Care Coordinator (CTRI) Jurupa Valley, CA

The Care Coordinator (CC) is a core member of the Enhanced Care Management (ECM) team, working alongside the ECM lead care Manager, RN Care Manager, Behavioral Health Care Manager, and Community Health Worker to deliver coordinated, person-centered care for high-need Medi-Cal members.

The CC manages a Tier 3 (lower-risk) caseload, provides care coordination support, social support services for ECM members, conducts follow-ups, and ensures members are connected to services that address medical, behavioral, and social needs.

This position requires consistent onsite presence, community engagement, and supportive collaboration across the care team.

This is a full time (40 hours per week), benefited position.

Employment is provided by Heluna Health.

The pay rate for this role is $26.43 to $28.85 per hour depending on experience and qualifications.

Interested candidates should submit a resume and cover letter for consideration. 

ESSENTIAL FUNCTIONS

Enrollment & Care Planning


* Conduct CHA (Comprehensive Health Assessment) to finalize ECM member enrollment.


* Collaborate with the member to develop a person-centered Care Plan addressing:
+ Social needs (housing, food, transportation, benefits)
+ Physical and behavioral health needs
+ Member’s personal goals, strengths, and priorities


* Update the care plan as needs change or milestones are reached.
 

Care Coordination & Social Support


* Connect members to social resources including:
+ Housing and shelter programs
+ Transportation services
+ Food and basic needs programs
+ Medical & behavioral health appointments
+ Public benefits (CalFresh, SSI, Medi-Cal, etc.)


* Assist with referrals, appointment scheduling, paperwork, and follow-ups.


* Maintain ongoing outreach and engagement through phone, in-person, and home visits.                                                                                                                          .

Monitoring, Documentation & Case Management


* Maintain regular contact with assigned caseload to support stability and progress.


* Track retention, service completion, care plan goals, and key barriers.


* Document all member interactions in EHR system in real time.


* Monitor engagement and escalate high-risk/complex cases to medical and Behavioral health support team.
 

Interdisciplinary Team Collaboration


* Participate in weekly case conferences.


* Share progress updates, identify challenges, and adjust care strategies collaboratively.


* Coordinate warm handoffs and shared planning with ECM LCM, CHWs, BH CM, and NP.

JOB QUALIFICATIONS

Education/Experience


* A Bachelor's degree or higher from an accredited college or university in Health Information Systems, Public Health, Public Policy, Psychology, Social Work, or a related f...