LCM Lead Care Manager and Housing Navigator

Job Title: Lead Care Manager / Community Supports & Housing Navigation Specialist

Position Type: 12-Month W2 Contract (renewal based on performance and program continuation)



Schedule: Monday Friday | 9:00 AM 5:30 PM PST



Compensation: $22 $24/hour + mileage reimbursement



Work Model: Field-Forward (in-person visits required)



Location Requirement: Must reside within Sanoma County

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Role Overview

Star Nursing Services is seeking a Lead Care Manager / Community Supports Specialist to support CalAIM Enhanced Care Management (ECM) and Community Supports (CS) programs.

You will serve as both a client-facing care coordinator and a field-based lead , supporting members with complex medical, behavioral, and social needs. This role focuses heavily on housing navigation, care coordination, and transitions of care , while also supporting team training, documentation quality, and program compliance .

Your work directly impacts housing stability, health outcomes, and access to essential services.

About CalAIM Community Supports

CalAIM Community Supports address social drivers of health by connecting members to critical services:

• Housing Navigation & Deposits

• Housing Tenancy & Sustaining Services (HTSS)

• Respite Services

• Nursing Facility Transition / Diversion

• Community Transition Services

• Personal Homemaker Services

These services reduce health disparities, improve care continuity, and support long-term stability.

Key Responsibilities

Client Care & Field Work

• Conduct frequent in-person visits , assessments, and care plan updates

• Serve as the primary point of contact for assigned members

• Complete intake, eligibility screening, and ongoing reassessments

• Facilitate care transitions across providers and settings

Housing Navigation & Community Supports

• Assist members in locating and securing housing

• Coordinate housing deposits and move-in resources

• Support housing tenancy and stabilization

• Connect members to respite care and homemaker services

• Identify and coordinate community-based resources (Section 8, 811, etc.)

Care Coordination & Collaboration

• Partner with ECM teams, health plans, and community agencies

• Support members with chronic conditions (medical, behavioral, social)

• Coordinate services across healthcare, housing, and social systems

• Escalate care needs and ensure timely interventions

Leadership & Program Support

• Train new staff on CalAIM workflows and county resources

• Review documentation for accuracy and compliance (MCP alignment)

• Support audits, corrective action plans (CAPs), and reporting requirements

• Represent Star Nursing in community meetings and partnerships

Documentation & Compliance

• Maintain accurate records in EMRs and required systems

• Complete monthly reporting and data tracking

• Ensure HIPAA compliance and confidentiality standards

• Support audit readiness and quality improvement initiatives

Required Qualifications

Experience

• Minimum 1 year in case management, ECM/CS, housing navigation, or social services

• Experience with CalAIM, Medi-Cal, or managed care environments preferred

• Knowledge of authorizations, audits, grievances, and care coordination workflows

Skills

• Strong communication and relationship-building skills

• Ability to work independently in a field-based environment

• Organized, detail-oriented, and compliance-focused

• Compassionate approach to high-risk populations

Education

• AA/BA or equivalent experience in:

• Case Management

• Social Services

• Public Health

• Housing Navigation

• Healthcare (CNA, MA, etc.)

Ideal Candidate Background

Experience in the following areas is highly valued:

• CNA, PTA, or Medical Assistant roles

• Human Services or Community Support programs

• Behavioral Health or Psychiatric care

• Case Management or Social Work

• Post-acute care settings (SNF, ALF, RCFE, Hospice, Home Health)

Transportation Requirements

• Active California driver's license

• Valid auto insurance and registration

• Reliable vehicle for county-wide travel

Technology Requirements

• Microsoft Office (Excel, Word, Teams, SharePoint)

• Adobe (PDF editing, e-sign tools)

• EMR systems for CalAIM documentation

Minimum System Requirements:

• Windows 10+

• 8GB RAM (16GB preferred)

• Intel i5 / Ryzen 5 or higher

• 256GB SSD

• (No Chromebooks)

Physical Requirements

• Physical or Medical clearence from Doctor
  
  
  
  
• Ability to travel frequently and perform field visits

• Sit, drive, walk stairs, and lift up to 30 lbs

• Strong verbal communication skills

Patient Rights & Advocacy

• Maintain strict confidentiality of patient information

• Treat all members with dignity, respect, and cultural sensitivity

• Report and address any concerns related to patient safety or rights

Why This Role Matters

You support individuals facing housing instability, complex health needs, and systemic barriers . Your work ensures:

• Stable housing

• Coordinated care

• Improved health outcomes

• Reduced hospitalizations and transitions

For additional information on CalAIM, please visit: