Job Description
Job DescriptionAbout Us
Homebridge serves a high risk, high needs, complex-diagnosed population with a combination of domestic, personal, and paramedical homecare functions funded through IHSS. Our work allows an often-underserved population to live safely in their community. Homebridge offers a dynamic, fast-paced work environment with 350+ unionized field workers and 90+ internal office staff.
Position Summary
The Lead Care Manager oversees the delivery of Enhanced Care Management services for Medi‑Cal members with complex medical, behavioral, and social needs. This role provides clinical oversight, supports care managers, ensures fidelity to CalAIM ECM requirements, and maintains high‑quality, person‑centered care coordination across medical, behavioral health, community, and social service systems.
Essential Job Functions
- Conduct comprehensive assessments of clients' health, social, and environmental needs to develop personalized care plans.
- Support clients in engaging in the Enhanced Care Management seven core services, including outreach and engagement, comprehensive assessment/care management planning, enhanced care coordination, health promotion, comprehensive transitional care, individual and family supports, and referrals to community/social supports.
- Coordinate with healthcare providers, social services, and other community resources to ensure clients receive holistic and continuous care.
- Regularly monitor clients' progress, adjusting care plans as necessary, and conduct follow-up visits or calls to ensure they are adhering to their care plans.
- Advocate on behalf of clients to secure necessary services and support, ensuring their needs and preferences are met.
- Maintain accurate and timely documentation of client interactions, care plans, and progress reports, ensuring compliance with organizational and regulatory standards.
- Educate clients and their families about their health conditions, treatment options, and available resources to empower them to make informed decisions.
- Work collaboratively with multidisciplinary teams to ensure integrated and coordinated care, participating in case conferences and team meetings as needed.
Knowledge, Skills, and Abilities
- Ability to understand and use computer applications, including spreadsheets and electronic health records; including internet access and email.
- Ability to understand the needs of clients from different cultures and socioeconomic backgrounds.
- Awareness of community resources and services.
- Effective organizational and time management skills.
- Ability to solve problems and be proactive.
- Ability to communicate effectively and professionally with coworkers, clients and members of the community.
- Ability to travel within the service area.
Education and Experience
- Two (2) years of experience in Mental Health or community services; or Bachelor's degree in Social Services or related field.
- Experience working in case or care management, preferably with a background in healthcare or social services.
Work Environment
This position will have in the field and office work environments which includes frequent travel - must be able to travel on foot or via public transportation to all parts of San Francisco County for performance of job duties. May occasionally be exposed to outside weather conditions while traveling to clients. Some exposure to physical risk. Exposure to client apartments, rooms, homes and other venues so that services can be provided, client homes may have pets/pet dander and/or cigarette smoke. May include contact with clients with mental health and/or personal hygiene issues.
Physical Demands
The physical demands described here are representative of those that must be met by employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential functions. While performing the duties of the job, the employee is regularly required to talk or hear. The employee is frequently required to sit for extended periods of time at a desk or computer workstation. The employee is frequently required to stand, walk, sit, use hands to finger, handle, or feel, reach with hands and arms. The employee is occasionally required to climb or balance and stoop, kneel, or crouch. The employee may occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision, color vision, and ability to adjust focus.
Homebridge Is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.