Case Manager
Company: Camino Health Center
Location: San Juan Capistrano
Posted on: February 19, 2026
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Job Description:
Job Description Job Description Under the direction of the
Clinic Manager, the Case Manager works as part of the Enhanced Care
Management (ECM) team and Primary Care Provider (PCP) care team to
provide high quality, efficient and service oriented patient/member
care while demonstrating the health center’s core values. The Case
Manager is responsible for all phases of case management. The Case
Manager uses an integrated (medical/behavioral health) case
management program and a collaborative relationship-based approach,
to assist poly-chronic and high-risk patients to improve health
outcomes. Case Managers use a comprehensive, whole person health
assessment of the patient’s current situation and status,
identifies actionable barriers and obtainable goals to achieve
optimal self-care management and monitors the patient’s progress
towards their goals. Utilizing Camino’s electronic health record
system, the Case Manager is responsible for capturing, monitoring
and working all case management referrals requested by the
providers. The Case Manager works closely with ECM and their care
team to organize activities necessary to successfully meet
requirements established by managed care plans, HEDIS clinical
quality measures and FQHC clinical performance measures. Ensure
that the core values of Camino Health Center – Service, Dignity,
Justice and Excellence are carried out within daily tasks.
Essential Values-Based Competencies: Demonstrates values-based
competencies in line with the four core values that are the
foundation of all activities performed by employees in order to
achieve the mission of the Camino Health Center. Dignity:
Demonstrates competence in communication and interpersonal
relations Excellence: Demonstrates competence in continuous
improvement, continuous learning, and teamwork/collaboration
Service: Demonstrates competence in customer/patient focus,
adaptability, and shaping change Justice: Demonstrates competence
in community orientation, stewardship, and strategic planning and
action Patient Relations Work diligently, cooperatively, and
effectively with patients, medical providers, health center staff
and community stakeholders in all aspects of patient care and case
management. Provide positive, supportive and caring behavior in all
communications to patients, community stakeholders and staff.
Maintain patient confidentiality and HIPAA practices at all times.
Outreach and Engagement Provide a patient orientation to those that
are referred to case management, explain what the benefits are and
how it will support them in addressing their health care needs.
Identifies specific times to connect with the patients, to inquire
or provide needed updates, in person or over the phone.
Communicates and delivers easy to read information about health and
wellness, referrals to specialists, and other community resources
that may be beneficial to the patient. Shares socioeconomic
resources that may benefit the member and addresses important items
such as food insecurity, sheltering needs, etc. Identifies
opportunities to schedule in clinic appointments to address various
health needs/screenings; arranges transportation as needed to and
from the clinic. Case Management Works closely with the Primary
Care Provider (PCP) teams, Enhanced Care Management (ECM) team,
Behavioral Health Specialists (BHS) and Referral Specialists.
Engage patients with medical, mental health and/or substance
utilization disorders in health support services utilizing
evidenced-based engagement skills. Conduct initial holistic health
assessment of patient’s current conditions, situation and needs and
performs ongoing evaluations. Assessment will include evaluating
the patient’s social determinants of health (SDOH) and cultural
influences on health care practices. Collaborate with the patient,
caregivers, and providers to develop a patient centric case
management plan that addresses barriers and promotes improved
health outcomes. Monitor and evaluate the effectiveness of the
patient’s care management plan and continuously updates to ensure
goals are progressing and remain pertinent, adjust goals as needed,
and identify/address barriers to completing goals. Facilitates
communication and coordination among the health care team to
minimize fragmentation, eliminate duplication, and maximize
delivery of appropriate care. Provide interventions focused on
removing the patient’s barriers to health improvement, promoting
positive behavior change using Motivational Interviewing
techniques, and addressing the caregiver’s/family member’s needs in
order to stabilize the patient’s natural support system. Works in
the moment to address arising issues brought forth by the
providers, staff, caregivers, and family members; must leverage
strong problem solving skills to overcome challenges in the
patient’s case management. Uses the electronic medical record (EMR)
system to accurately track the progression of the patient’s case
management. Maintains concise, accurate and timely documentation
that supports effective, efficient management of the member and
that meets accreditation, contractual and legal requirements.
Participates in weekly case review to discuss patient challenges
and seeks input from peers and providers on potential solutions to
current issues/barriers to care. Engages in quality improvement
initiatives and projects, such as identifying and addressing gaps,
and developing/testing new practices to improve case management
outcomes. Models the highest ethical behavior in relationships with
co-workers, supervisors, members, providers, and colleagues in the
community. Participates in all appropriate staff meetings or other
activities as needed. Additional Responsibilities: Performs other
duties as assigned by supervisor. Minimum Position Qualifications:
Education: High school Diploma or GED required. Experience /
Training: Two years of experience working in a healthcare setting
is required. Experience working in case management within the
medical office and/or behavioral health; ideally in environments
with individuals who struggle with chronic illness, substance use
disorders and mental health issues. License / Certification: BLS
certification required. Preferred Position Qualifications:
Language: Bilingual (English/Spanish) skills required. Experience /
Training: Bachelors of Science in health or human services related
field; other under graduate degrees will be considered. Licensed
Vocational Nurse (LVN) with case management experience. Certified
Case Manager (CCM) certification. Enhanced Care Management (ECM)
experience Must have reliable transportation to report for
shifts.
Keywords: Camino Health Center, Chino Hills , Case Manager, Healthcare , San Juan Capistrano, California