ECM Case Manager - EvolvPath
Company: RH Community Builders
Location: Fresno
Posted on: February 16, 2026
|
|
|
Job Description:
Job Description Job Description POSITION SUMMARY The ECM Lead
Case Manager is responsible for providing direct services to
clients referred to the CalAIM Enhanced Case Management Program.
This position plays a critical role in coordinating care among
multiple providers and addressing clients’ medical, behavioral, and
social service needs. The ECM Lead Case Manager creates
individualized care plans that meet health plan requirements and
address barriers to care, including providing health education and
coaching to promote long-term self-sufficiency. The Lead Case
Manager also serves as the primary point of contact for a client’s
care team, which may include primary care providers, behavioral
health professionals, housing support services, SUD providers, and
natural supports. If a client is dually enrolled in CalAIM
Community Supports, the Lead Case Manager may also provide Housing
Navigation or Housing Tenancy services as needed. ESSENTIAL DUTIES
AND RESPONSIBILITIES The essential functions include, but are not
limited to the following: ? Serve as the Enhanced Case Management
(ECM) Lead Case Manager for assigned clients ? Maintain accurate
and timely documentation and client records in compliance with
program requirements ? Provide "hand-holding" services, including
accompanying clients to initial appointments and helping them
navigate health systems ? Deliver psychoeducation and teach clients
the importance of addressing medical needs proactively ? Educate
clients on how to attend and prepare for regular medical
appointments Provide guidance on how untreated or unmanaged medical
conditions may worsen over time ? Act as a liaison among all of the
client’s providers, ensuring coordinated and integrated service
delivery ? Advocate for the client’s needs while promoting client
voice and choice in all aspects of care ? Support clients in
accessing essential needs, such as food, transportation, housing,
and public benefits ? Help clients develop daily living skills and
long-term self-sufficiency ? Identify and reduce barriers to care,
including transportation, health literacy, or psychosocial
challenges ? Participate in multidisciplinary team meetings and
collaborate with community partners MINIMUM QUALIFICATIONS
(KNOWLEDGE, SKILLS, AND ABILITIES) ? Minimum of 2 years of
experience in case management, care coordination, or a related
social services role ? Knowledge of the Fresno Madera Continuum of
Care and Housing Services ? Strong knowledge of medical terminology
and chronic health conditions ? LVN (Licensed Vocational Nurse)
certification highly recommended ? Prior experience working with
individuals experiencing homelessness, serious mental illness,
substance use disorder, or complex physical health conditions
preferred ? Familiarity with Medi-Cal, CalAIM, or managed care
systems is a plus ? Demonstrated ability to provide compassionate,
client-centered care and health education ? Excellent
interpersonal, organizational, and written communication skills ?
Proficient in documentation and case noting in electronic systems ?
Clean driving record
Keywords: RH Community Builders, Madera , ECM Case Manager - EvolvPath, Healthcare , Fresno, California
