Lead Care Coordinator

# Lead Care Coordinator Center for Human Services - Modesto, CA 95350## Overview Salary Range $22.00 - $23.00 Hourly Position Type Full Time Job Shift Day Travel  Percentage Up to 25%## Description
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* POSITION SUMMARY:

** The Lead Care Coordinator serves as the primary care manager for Medi-Cal Members enrolled in the Enhanced Care Management (ECM) program. This role functions as the central point of contact for the Member, their family, Authorized Representative (AR), caregiver(s), and multidisciplinary care team. The Lead Care Coordinator delivers whole-person, culturally responsive care by addressing medical, behavioral, developmental, oral health, and social needs through collaboration with internal staff and external partners.

This position plays a key role in expanding access to services and ensuring compliance with Department of Health Care Services (DHCS) and Managed Care Plan (MCP) ECM requirements.
** DUTIES:
**** Care Planning
** 1. Use comprehensive assessments to develop individualized care plans addressing physical health, behavioral health, substance use, oral health, trauma, housing, employment, and social support needs.
2. Collaborate with the Member, family, caregivers, and care team to maintain a whole-person care plan.
3. Reassess and update care plans at least every six (6) months or as the Member’s needs change.
** Care Coordination & Integration
** 1. Serve as the primary point of contact for the Member, family, authorized representative, caregiver(s), and multidisciplinary care team.
2. Coordinate communication and services among providers, community partners, and MCP representatives to ensure seamless and non-duplicative care.
3. Facilitate warm handoffs between care settings, including hospital discharges and other transitions.
4. Work with the ECM Clinical Consultant (licensed clinician) for oversight, guidance, and clinical support.
** Service Delivery & Support
** 1. Provide all ECM Core services as defined by DHCS, including outreach and engagement, comprehensive assessment and care planning, enhanced care coordination, health promotion, transitional care services, member and family support, referral and linkage to community/social support services
2. Provide education to Members and families about care plans, treatment options, and self-management strategies.
3. Deliver services in the Member’s preferred setting (field, home, community, office, or telehealth).4. Requires field-based work, home visits, or travel within the service area. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
** Documentation & Compliance
** 1. Maintain accurate, timely, and complete documentation in accordance with agency, MCP, and DHCS requirements.
2. Ensure all reports, assessments, and care plans meet ECM quality and data submission standards
** Cultural & Linguistic Responsiveness
** 1. Provide services consistent with DHCS Culturally and Linguistically Appropriate Services (CLAS) standards.
2. Demonstrate respect for diverse cultural values, beliefs, and linguistic needs.
** Team Collaboration & Training
** 1. Participate in regular supervision, case reviews, and multidisciplinary team meetings.
2. Support and guide care team members to ensure coordinated delivery of ECM services.
3. Attend required trainings and maintain up-to-date knowledge of CalAIM, ECM, and care coordination best practices.## Qualifications
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* QUALIFICATIONS:

** 1. High school diploma or GED required.
2. Bachelor’s degree in social work, psychology, nursing or related field, preferred.
3. Minimum of two (2) years of experience in case management, system navigation, social services, or closely related work.
4. Prior experience as a Community Health Care Worker,…