Enhanced Care Management Care Coordinator

Job overview

The Enhanced Care Management (ECM) Care Coordinator role is onsite in Woodland, CA. Compensation is $25–$33 per hour. The coordinator supports Northern Valley Indian Health’s Enhanced Care Management program and its goal of improving patient health outcomes. The role manages care coordination for patients with comprehensive or complex needs, connecting them with appropriate clinical and community resources. Through assessments, individualized care plans, follow-up, patient education, and collaboration with care teams, the coordinator helps patients navigate services and participate actively in their care.

What you'll do

• Manage a caseload and assess patients’ medical, behavioral, and social needs
• participate in developing and monitoring individualized care plans
• use motivational interviewing and other techniques to support behavior change and adherence
• coordinate with providers, behavioral health professionals, and community organizations
• educate and support patients and families
• facilitate referrals and linkages to community resources and follow up on services
• conduct or coordinate outreach
• document assessments, care plans, interactions, and outcomes
• maintain relationships with agencies and providers
• assist with program-related escalations.

What we're looking for

Skills & competencies

ecm care coordinator

enhanced care management

care coordination

patient assessments

care plans

case management

community resources

patient education

ehr

woodland ca

northern valley indian health

$25–$33 per hour

native preference

Work arrangement

• Weekend coverage required

Why this role

Requires a bachelor’s degree in Social Work, Psychology, Sociology, or a related field and at least one year of healthcare case management or care coordination experience; two years preferred. Native Preference applies to qualified Native applicants under the employer’s policy.

About the employer

Northern Valley Indian Health is hiring for this role. Industry: Home Health Care Services. Sector: 62.