Case Manager II — ECM/CS (Lead Care Manager)

Case Manager II — ECM/CS (Lead Care Manager) Simple Solutions Psychotherapy, Rancho Cucamonga, California, United States. About this position We focus on treating the whole person, grounding care in emotional, psychological, social, and practical factors that impact well‑being. We believe effective care requires compassion, accountability, collaboration, and commitment to meeting people where they are while supporting meaningful growth and long‑term stability. Our team works across departments to provide coordinated, ethical, person‑centered services that prioritize dignity, respect, and quality care. Position Summary The Case Manager II is an experienced ECM Lead Care Manager who carries a moderate‑to‑high acuity caseload, serves as the primary CalAIM Lead Care Manager for assigned members, and provides peer guidance to Case Manager I staff. This role independently manages complex care coordination across the full ECM Population of Focus categories, leads interdisciplinary care team meetings, and ensures compliance with IEHP, Molina, and DHCS programmatic and documentation standards. Minimum Qualifications Master of Social Work (MSW) preferred, or Bachelor’s degree in Social Work, Psychology, Nursing, Public Health, or related field with three (3) or more years of progressive case management experience in Medi‑Cal managed care, ECM, Community Supports, Health Homes, Whole Person Care, behavioral health, hospital case management, or community‑based care coordination. Prior experience as a Lead Care Manager under CalAIM ECM strongly preferred. Bilingual (English/Spanish) preferred. ASW, AMFT, or APCC registration a plus. Valid California driver’s license, reliable transportation, and auto insurance required. LiveScan and TB clearance required. Caseload and Population Caseload of approximately 30 to 50 moderate‑to‑high acuity ECM members. Serves as Lead Care Manager for members with complex co‑occurring conditions, including: Individuals experiencing homelessness with serious mental illness Justice‑involved adults and transition‑age youth re‑entering the community Individuals with high utilization patterns (frequent ED or inpatient use) Pregnant and postpartum individuals with complex needs Members transitioning from incarceration, hospitals, or institutions Authorizes and coordinates the full menu of Community Supports. Essential Duties Serve as Lead Care Manager under CalAIM ECM, with primary accountability for the member’s Care Plan, ICT coordination, and care continuity. Conduct comprehensive biopsychosocial assessments, risk stratification, and Care Plan development and revision in alignment with DHCS ECM Policy Guide standards. Lead and facilitate interdisciplinary care team meetings with representatives from primary care, behavioral health, CS providers, MCP care managers, and community partners. Coordinate complex transitions of care from hospitals, SNFs, jails, and residential treatment, including 30‑day post‑discharge follow‑up requirements. Authorize, refer to, and monitor Community Supports utilization, ensuring appropriate documentation and Managed Care Plan authorization workflows. Provide informal mentoring and case consultation to Case Manager I staff. Participate in quality improvement, case review, and program fidelity monitoring activities. Ensure all documentation meets MCP audit standards, encounter data submission requirements, and contractual deliverables for IEHP and Molina. Knowledge, Skills, and Abilities Working knowledge of the DHCS ECM Policy Guide, CS Policy Guide, MCP contracts, and Medi‑Cal billing/encounter requirements. Demonstrated ability to manage complex caseloads independently. Strong clinical judgment in risk assessment, crisis response, and care plan development. Familiarity with motivational interviewing, harm reduction, trauma‑informed care, and culturally responsive practice. Proficient in EHR documentation, care coordination platforms (e.g., MCP portals), and outcome tracking. Compensation The pay range for this role is: $62,400 – $79,040 USD per year (8350 Archibald Avenue, Rancho Cucamonga, CA) The pay range for this role is: 30‑38 USD per hour (8350 Archibald Avenue) #J-18808-Ljbffr Simple Solutions Psychotherapy