Lead Care Manager - 245415 - Medix™ : Job Details

Lead Care Manager – Enhanced Care Management (ECM) | Santa Clara County

A leading healthcare organization is seeking a Lead Care Manager to support its Enhanced Care Management (ECM) program in Santa Clara County. This role focuses on whole-person care by addressing not only medical needs, but also social determinants of health such as housing, food insecurity, and behavioral health.

The Lead Care Manager will play a critical role in guiding members through every step of their care journey, coordinating services, and ensuring access to vital community resources. This is a chance to make a measurable impact on the lives of vulnerable populations while advancing professional growth in care management.

Key Responsibilities

• Conduct frequent in-person visits in members' homes, shelters, and community settings to build trust, complete assessments, and address needs in real time.
• Develop and implement individualized care plans, coordinating across medical, behavioral health, housing, and social service systems.
• Arrange and monitor services such as medical appointments, prescription fulfillment, transportation, home health visits, meal delivery, housing assistance, and job training.
• Advocate for members by navigating insurance authorizations, appeals, and access to timely services.
• Serve as the central point of communication between members, families, healthcare providers, and community organizations.
• Maintain accurate documentation of assessments, care plans, progress, and outcomes.
• Research and connect members with community resources that support stability, independence, and long-term health.
• Ensure compliance with Medi-Cal, CalAIM, and ECM regulations and quality standards.
• Provide leadership and support to team members, contributing to continuous improvement of care delivery practices.

Qualifications

• 3–5 years of experience in case management, social services, or healthcare.
• Strong understanding of Medi-Cal, CalAIM, and Enhanced Care Management programs.
• Knowledge of healthcare systems and local community resources in Santa Clara County.
• Skilled in care planning, service coordination, motivational interviewing, and client advocacy.
• Strong organizational skills and ability to manage multiple priorities.
• Technical proficiency with case management systems and documentation.
• Residency in Santa Clara County required.

Schedule

• Full-time, Monday–Friday
• 8:30 AM – 5:00 PM PST

Compensation & Benefits

• Competitive salary with comprehensive benefits package including:
• Health, dental, and vision insurance (90% of employee-only coverage paid)
• 401(k) with employer contribution
• Short-term and long-term disability, AD&D, and EAP (employer paid)
• FSA and Dependent Care Accounts
• Paid Time Off (PTO) and Sick Time
• 12 Paid Holidays (including birthday and floating holiday after one year)

Why Apply?

This is more than a case management position—it's an opportunity to transform lives through compassionate, hands-on care coordination. The Lead Care Manager will be a trusted advocate, helping members overcome barriers and achieve stability, while contributing to the evolution of ECM programs serving diverse communities.