Service Coordinator I Care Coordinator ECM

Full Time Professional Victorville, CA, US Salary Range: $25.48 To $27.88 Hourly Enhanced Care Management (ECM) Service Coordinator I: Community Health Worker (CHW) Job Title Enhanced Care Management Service Coordinator I: Community Health Worker Reports To Program manager Hours Full-Time Classification Non-Exempt Summary The Community Health Worker (CHW) supports individuals enrolled in the Enhanced Care Management (ECM) program who have complex medical, behavioral health, and social needs. The CHW serves as a trusted liaison between participants, healthcare providers, social service agencies, and community resources. Working in collaboration with ECM clinical staff, the CHW conducts outreach, engagement, care coordination, health education, and resource navigation to help participants access services and improve health outcomes. The CHW plays a key role in addressing social drivers of health , reducing barriers to care, and promoting participant self-management and stability. Benefits and What We Offer Opportunities for growth and professional development. Generous paid time off (13 paid holidays, 10 days of EPTO, 12 sick days). Competitive salary and benefits package. Health, dental, vision, Aflac, and life insurance $25,000.00. 403(b) retirement plan available on the first day of work. After working 1,000 hours, Step Up matches 3% of the 6% the employee contributes. Duties Participant Outreach and Engagement Conduct outreach to eligible or enrolled ECM participants in community settings, homes, shelters, clinics, homeless encampments, or hospitals throughout the Inland Empire. Build trusting relationships with participants through culturally responsive and trauma-informed engagement. Assist with onboarding and orientation to ECM services. Maintain consistent contact with participants through phone, in-person visits, and community-based engagement. Care Coordination Support Work closely with ECM Case Managers, Nurses, and Behavioral Health providers to implement participant care plans. Support coordination between primary care, behavioral health, specialty care, and social service providers. Assist participants with scheduling medical, behavioral health, and social service appointments. Accompany participants to appointments when appropriate to support engagement and communication. Social Determinants of Health Navigation Assist participants in accessing services related to: Housing stability Food access Transportation Public benefits Employment resources Legal services Education or vocational programs Provide referrals and warm handoffs to community-based organizations and support services. Health Education and Self-Management Support Provide education on chronic disease management, medication adherence, and preventive care. Reinforce health goals identified in the participant care plan. Support participants in understanding medical instructions and navigating healthcare systems. Documentation and Reporting Document all outreach, contacts, and services provided in the program’s electronic health record (EHR) or care management system. Maintain accurate and timely records in accordance with ECM documentation requirements. Participate in case conferences and multidisciplinary care team meetings. Track participant progress and report barriers to care. Community Resource Development Maintain knowledge of local community resources and service providers. Develop relationships with community-based organizations to facilitate participant access to services. Participate in community outreach and engagement activities. Skills Possesses ability to work both independently and as a member of a multi-disciplinary team. Must have strong interpersonal and relationship-building skills, cultural humility and trauma-informed approach, motivational interviewing techniques, knowledge of community resources and social services. Must have ability to work independently in community settings, strong organizational and documentation skills, basic computer skills and experience with electronic health records, effective communication and advocacy skills. Qualifications High school diploma or equivalent required. Community Health Worker Certification required. Minimum 1–2 years experience working with vulnerable or high-need populations. Preferred experience with: Homeless or housing-insecure populations Individuals with substance use disorders Serious mental illness Justice-involved individuals High utilizers of emergency services Supplemental Information Work with people experiencing homelessness may present challenges such as exposure to bed bugs or other infestations, unpleasant smells, poor hygiene, mental health symptoms, or poverty. Employees may encounter profanity, sexually explicit or derogatory language, or verbal or physical expressions of anger and trauma. These situations rarely involve physical contact; all staff receive training to deescalate crisis situations and Step Up has procedural safeguards to mitigate risks. Please note that this position is part of the Service Employees International Union (SEIU721) Bargaining Unit. Physical Requirements The employee must sit, use hands and fingers, handle or feel, reach with hands and arms, talk, and hear; walk, balance, stoop, kneel, and/or crouch; lift and/or move up to 15 pounds; perform keyboard data entry; work in community settings such as home visits, shelters, hospitals, and agencies; travel locally; and combine field work with office documentation. Equal Opportunity Employer Step Up provides equal employment opportunities without regard to age, ancestry, color, creed, mental or physical disability, marital status, medical condition, national origin, race, religion, sex, sexual orientation, veteran status, or any other consideration made unlawful by federal, state, or local laws. #J-18808-Ljbffr Step Up On Second, INC.,