LEAD CARE Manager; West Los Angeles Coverage

BLEHEALTH is seeking qualified candidates who reside within the West Los Angeles (WLA) service area and are able to work exclusively within this geographic region
. Candidates must live in or near ZIP codes 90024–90025 and 90210–90213 and must demonstrate reliable access to the West LA community for field‑based duties, member visits, provider coordination, and in‑person engagements as required.

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.

• 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.
• Oversee the delivery of ECM services and ensure implementation and follow‑through of individualized care plans, applying project management and prioritization skills.
• Provide services where the member lives, seeks care, or feels most comfortable, demonstrating flexibility, cultural awareness, and strong interpersonal skills.
• Assess unmet medical, behavioral, and social needs and develop comprehensive care plans using critical thinking, problem‑solving, and clinical judgment.
• Support access to medical, behavioral health, and specialty care; arrange transportation and assist with appointment scheduling using effective communication and coordination abilities.
• Accompany members to office visits when appropriate, maintaining professional boundaries and member‑centered engagement.
• Monitor treatment adherence, including medication compliance, using attention to detail and follow‑through.
• Provide health promotion, self‑management coaching, and culturally/linguistically appropriate education using motivational interviewing and trauma‑informed care techniques.
• Promote timely access to care, preventive services, and reduced emergency room utilization and hospital readmissions through proactive planning and quality‑improvement practices.

• Use motivational interviewing, trauma‑informed care, and harm‑reduction approaches to build trust and support behavior change.
• Increase member capacity for self‑management and shared decision‑making through clear communication and coaching skills.
• Connect members to relevant community resources to improve health, stability, and overall well‑being using resource navigation and problem‑solving abilities.
• Apply crisis navigation skills when members present with urgent or complex needs.

• 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.
• Maintain strong relationships with primary care and specialty providers, ensuring timely communication and coordination during transitions of care through professional collaboration and follow‑up.
• Work closely with hospital staff on discharge planning and follow‑up using effective teamwork and care‑transition management.
• Facilitate and attend meetings between members, caregivers, providers, and community partners as needed, demonstrating clear communication and facilitation skills.
• Communicate with members through face‑to‑face visits, secure email, phone calls, text messages, and other approved methods using professional communication and documentation skills.
• Work independently and collaboratively with diverse teams, applying team‑building, adaptability, and strong organizational skills.

• 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.
• Monitor care plan adherence, evaluate effectiveness, and adjust plans as needed using quality‑improvement principles and analytical skills.
• Ma…