ECM Lead Case Manager

Are you seeking to do meaningful and impactful work in the world with people you enjoy? Are you well-organized and a strategic problem solver with a passion for driving initiatives forward? Do you enjoy leading and empowering others to reach important goals? If so, we invite you to join our team at The Good Seed CDC as an ECM Lead Case Manager.

Why You’ll Love It Here

At The Good Seed CDC, we are deeply committed to fostering an inclusive, equitable workplace where everyone feels valued, respected, and empowered to thrive. We believe diversity of background, experience, and perspective strengthens our ability to serve our community.

· A collaborative, mission-driven culture

· Countless opportunities to grow and learn new skills

· Competitive benefits and a people-first environment

We welcome and encourage applicants from all identities, including but not limited to race, ethnicity, gender, sexual orientation, age, disability, and veteran status.

Who We Are

The Good Seed CDC is a mission-based organization dedicated to helping individuals and families overcome homelessness and systemic barriers through access to healthcare, housing, and supportive services. We believe that with the right support system, everyone can achieve their full potential.

Our Core Values

· Dedication – We give our best every day.

· Collaboration – We respect and empower one another as a team.

· Honesty – We build trust through transparency.

· Innovation – We find new ways to provide quality services.

· Curiosity – We ask meaningful questions to drive better outcomes.

About the ECM Program

The Enhanced Care Management (ECM) program offers a whole-person, interdisciplinary approach to care, addressing both clinical and non-clinical needs of clients with complex health and social challenges. Focus areas include:

· Outreach and Engagement

· Comprehensive Assessment and Care Management Planning

· Enhanced Coordination of Care

· Health Promotion

· Transitional Care Services

· Member and Family Supports

· Referrals to Community and Social Services

The ECM benefit improves care coordination, integrates resources, addresses social determinants of health (SDOH), and reduces unnecessary healthcare use for high-need Medi-Cal recipients.

Job Overview

The ECM Lead Case Manager will lead community outreach, determine eligibility, and coordinate care for clients enrolled in ECM. Reporting to the ECM Program Manager, this role ensures engagement, enrollment, and consistent follow-up across clinical and supportive service programs. You will be the point of contact for client-centered care, ensuring plans align with each participant’s strengths, goals, and needs.

Key Responsibilities

· Conduct outreach and enrollment for ECM-eligible individuals.

· Complete risk assessments and develop patient-centered care plans.

· Oversee implementation and updates of care plans, reviewed quarterly at a minimum.

· Educate patients on self-management or coordinate caregiver involvement.

· Apply motivational interviewing and trauma-informed care approaches.

· Coordinate with hospitals and providers during care transitions and discharges.

· Facilitate access to services like housing, transportation, and benefits.

· Maintain at least one in-person client contact per month.

· Accompany clients to appointments, as needed.

· Document all services and encounters in the Electronic Health Record (EHR).

· Participate in interdisciplinary case conferences and internal reporting.

· Maintain flexibility to meet clients in their preferred location.

· Perform other duties as assigned.

Growth Opportunities

At The Good Seed CDC, we are committed to nurturing professional growth. This role offers a clear path from Lead Case Manager to Program Manager, with access to tools, training, and mentorship that empower you to lead and thrive.

Benefits

· Paid vacation and sick leave

· Paid holidays

· Competitive health, dental, and vision insurance

· 403(b) Retirement Plan