LEAD CARE Manager; South Bay Coverage

Lead Care Manager

The Lead Care Manager plays a vital role in supporting chronically ill and high‑risk members by coordinating care, reducing barriers, and improving health outcomes. This position works in continuous partnership with members, families/caregivers, providers, hospitals, and community resources to deliver high‑quality, person‑centered Enhanced Care Management (ECM) services.

$22.00/hr – $25.99/hr

• Coordinate care across clinics, hospitals, specialists, and community agencies using strong care coordination, case management, and organizational skills to ensure a seamless experience and avoid duplication of services.
• Oversee the delivery of ECM services and ensure implementation and follow‑through of individualized care plans, applying project management and prioritization skills.
• Provide services where the member lives, seeks care, or feels most comfortable, demonstrating flexibility, cultural awareness, and strong interpersonal skills.
• Assess unmet medical, behavioral, and social needs and develop comprehensive care plans using critical thinking, problem‑solving, and clinical judgment.
• Support access to medical, behavioral health, and specialty care; arrange transportation and assist with appointment scheduling using effective communication and coordination abilities.
• Accompany members to office visits when appropriate, maintaining professional boundaries and member‑centered engagement.
• Monitor treatment adherence, including medication compliance, using attention to detail and follow‑through.
• Provide health promotion, self‑management coaching, and culturally/linguistically appropriate education using motivational interviewing and trauma‑informed care techniques.
• Promote timely access to care, preventive services, and reduced emergency‑room utilization and hospital readmissions through proactive planning and quality‑improvement practices.

• Use motivational interviewing, trauma‑informed care, and harm‑reduction approaches to build trust and support behavior change.
• Increase member capacity for self‑management and shared decision‑making through clear communication and coaching skills.
• Connect members to relevant community resources to improve health, stability, and overall well‑being using resource navigation and problem‑solving abilities.
• Apply crisis navigation skills when members present with urgent or complex needs.

• Serve as the primary point of contact, advocate, and informational resource for members, caregivers, providers, payers, and community partners using strong interpersonal and relationship‑building skills.
• Maintain strong relationships with primary care and specialty providers, ensuring timely communication and coordination during transitions of care through professional collaboration and follow‑up.
• Work closely with hospital staff on discharge planning and follow‑up using effective teamwork and care‑transition management.
• Facilitate and attend meetings between members, caregivers, providers, and community partners as needed, demonstrating clear communication and facilitation skills.
• Communicate with members through face‑to‑face visits, secure email, phone calls, text messages, and other approved methods using professional communication and documentation skills.
• Work independently and collaboratively with diverse teams, applying team‑building, adaptability, and strong organizational skills.

• Identify high‑risk members and ensure they are added to the registry or flagged in the EHR, demonstrating strong data accuracy and attention to detail.
• Monitor care plan adherence, evaluate effectiveness, and adjust plans as needed using quality‑improvement principles and analytical skills.
• Maintain accurate, timely documentation and meet productivity expectations, including a minimum of 30 schedules per day, supported by effective time‑management and prioritization abilities.
• Attend all required ECM trainings, webinars, and meetings, applying continuous learning and change‑management skills to daily practice.
• Provide feedback to support ongoing…