Reports To: Community Connect Program Supervisor
FLSA Status: Non-Exempt
Probation Period: Three (3) Months
Location: [Insert Location]

Position Summary

Under the direction of the Community Connect Program Supervisor, the ECM Care Manager provides direct services and care coordination as part of the Enhanced Care Management (ECM) Program. This role is integral to a multidisciplinary care team and is responsible for developing care plans, advocating for client needs, and ensuring timely, effective access to health and social services. The Care Manager collaborates with clients, families, and providers to support wellness, recovery, independence, and empowerment.

Essential Job Responsibilities

• Assess client needs across physical health, mental health, substance use disorder (SUD), oral health, trauma history, social supports, housing, employment, and community services.

• Develop and oversee implementation of Individual Care Plans (ICP) and Health Action Plans (HAP).

• Provide services in-office, via telehealth, or field-based—wherever clients feel most comfortable.

• Connect clients with appropriate social services and community supports.

• Coordinate care with health professionals and service providers on behalf of the client, with permission.

• Use evidence-based practices such as Motivational Interviewing, Trauma-Informed Care, and Harm Reduction techniques.

• Collect, organize, and interpret behavioral health and psychosocial data.

• Maintain collaborative coordination of care throughout assessment, service delivery, and discharge.

• Facilitate linkage to appropriate community-based resources based on client needs.

• Assess and adjust referral processes to reflect cultural and community relevance.

• Empower clients through advocacy and coaching in self-advocacy.

• Document services in a clear, timely, and compliant manner using Electronic Health Records (EHR) systems.

• Attend program meetings and trainings as required.

• Maintain professional conduct and effective communication with clients, team members, and supervisors.

• Adhere to all agency policies, including HIPAA compliance.

• Perform additional duties as assigned.

Essential Job Requirements

• Prior experience in care coordination or case management required.

• High school diploma or equivalent required.

• Familiarity with local community resources and support services.

• Strong interpersonal skills, empathy, and active listening ability.

• Capacity to exercise sound judgment and decision-making.

• Team-oriented with a collaborative approach.

• Strong written and verbal communication in English.

• Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint), Office 365, Teams, Zoom, and similar platforms.

• Comfortable working with EHR systems and technology-based documentation.

• Must have a valid driver’s license and access to insured, reliable transportation (agency authorization required).

• Maintain professional, courteous relationships with staff, vendors, and community partners.

Pay Range

• Care Manager: Step 1: $21.85/hr – Step 5: $26.66/hr

• Bilingual Care Manager: Step 1: $22.97/hr – Step 5: $28.02/hr
  Annual increases based on performance

Work Environment

This role is primarily office-based but may require fieldwork, including home or community visits and telehealth services. Work includes regular use of computers, phones, and office equipment. Travel between clinics or service sites is required. The ability to multitask and manage time in a fast-paced environment is essential.

Physical Requirements

I can perform the above job duties:
? Without accommodation
? With accommodation. If so, please specify:

Other Duties

This job description is not intended to be a complete list of all responsibilities. Duties, responsibilities, and activities may change at any time with or without notice to meet program or agency needs.