ECM Care Coordination Specialist

Job Description

Job Description

Casa de la Familia is hiring an ECM Care Coordination Specialist to join our team!

Casa de la Familia provides behavioral health and community-based services for individuals and families experiencing trauma, anxiety, depression, and other behavioral health needs. Our services include crisis intervention, individual therapy, family therapy, care coordination, advocacy, and connections to community resources.

We work with city, county, and state agencies, healthcare providers, community organizations, victim advocacy programs, and social service partners to improve access to care for underserved and underrepresented populations. Our team values cultural responsiveness, communication, collaboration, and respect for the individuals and families we serve.

The ECM Care Coordination Specialist supports Casa de la Familia’s Enhanced Care Management (ECM) program through CalOptima. The position focuses on helping ECM members navigate healthcare, behavioral health, and community-based services while maintaining communication among members, Care Managers, providers, and community partners.

The ECM Care Coordination Specialist serves as a primary point of contact for assigned members and supports ongoing outreach, engagement, appointment coordination, resource linkage, follow-up, and documentation. The position requires consistent communication with members who may experience barriers to accessing or maintaining care.

This role is suited for an individual who enjoys working directly with people, communicates effectively, maintains organized records, and can manage multiple member needs and follow-up responsibilities.

Responsibilities may include:

• Conduct outreach to assigned ECM members by telephone, electronic communication, or other approved methods.
• Assist members with engagement in the ECM program and maintain ongoing communication throughout their participation.
• Coordinate medical, behavioral health, and community-based appointments.
• Assist members with identifying and accessing healthcare providers and community resources.
• Connect members with behavioral health, housing, food, transportation, social service, advocacy, and other resources based on identified needs and available programs.
• Follow up with members regarding appointments, referrals, services, and identified care needs.
• Communicate with Care Managers regarding member needs, barriers, progress, and changes requiring additional support.
• Coordinate with healthcare providers, behavioral health providers, community organizations, and social service agencies as appropriate.
• Assist members with navigating healthcare and social service systems.
• Identify barriers affecting a member’s ability to access or remain connected to services.
• Support continuity of care by helping members maintain communication with their providers and care team.
• Complete required documentation following member contacts, outreach attempts, referrals, coordination activities, and follow-up.
• Maintain organized records of assigned members, pending tasks, referrals, and follow-up needs.
• Protect member confidentiality and follow applicable privacy, organizational, and program requirements.
• Participate in team meetings, case coordination activities, training, and program-related meetings.
• Communicate concerns involving member safety, care needs, or service barriers to the appropriate Care Manager or supervisor.
• Complete additional ECM-related responsibilities based on program and member needs.

Casa de la Familia is seeking a candidate who can build professional relationships with members while maintaining consistency with follow-up and documentation. Candidates should demonstrate effective verbal and written communication skills and the ability to communicate with individuals from different cultural, socioeconomic, and personal backgrounds.

The position requires organization, attention to deadlines, and the ability to manage multiple members, appointments, referrals, and follow-up activities. Candidates should also feel comfortable communicating with healthcare providers, behavioral health professionals, community organizations, and social service agencies.

Preferred qualifications include:

• Experience in care coordination, case management, behavioral health, healthcare, social services, community outreach, patient navigation, or a related field.
• Experience working with individuals who have complex medical, behavioral health, or social service needs.
• Experience communicating with healthcare providers, community organizations, or government agencies.
• Knowledge of community resources and social service programs.
• Experience documenting client or member contacts and service coordination activities.
• Ability to manage multiple assignments and follow-up responsibilities.
• Ability to maintain confidentiality and professional boundaries.
• Ability to work independently while maintaining communication with the care team.
• Bilingual or multilingual communication skills based on the needs of the populations served.

Candidates with backgrounds in care coordination, case management, social services, behavioral health, community outreach, patient navigation, healthcare administration, victim services, or community health may find their experience applicable to this position.

The role may also fit candidates who have worked directly with individuals requiring assistance navigating multiple systems and who want to continue working in community-based healthcare services.

As an ECM Care Coordination Specialist, you will help members understand available services, connect with providers, attend appointments, access community resources, and remain engaged with their care team.

Many members may face barriers involving healthcare access, behavioral health needs, transportation, housing, food access, communication, or coordination among multiple providers. Your role will focus on helping members address these barriers through outreach, coordination, resource linkage, and follow-up.

Casa de la Familia is looking for individuals who want to contribute to community-based care and help people access services across healthcare, behavioral health, and social service systems.

If you have experience working with diverse populations, enjoy coordinating services and resources, and want a position centered on direct member support, we encourage you to apply for the ECM Care Coordination Specialist position.