Lead Care Manager - Street Medicine

At Saban we believe in the employee experience, and know you are the heart of our business! Work shouldnt consume your life, we believe in Work-Life-Balance and strive for flexibility through various company perks.

Benefits And Perks

• Free Medical coverage options We cover all out of pocket expenses!
• Chiropractor/Acupuncture care
• HMO and PPO Dental coverage options
• Vision
• 403(b) retirement plans with employer matching
• Generous paid time off including 1-Week Holiday closure for Christmas & New Years!
• Competitive Wages & Annual Merit Increase
  
  

This position supports Saban’s Street Medicine and Mobile Clinic programs by delivering direct outreach and care coordination to individuals experiencing homelessness, severe mental illness, and substance use disorders. This role is responsible for coordinating whole-person care services for members who meet the population of focus criteria and requirements set forth by the Health Plans. The position requires a balance of fieldwork and administrative responsibilities, with approximately 70% of time spent in the field with the Street Medicine team, 10% on the Mobile Van, and 20% on administrative tasks such as documentation, tracking outcomes, and reporting to the health plans.

Duties And Responsibilities

• Walking on-foot to serve individuals experiencing homelessness, including homeless encampments and community sites.
• Welcomes patients and helps set up services for patient to be seen at encampment by a Street Medical Provider.
• Participate in street-based outreach with the Street Medicine team to locate, engage, and screen members for the Enhanced Care Management program.
• Track, report, and monitor patient enrollment, follow-ups, and outcomes to ensure quality standards and compliance.
• Coordinate with hospitals, shelters, housing agencies, and community-based organizations to avoid duplication of services.
• Oversee provision of ECM services and implementation of individualized Care Plans.
• Complete timely and accurate documentation in the Electronic Health Record (EHR).
• Conduct follow-ups with patients via phone, encampment visits, and alternative sites where patient can be found.
• Accompany members to office or medical visits as needed and in alignment with MCP guidelines.
• Conduct initial needs assessments and assist in developing individualized care plans.
• Coordinate access to services, including: Primary care, specialty care, mental health, and substance use treatment.
• Inform patients about other services offered by Saban Community Clinic, including services for family members.
• Participate in case conferencing and interdisciplinary team meetings.
• Track outcomes related to engagement, linkage, and service utilization.
• Connect members to housing resources, benefits, transportation, and supportive services.
• Serve as a liaison between clients, Street Medicine providers, social service agencies, and housing authorities.
• Maintain strong relationships with community partners and service providers to streamline referrals.
• Advocate for patients with healthcare professionals and community partners.
• Coordinate with hospital staff on discharge planning.
• Monitor treatment adherence, including medication management.
• Provide health promotion, health education, and self-management training.
• Use motivational interviewing, trauma-informed care, and harm-reduction approaches.
• Performs additional duties as assigned.
  
  

• Bachelor and/or master’s degree in social work, nursing, related fields or equivalent experience
• Minimum 3 years of care management or case management experience serving vulnerable or homeless populations.
• Prior experience with street-based outreach, mobile health, or community-based care strongly preferred.
• Strong understanding of social determinants of health, trauma-informed care, and harm reduction practices.
• Ability to build trust with individuals experiencing homelessness in non-traditional settings.
• Must be able to walk and stand for extended periods during outreach in community settings.
• Valid California driver’s license and reliable transportation required.
• Flexibility to work in-office, in the field, and on the mobile clinic as program needs dictate.
• Self-starter with strong time management and organizational skills.
• Proactive, empathetic, and experienced in engaging individuals experiencing homelessness.
• Related work experience in public health, health outreach and education
• Fluency in another language such as Spanish, Russian or Korean preferred.
  
  

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. Saban is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Saban Community Clinic will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you.

About Us

The Saban Community Clinic was founded in 1967 on the principle that healthcare is a right, not a privilege. It is our mission provide affordable quality Whole Person Care to everyone regardless of income or immigration status in a caring environment. This includes medical, behavioral health and dental care.

Saban Community Clinic values the diversity of the people it hires and serves. Diversity at Saban means fostering a workplace in which individual differences are recognized, appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. We are an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), , age, national origin, gender identity, sexual orientation, disability,veteran status, genetic information, marital status, or any other characteristic protected by applicable federal, state, or local law.

Our impact continues to grow. Come join our dynamic team to help build healthier communities and make a difference in our patients' lives!