Care Coordinator

Every Person Deserves Compassion, Dignity, and the Safety of a Place to Call Home.

Homelessness is the largest social and public health crisis in California. Illumination Health + Home is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care centers, emergency shelters, housing services and children's and family programs. IHH currently has 13+ facilities with 22+ micro-communities scattered across Orange County, Los Angeles County and the Inland Empire.

The Lead Care Manager (LCM) is a field based, client-facing, community-based Care Management role wherein populations of focus are sought out, engaged, assessed, enrolled, and advocated for a routine basis. This person is the main point of contact for clients. LCMs build strong relationships with clients to help them stay engaged in their medical care, behavioral health services, and social supports. This is a wholistic non-clinical role requiring adherence to and application of evidence-based practices, knowledge of client and services barriers as well as social determinates of health, and providence of appropriate coordinating of services to populations of focus. They help navigate health care services and systems, promote health and preventative care, and work closely with the clients care team. The pay range for this position is $23-26 per hour, depending on experience. The schedule for this role will be 8 : 00am - 4 : 30pm.

Client Care

• Serves as primary point of contact for clients
• Conducts routine health assessments related to wholistic health and changes in acuity when hospitalized
• Routinely creates and revises Care Plan goals and interventions in a SMART format
• Visit clients' home or place of residence to promote monthly ECM Health Promotion (Health Education and Preventative Care services) initiative
• Accompany clients to medical appointments as needed
• Communicate with Care Team members (Care Coordinators, primary care physicians, and other health care providers) to facilitate client care
• Observe, report, and assess client self-administration of medication
• Connect ECM members to other social services and supports they may need, including transportation
• Coordinate with hospital staff on ECM member discharge plans
• Carries a full caseload of 45 ECM members, unless instructed otherwise by senior management within the scope of policy guidelines
• Identifies gaps in and barriers to service, documenting in the member's care plan, and communicating these to the multidisciplinary care team to develop and implement a response
• Prepares for and participates in individual and group supervision meetings
• Provides weekly reports on progress of client engagement and billable activity

Documentation

Preferred Experience / Minimum Qualifications :

Required :

Preferred :

Benefits :