Lead Case Manager (30301)

Job DetailsJob Location: Chico Annex - Chico, CA 95926Position Type: Full TimeSalary Range: $40.00 - $56.01 HourlyWhy work for Ampla Health?   30301

Ampla Health provides the individuals and communities we serve with high quality, comprehensive, community health care that is accessible to all and culturally and linguistically appropriate.

Great Benefits including Medical, Dental, and Vision
4 weeks paid time off to start.
9 paid holidays
401k and profit sharing
Full time, Monday to Friday
Great work/home life balance

Ampla Health provides the individuals and communities we serve with high quality, comprehensive, community health care that is accessible to all and culturally and linguistically appropriate.

Great Benefits including Medical, Dental, and Vision
4 weeks paid time off to start.
9 paid holidays
401k and profit sharing
Full time, Monday to Friday
Great work/home life balance

Ampla Health is seeking a compassionate and detail-oriented Lead Case Manager to coordinate care for high-risk patients through California’s CalAIM initiative. This role supports seamless transitions of care, engages eligible members, and helps connect them to medical and social services that improve outcomes.

Key Responsibilities:

Conduct outreach and enroll eligible patients into CalAIM ECM program
Coordinate post-hospital/ER care and follow-up appointments
Perform assessments and develop individualized care plans
Support medication adherence and health education
Collaborate with care teams, hospitals, and community services
Monitor quality metrics and maintain detailed patient records
Advocate for patient needs and ensure care continuity

Qualifications:

High school diploma required; Medical Assistant certification preferred
Current CPR certification
Valid CA driver’s license and insurance
Excellent communication, problem-solving, and patient engagement skills
Bilingual and/or experience working with diverse populations is a plus

Why Join Us?
Make a direct impact on patient health by helping individuals navigate care and access essential services. Be part of a collaborative, mission-driven team at the forefront of healthcare innovation.

 
QualificationsGENERAL PURPOSE:
Under the general supervision of the Enhanced Care Coordination Program Manager, the Lead Case Manager is responsible for providing coordinated care for patients. Implements and supervises the development, monitoring, and evaluation of interdisciplinary care. The Case Manager is responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the member and non-duplication of services; engage eligible members; oversee provision of enhanced care management (ECM) services and implementation of the care plan. The Lead Case Manager offers services where the member lives, seeks care, or finds most easily accessible and connects member to medical care and other social services the member may need. This individual advocates on behalf of members with health care professionals, uses motivational interviewing, trauma-informed care, and harm-reduction approaches, coordinates with hospital staff on discharge plan, accompanies member to office visits as needed and according to the plan guidelines, monitor treatment adherence (including medication), and provides health promotion and self-management training.

MAIN RESPONSIBILITIES AND DUTIES:

1) Conducts daily outreach to assigned panel of patients within geographical areas that are reasonable and easily accessible.
2) Actively enrolls all eligible patients into the California Advancing and Innovating Medi-Cal (CalAIM) program.
3) Secures patient discharge instructions and uploads to patient chart.
4) Uses the Ideal Transitions of Care Framework for coordinating care for high-risk patients (Table 1).
5) Provides medication adherence support through facilitation, patient education, and service linkages.
6) Conducts comprehensive patient assessments.
7) Assists patients in securing medications, understanding instructions, securing appointments, and accessing a variety of clinical and social support services.
8) Assists patients in establishing and achieving care and treatment goals through a documented care plan.
9) Coordinates with Ampla Health primary care and other departments to achieve patient centered care and optimize patient communication and care.
10) Coordinates care with other organizations and other services as needed.
11) Assists with referring patients to the Chronic Care Management Program when needed.
12) Maintains an accurate record of outreach, communications, patient needs, and services.
13) Works to achieve “transition of care” program metrics as detailed to Table 1, below.
14) Supports Ampla Health’s mission by providing superior customer service and respecting patients.
15) Strengthens clinical and quality teamwork and rapport through strong work ethic and individual accountability.
16) Maintains profe