriented approach to client engagements ensuring Mom&rsquo;s Meals is recognized as an industry leader in quality, customer service, and nutritional support for members with chronic health conditions.</div>
<div></div>
<div>This position will cover the Southern CA area and travel up to 30%, mostly daytime travel but some overnight stays, plus 2-3 times/year traveling throughout the US for Sales Summits or conferences.</div>
<div></div>
<div>Salary range: $78,836-105,000 plus 15% quarterly bonus.</div>
<div></div>
<div><div>Benefits</div>
<div>Our employees enjoy a generous package of benefits that we are thrilled to provide, and feel is part of what makes us different as an employer. We value our team members, and this is one way we can show it.</div>
<div></div>
<div>Benefits include:</div>
<ul><li>PTO, holiday pay and holiday of choice</li></ul>
<ul><li>401(k) match</li></ul>
<ul><li>Life insurance</li></ul>
<div>-Short-term disability79,386-</div>
<ul><li>Health, dental and vision insurance</li></ul>
<ul><li>Maternity/paternity leave</li></ul>
<ul><li>Health savings account (HSA)</li></ul>
<ul><li>Flex spending accounts (FSA) &ndash; health and dependent</li></ul>
</div><h3 class="jobSectionHeader">Position Responsibilities may include, but not limited to</h3><div>
<div><ul><li>Effectively present Mom&rsquo;s Meals products and services to a variety of audiences including managed care organizations as well as case managers, social workers, physicians, nurses and dietitians</li>
<li>Consistently utilize company programs and systems to maximize and prioritize each of the qualified Tier account engagements and create efficient weekly sales routes to meet scheduled meetings, drop-ins, and client educational opportunities</li>
<li>Build a schedule of staff meetings, in-service presentations and conferences where target audiences meet and coordinate presentation of our product and service</li>
<li>Demonstrate strong sales effectiveness and prompt follow-up via phone and email</li>
<li>Drives sales forecast performance, growth goals, and key initiatives</li>
<li>Verbally and electronically summarize weekly sales activities and maintain CRM database documenting sales leads, sales call information and follow-ups</li>
<li>Travel regionally on a weekly basis and nationally on an as needed basis to represent Mom&rsquo;s Meals at conferences or week-long sales routes</li>
<li>Continual communication and alignment with Internal Client Support Managers around company defined account management metrics and CRM management expectations</li>
</ul>
</div></div><div></div><h3 class="jobSectionHeader">Required Skills and Experience
</h3><div><div><div><ul><li>Bachelor&rsquo;s degree</li>
<li>5+ years&rsquo; healthcare sales experience in areas such as managed care, long-term care, home health, home care, hospital or medical equipment</li>
<li>Knowledge of Medicaid/Medicare benefit programs</li>
<li>Demonstrated experience consulting and presenting to care providers for high risk member populations</li>
<li>Sincerity and passion about helping people</li>
<li>Excellent communication and presentation skills</li>
<li>Strong Microsoft Office skills &ndash; Outlook, Teams, PowerBI, Excel and PowerPoint</li>
<li>Experience with CRM, Salesforce or similar organizational sales software</li>
<li>A strong background in Medicaid/Medicare and Managed Care organizations</li>
<li>Clinical credentialing in Social Work, Nursing, or Nutrition and/or be able to communicate the critical importance of medical nutrition in reducing health care costs to this high-risk population</li>
<li>Familiarity and contacts within the specific regional market along with experience working in Medicaid service provision</li>
<li>Willingness to travel up to 20-30% of the time for day and overnight trips, both regionally and nationwide with flexibility to hold virtual meetings when appropriate</li>
<li>Good driving record and insurability</li>
</ul></div></div></div><h3 class="jobSectionHeader">Preferred Skills and Experience
</h3><div><div><ul><li>Licensed social workers or nursing case managers with customer relationship experience will be strongly considered</li>
<li>Non-credentialed candidates will be considered if there is a passion and competency in consultatively networking and upselling SDOH benefits to field-based Medicaid case managers and their supervisors</li>
<li>Familiar with CalAIM and Community Supports</li>
</ul></div></div><h3 class="jobSectionHeader">Physical Requirements</h3><div>
<ul><li>Repetitive motions that include the wrists, hands and/or fingers</li>
<li>Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods</li>
<li>Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus</li>
</ul>
</div>We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.</div>

Manager of Healthcare Partnerships - Southern CA

TEEMA

<div><h4 class="jobSectionHeader">Make a Difference in the Lives of Families Affected by Autism</h4>
We&rsquo;re looking for a dedicated Autism Services Navigator (ASN) to support families enrolled in the Autism Care Demonstration (ACD). In this role, you&rsquo;ll be a trusted advocate, guiding beneficiaries diagnosed with autism spectrum disorder (ASD) through the care process. You&rsquo;ll coordinate services, provide crucial resources, and help families overcome barriers to ensure they receive the highest quality of care in a cost-effective manner. If you have a passion for helping others and expertise in care management, this is the role for you!<h4 class="jobSectionHeader">
What You&rsquo;ll Do</h4><ul><li>
Apply knowledge of HIPAA privacy regulations and accreditation standards to ensure compliance in all interactions.</li><li>
Assess beneficiary needs against ACD program criteria to determine eligibility and identify high-risk individuals needing enhanced support.</li><li>
Educate families on ACD benefits and available services to ensure they receive the best possible care.</li><li>
Make timely enrollment decisions and communicate approvals efficiently.</li><li>
Conduct comprehensive case management assessments and collaborate with families and providers to create individualized Comprehensive Care Plans (CCPs).</li><li>
Ensure continuity of care by sharing CCPs with beneficiaries, primary care managers (PCMs), and relevant providers while updating them as needed.</li><li>
Obtain necessary agreements for sharing protected health information to coordinate care effectively.</li><li>
Continuously monitor and adjust CCPs to reflect evolving needs, treatments, and available funding options.</li><li>
Document all actions, updates, and changes related to the beneficiary&rsquo;s care journey.</li></ul><h4 class="jobSectionHeader">
What You Bring</h4><ul><li>
Current, unrestricted licensure as a Licensed Clinical Social Worker (LCSW), Registered Nurse (RN), or another licensed mental health professional with a Case Management Certification (CCM). Ideally licenses will be current in CA</li><li>
At least three years of full-time clinical experience providing direct care.</li><li>
Experience in pediatrics, behavioral health, ASD, healthcare environments, and care management.</li><li>
Ability to obtain an industry-recognized case management certification within four years of hire.</li><li>
Must pass a Department of Defense (DoD) background investigation.</li><li>
U.S. Citizenship required.</li></ul><h4 class="jobSectionHeader">
Preferred Qualifications</h4><ul><li>
Two years of experience working with individuals diagnosed with ASD and/or the TRICARE ACD program.</li><li>
Two years of case management experience.</li><li>
Industry-recognized case manager certification.</li></ul>
Join us in making a real impact&mdash;apply today and help families access the care and support they deserve!
#Workwolf #BCDC_Consulting</div>

RN Case Manager - Autism Services Navigator California

The People Concern

Role: Clinical Case Manager, Project Based Housing
 Reports to: Program Manager
 Program: 1603-Housing Retention
 Department: Permanent Housing
 Location: 127th Street Apartments 550 W. 127th Street, Los Angeles, CA 90044 & El Segundo Apartments 535 W El Segundo Blvd., Los Angeles, CA 90061
 Setting: 100% Onsite
 Schedule: Monday - Friday 8:00am to 4:30pm
 Status: Full-time/Non-Exempt/Non-Management
 Benefits: Medical, Vision, Dental, Life Insurance, 403(b) Retirement plan, Employee Assistance Program (EAP), etc.
 Openings: 1
 
Job Description Summary : 
As part of a multi-disciplinary team, the Clinical Case Manager will provide field-based and site-based clinical services with clients to help remove barriers to housing placement and retain permanent housing. The Clinical Case Manager’s primary responsibilities are to comprehensively assess initial and ongoing individual needs, build rapport and sustain therapeutic engagement, while implementing interventions guided by functional needs assessments and treatment goal plans. Clinical Case Managers utilize clinical knowledge and skills to create interventions that target growth in coping skills and other life-skills learning. Through the use of evidence based practices such as harm reduction, housing first, and trauma-informed care, Clinical Case Managers support housing stability, medical and mental health wellness, and community integration.
 
Job Description Essential Duties and Responsibilities: 
<ul>
<li>Maintain a caseload of approximately 20 high acuity Clients for intensive case management services (up to 40 if low acuity).</li>
<li>Develop relationships with Clients with a focus on facilitating independence and maintenance of improved physical and mental health.</li>
<li>Provide crisis assessment and intervention.</li>
<li>Facilitate life skills and coping skills groups for Clients, as indicated.</li>
<li>Contribute clinical insight during weekly team case conferencing.</li>
<li>Meet regularly with clinical supervisor and attend weekly group supervision in order to obtain hours towards licensure. Supervision is provided at no cost to employee.</li>
<li>Collaborate with LA County Department of Mental Health (DMH) and Department of Health Services (DHS) programs to enhance coordination within Clients’ treatment team.</li>
<li>Engage Clients and implement interventions with an approach emphasizing Client choice, harm-reduction, and psychosocial rehabilitation within a setting guided by trauma-informed care, housing-first principles, and professional boundaries.</li>
<li>Assist in the screening, intake, and enrollment of Clients including orientation to program policies and goals.</li>
<li>Complete comprehensive biopsychosocial assessments and functional needs assessments to guide individualized treatment planning.</li>
<li>Complete assessment of mental health symptoms and diagnoses to guide mental health service linkage.</li>
<li>Complete quarterly collaborative goal plans with Clients with the purpose of targeting areas that will improve quality of life and health outcomes.</li>
<li>Write and maintain accurate, complete, and up-to-date progress notes and data in electronic databases as required by the program and its funding sources.</li>
<li>Ensure all Client documents within physical charts are complete, accurate, current, and filed as guided by agency, department, and funder expectations.</li>
<li>Maintain confidentiality of Client information per HIPAA and internal agency guidelines.</li>
<li>Assist Clients in applying for and obtaining all benefits to which they are entitled.</li>
<li>Coordinate appointments, transportation, and follow-up services for Clients to improve access to primary health care, mental health care, substance use services, and other local resources in order to build sustainable community connections and reduce the need for emergency health care services.</li>
<li>Directly transport Clients in personal vehicle to various agencies and healthcare providers in the greater Los Angeles area to decrease barriers to access and increase community reintegration.</li>
<li>Support Clients by teaching and modeling life skills involved such as budgeting, housekeeping, meal preparation, appointment scheduling, health maintenance, and socialization within communities where they become housed.</li>
<li>Communicate effectively with property managers and other third party partners.</li>
<li>Work cooperatively and cohesively with multidisciplinary team including participation in weekly staff meetings, direct individual supervision, and trainings.</li>
<li>Adapt workload as directed by supervisor in response to funder expectations.</li>
<li>Other duties, as assigned.</li>
</ul>
Job Description Qualifications: 
<ul>
<li>Master’s degree in a mental health field.</li>
<li>Registered with the California Board of Behavioral Sciences or ability to do so within the first 6 months of employment.</li>
<li>Valid CA Driver’s license, reliable car, auto insurance, and an acceptable driving record.</li>
<li>Willing and able to transport Clients in your personal vehicle.</li>
<li>Experience working with homeless individuals, those living with mental illness and/or substance addictions, preferred.</li>
<li>Demonstrated knowledge of case management preferred.</li>
<li>Able to work in a high tolerance Harm Reduction model with Clients experiencing multiple barriers.</li>
</ul>
Job Description Work Environment: 
<ul>
<li>Field (may need to travel) and indoor office environment</li>
<li>On occasion walk or drive to different local sites</li>
<li>Regularly required to sit, stand, bend and occasionally lift or carry up to 35 pounds</li>
<li>Will necessitate working in busy and at times loud environments</li>
<li>Will be exposed to elements like cold, heat, dust, noise and odor</li>
<li>May need to bend, stoop, twist, and sit throughout the day</li>
<li>Able to thrive in a work environment emphasizing teamwork and collaboration</li>
</ul>
EXPECTED BEHAVIORS OF ALL STAFF
 1. Act as a role model
 2. Demonstrate a sense of responsibility
 3. Continuously learn and improve
 4. Acknowledge your own areas of improvement
 5. Hear and provide honest, specific and direct feedback
 6. Create an environment where everyone is welcomed valued and respected
 7. Collaborate
 
Equal Opportunity Employer
 The People Concern is an equal opportunity employer dedicated to non-discrimination in employment. We select the most qualified individual for the job based on job-related qualifications regardless of race, color, age, sex, religion, national origin, disability, ancestry, marital status, credit history, sexual orientation, arrest and court record, genetic information, veteran status or any other status protected by federal, state or other applicable laws.
 About the People Concern
 The People Concern empowers the most vulnerable among us to rebuild their lives. One of Los Angeles County’s largest social services agencies, The People Concern was formed in 2016 in a merger of two trusted social service organizations based in Los Angeles County, OPCC and Lamp Community. Informed by more than fifty-eight years of work in the community, The People Concern is a leading provider of, and advocate for, evidence-based solutions to the multi-faceted challenges inherent in homelessness and domestic violence.
 
With compassion and profound respect for those we serve, we provide a fully integrated system of care – including outreach, interim housing, mental and medical health care, substance abuse services, domestic violence services, life skills & wellness programs, and permanent supportive housing – tailored to the unique needs of homeless individuals, survivors of domestic violence, challenged youth, and others who have nowhere else to turn.
 
The People Concern’s model of integrated and comprehensive care empowers our participants to navigate the multi-faceted obstacles in their lives, become their best selves, and ultimately, connect with and contribute to their communities.
 Benefits & Perks
 <ul>
<li>Medical Insurance</li>
<li>Vision Insurance</li>
<li>Dental Insurance</li>
<li>Retirement Planning (403b) & Matching</li>
<li>Paid Holidays</li>
<li>Paid Vacation Days</li>
<li>Paid Sick Days</li>
<li>Employee Assistance Plans (EAP)</li>
<li>TELUS Health</li>
<li>Flexible Spending Account (FSA)</li>
<li>Basic Life / Accidental Death & Dismemberment (AD&D)</li>
<li>Voluntary Short- and Long-Term Disability</li>
<li>Voluntary Pet Insurance</li>
<li>Corporate Discounts: Discounts on Hotels, Theme Parks, Concerts, Movies, Restaurants & More</li>
<li>The People Concern University & Certificates</li>
</ul>

Clinical Case Manager, Project Based - 127th/ El Segundo

Zócalo Health

<div>
 
 Registered Nurse (RN) &ndash; Enhanced Care Management (ECM) California
 
 
 
 Remote (Full Time)
 
 
 Compensation: $80,000/ year
 
 
 
 About Us
 
 
 
 Z&oacute;calo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. We partner with health plans, providers, and community organizations to deliver culturally competent primary care, behavioral health, and social care.
 
 
 Our model is built for populations with high medical and social complexity, where fragmented care drives poor outcomes and unnecessary cost. We combine local, community-based teams with virtual care and modern technology to deliver coordinated, whole-person care where members live and receive support.
 
 
 Founded in 2021, Z&oacute;calo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations. We are building a durable care platform designed to perform in constrained healthcare environments and to lead the shift toward accountable, value-based care.
 
 
 
 Role Description
 
 
 
 The Registered Nurse (RN) &ndash; Enhanced Care Management (ECM) will join Z&oacute;calo Health during a period of rapid growth and increasing operational complexity. This role exists to help scale and execute a community-oriented primary care model that delivers measurable outcomes for high-need members and health plan partners.
 
 
 As part of a fast-growing team, you will be responsible for providing clinical oversight, supporting care coordination, and ensuring documentation and workflows meet health plan requirements. You will partner closely with Community Health Workers (CHWs), Behavioral Health Care Managers (BHCMs), and providers to support high-risk members and ensure coordinated, high-quality care delivery.
 
 
 This position reports to
 
 Clinical Operations Leadership
 
 .
 
 
 The
 
 Registered Nurse (RN) &ndash; Enhanced Care Management (ECM)
 
 will contribute in the following ways:
 
 
 <ul>
 <li>
 Provide clinical oversight and guidance to CHWs and BHCMs, including escalation support for complex and high-risk patients
 </li>
 <li>
 Lead clinical case reviews, identifying gaps in care and ensuring care plans are clinically appropriate and aligned with health plan requirements
 </li>
 <li>
 Support care coordination across medical, behavioral health, and social needs, including collaboration with external providers and hospitals
 </li>
 <li>
 Conduct and document medication reconciliation, particularly following transitions of care
 </li>
 <li>
 Support transitions of care (TOC), including post-discharge follow-up and readmission risk mitigation
 </li>
 <li>
 Ensure documentation is accurate, structured, and compliant with health plan standards and audit expectations
 </li>
 <li>
 Partner with care teams to address social determinants of health, including LTSS coordination and social risk integration into care plans
 </li>
 <li>
 Identifies gaps in care, supports care team decision-making, and drives continuous improvement in care delivery and patient outcomes
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Active Registered Nurse (RN) license in California
 </li>
 <li>
 3+ years of clinical nursing experience
 </li>
 <li>
 Experience in care management, population health, or community-based care
 </li>
 <li>
 Bilingual (Spanish)
 </li>
 <li>
 Experience working with Medicaid or underserved populations
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Experience with Medi-Cal managed care plans
 </li>
 <li>
 Familiarity with CalAIM Enhanced Care Management (ECM) programs
 </li>
 <li>
 Experience addressing social determinants of health and community-based care models
 
 
 </li>
 </ul>
 
 What you can expect from Z&oacute;calo Health
 
 
 
 <ul>
 <li>
 Competitive salary
 </li>
 <li>
 Equity compensation package
 </li>
 <li>
 Comprehensive benefits including medical, dental, and vision 401k
 </li>
 <li>
 Generous PTO policy (up to 15 days per year for FT employees)
 </li>
 <li>
 Flexible PTO policy - take the time you need to recharge
 </li>
 <li>
 $1,000 home office stipend
 </li>
 <li>
 We provide the equipment needed for this role.
 </li>
 <li>
 Opportunity for rapid career progression with plenty of room for personal growth.
 
 
 </li>
 </ul>
 You must be authorized to work in the United States. Remote work can be done from anywhere in the U.S.
 
 
 At Z&oacute;calo Health Inc., we see diversity and inclusion as a source of strength in transforming healthcare. We believe building trust and innovation are best achieved through diverse perspectives. To us, acceptance and respect are rooted in an understanding that people do not experience things in the same way, including our healthcare system. Individuals seeking employment at Z&oacute;calo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
 
 
 Those seeking employment at Z&oacute;calo Health are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.
</div>

Registered Nurse (RN)

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