Case Manager - Care Coordinator

“Every person deserves compassion, dignity, and the safety of a place to call home.”

Homelessness is the largest social and public health crisis in California. Illumination Health + Home is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care centers, emergency shelters, housing services and children's and family programs. IF currently has 13+ facilities with 22+ micro-communities scattered across Orange County, Los Angeles County and the Inland Empire.

The ECM (Enhanced Care Management) Case Manager
- Care Coordinator is responsible for providing comprehensive support services to families experiencing homelessness. This role involves conducting assessments, developing individualized service plans, coordinating care, and connecting clients with resources such as housing, employment, healthcare, and education. The ECM Case Manager works collaboratively with Emergency Shelters clients to promote stability, self‑sufficiency, and long-term housing solutions, while ensuring all services are delivered in a trauma-informed, culturally competent, and client-centered manner.

Pay range: $23.00 - $26.00 per hour

Schedule: Monday
- Friday, 9:00am to 5:30pm

• Collect and verify vital household documentation during intake; identify and initiate requests for any missing or necessary records.
• Conduct comprehensive household assessments to evaluate client needs and develop individualized service and care plans with clearly defined short-term goals.
• Perform initial and ongoing evaluations to reassess needs and modify care plans as necessary for optimal support.
• Facilitate referrals and connect eligible clients to Enhanced Care Management (ECM) services.
• Collaborate closely with Housing Navigators and internal departments at Illumination Foundation to support clients in achieving stable, permanent housing; assist with coordination and logistics of housing move‑ins.
• Maintain organized, confidential case files and generate accurate statistical reports for program performance monitoring and evaluation.
• Ensure timely and accurate documentation of case notes, service records, and updates in AICA, HMIS, and Cal Optima Connect systems.
• Develop and maintain a network of partnerships with community service providers to expand available resources and strengthen referral pathways.
• Engage in scheduled team meetings and interdisciplinary case conferences to discuss client progress and align care strategies.
• Participate in audits, team meetings, and quality assurance reviews to ensure program compliance and continuous improvement.
• Participate in regular supervision meetings to review client progress, refine care strategies, and enhance service delivery in alignment with organizational goals.

• Collaborate with Care Team members—including Care Coordinators, primary care physicians, and other healthcare providers—to ensure integrated, client-centered care.
• Connect ECM members to essential social services and supports, such as transportation, food assistance, and behavioral health resources.
• Coordinate discharge planning by working closely with hospital staff to ensure smooth transitions of care and continuity of support post‑discharges.
• Conduct regular follow‑up meetings with clients to reassess household needs, update service goals, and ensure progress is being made.
• Provide targeted referrals to appropriate community resources and services, and follow up to confirm successful linkage and engagement.
• Observe for indicators of emotional, physical, or sexual abuse and report concerns to Child Protective Services (CPS) in accordance with mandated reporting laws.
• Advocate on behalf of clients in areas such as housing, healthcare access, education, and overall social and emotional wellbeing.
• Assist clients with accessing transportation resources to support attendance at appointments, services, or essential activities.
• Encourage and facilitate client participation in Illumination Home + Health programs, workshops, and community activities to promote engagement and…