A Residential Community Manager manages operations for an apartment community. Responsible for the maintenance and profitability of the apartment community. May provide information about the community to prospective residents, troubleshoot issues with the buildings and community residents. May also review and approve new lease applications, or be responsible for negotiating and closing sales.
Axis is one of the largest social services agencies providing support to Medi-Cal members in Northern California. We serve almost 800 active members across About the
Role:
As a Home Visit Manager for our Enhanced Care Management (ECM) program, you will serve as the essential, on-the-ground extension of our care management team. Working in close partnership with Lead Care Managers (LCMs), you will provide vital field-based support to our highest-need members directly where they live, whether in a private residence, a community setting, or a care facility. While the LCM oversees and drives the member's comprehensive care plan, you will act as their eyes and ears in the community, conducting in-person visits to supplement core ECM practices. By building trusting relationships, assessing real-time living conditions, and providing urgent transitional support, you will play a crucial role in bridging the gap between members and their core care team to ensure they achieve their health and wellness goals. Responsibilities and Duties•:
Field-Based Engagement:
Conduct regular, in-person visits at members' homes, community settings (including shelters, streets, or encampments), and clinical facilities to supplement the care coordination provided by the Lead Care Manager (LCM).
LCM Support & Collaboration:
Serve as a dedicated field partner to the LCM, providing real-time observations, reporting on member status, and assisting with tasks and interventions that require an in-person presence.
Health & Environment Monitoring:
Confirm members' current health status, identify any immediate safety, mobility, or health concerns in their living environment, and promptly relay findings back to the core care team.
Field Assessments:
Administer in-depth health and Social Determinants of Health (SDOH) assessments in the field, gathering crucial data to inform and update the care plans managed by the LCMs.
Care Plan Reinforcement:
Educate members about ECM program benefits, reinforce the goals established with their LCM, and provide updates regarding their individualized care strategies.
Transitional Care Coordination:
Conduct urgent, time-sensitive field visits for members transitioning between care settings (e.g., hospital discharge to home) to verify a safe transition, check medication availability, confirm follow-up appointments, and ensure the LCM is updated for ongoing support.
Resource Navigation Assistance:
Assist members with hands-on, in-person navigation of community resources (such as housing applications, food security programs, or transportation logistics) in alignment with the LCM's broader care strategy.
Trauma-Informed Practice:
Utilize trauma-informed, culturally responsive, and harm-reduction strategies in all interactions to build trust with members experiencing complex life circumstances.
Documentation & Compliance:
Maintain accurate, timely documentation of all field encounters and assessments in the electronic health record (EHR) system, ensuring the LCM and broader care team have immediate visibility into field activities in accordance with CalAIM standards.
Candidate Requirements:
Active Driver's License Cleared TB test Valid Social Security Card Active Drivers Insurance Reliable transportation Personable and empathetic demeanor Strongly preferred: Experience in social services with members with complex medical needs Strongly preferred: Experience with CalAIM services, in particular Enhanced Care Management.
Pay:
Up to $26.00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance
