Under general supervision, performs duties providing case management services to assigned individuals. Participates in, and supports, the planning, development, implementation, and evaluation of services in accordance with contractual and departmental requirements and guidelines. Specific assignments vary depending on program, grant, and patient demographics, with a focus on providing community-based healthcare services to the medically underserved. The Case Manager I offers more intensive case management services to clients, including creating case plans and formalized goal setting. Intensive support may be required depending on level of client need (such as accompanying to appointments, assisting with housing, etc.).

* Provides basic and intensive individual support, based on client need. Support may include providing interventions, providing internal and community services referrals, and more intensive support which may include a home visit .

* Tracks, monitors, and actively manages assigned patient cases to ensure coordination of care, retention of patient, and ensuring a high level of utilization is maintained.

* Conducts initial and on-going assessment of client's health and/or support service needs. Sets level of client need.

* Facilitates care transitions between providers, partners, and referral sources and specialty care providers. Follows-up on referrals within established timeframes.

* Enrollment of patients in specialty care and services.

*Schedules appointments and provides intakes per department guidelines and productivity goals.

*Ensures appropriate intake steps are followed, including eligibility, assessment of needs, collecting patient data, enrolling in programs, developing care plan, and other steps as required by department guidelines.

Education/Certifications/Licenses/Registrations

* Bachelor's degree in Social Science field, Public Health, Healthcare Administration, or closely related field required.

* 2 years of work experience providing human services to high risk, medically underserved, or relevant community health populations required.

* Ability and means to travel as needed in a timely manner within San Diego County.

*DRIVER REQUIREMENTS: Requires an active Class C California driver's license, proof of liability insurance at $100,000, on vehicle used. No more than 2 points in past 12 months; No suspensions in last 2 years for moving violations; No DUI, reckless or felony Driving within 5 years. No license revocation in 7 years.

Experience/Specialized skills (including Language)

* Bilingual in English/Spanish required.

Ability to work well in both a team-based environment and independently.

* Basic computer literacy ability to comply with department needs and expectations (i.e., electronic medical record documentation, obtaining background information and reports on patients, following up on appointments, etc.).

* Basic counseling skills, such as reflecting, active listening, and paraphrasing.

* Basic organizational skills, attention to detail, time-management skills, and motivation to meet deadlines and achieve goals.

* Demonstrated ability to be culturally sensitive and respect diversity.

* Excellent interpersonal and customer service skills.

* Excellent written and verbal communication skills.

* Knowledge of the community resources, health and social service systems in San Diego County and skill in establishing working relationships with community partners.