Community Health Worker - Case Manager (CalAIM) Inland Housing Solutions - 3.5 San Bernardino, CA Job Details Full-time $25 - $29 an hour 1 day ago Benefits Health insurance Dental insurance Paid time off Vision insurance Flexible schedule Life insurance Qualifications Teamwork English High school diploma or GED Driver's License Cultural competency Driving Telecommunications headsets Working with individuals from diverse cultural backgrounds Computer skills Experience working with individuals from underserved communities Home visits (communication methods) Cross-functional communication Full Job Description Summary At Inland Housing Solutions, relationships are the foundation of effective care. Our CalAIM team supports Medi-Cal members experiencing medical, behavioral health, social, and housing-related challenges through compassionate, culturally competent, trauma-informed, and person-centered services. The Community Health Worker (CHW) supports CalAIM member engagement, enrollment, intake, outreach, care coordination, case management, and, when applicable, housing-related case management for members receiving Enhanced Care Management (ECM), Housing Transition Navigation Services (HTNS), Housing Tenancy and Sustaining Services (HTSS), and/or Transitional Rent (TR). CHWs may be assigned primarily to one functional area or may support multiple functional areas based on program needs, employee training, experience, and workflow requirements. Functional areas may overlap or be combined as needed , and assigned responsibilities may change over time as CalAIM programs and operational needs evolve. Specific workflows, assignments, and implementation processes are established by CalAIM leadership and may be adjusted as needed. All CHW assignments are hybrid and require regular office attendance; the position is not fully remote. The amount and type of community travel or in-person member contact will vary based on the employee's assigned functional responsibilities, as outlined below. Functional Areas And Responsibilities 1. CHW - Telephonic Outreach CHW activities on the phone may include: (telephonic outreach; no field or home visits associated with this functional assignment)

• Make high-volume outbound calls to eligible, referred, or targeted members for CalAIM outreach and enrollment.
• Explain CalAIM services in clear, member-friendly language and answer general program questions within the CHW scope.
• Use warm, trauma-informed and culturally responsive engagement techniques to build trust and encourage participation.
• Complete follow-up calls and maintain targeted outreach lists to support timely member engagement and enrollment.
• Identify interested members and support handoff or enrollment workflows with Lead Care Managers and other CalAIM staff.
• Document outreach attempts, outcomes, barriers, member preferences, and follow-up needs in required systems.
• Escalate clinical, behavioral health, urgent, or complex member needs to the appropriate CalAIM team member.
• Support telephonic outreach campaigns, call lists, and other enrollment initiatives as assigned. 2. CHW - Community Outreach CHW activities in the community may include: (community events and approved outreach locations; no routine home visits associated with this functional assignment)
• Conduct outreach at community events, partner sites, resource fairs, shelters, clinics, and other approved community locations.
• Engage prospective members in person and by telephone, explain CalAIM services, and support enrollment workflows.
• Use trauma-informed, culturally responsive engagement strategies appropriate to the setting and population.
• Maintain outreach lists and complete timely follow-up with individuals who express interest in CalAIM.
• Identify barriers or needs raised during outreach and connect or escalate them to the appropriate CalAIM team member.
• Build and maintain positive working relationships with healthcare providers, community organizations, and referral partners.
• Provide accurate general information regarding CalAIM member benefits and services.
• Represent IHS professionally at community events and approved outreach activities. 3. CHW - Intake CHW activities during intake may include: (primarily telephonic intake and onboarding; no field or home visits associated with this functional assignment)
• Contact referred or eligible members by telephone to introduce CalAIM and support the intake process.
• Gather and verify required demographic, contact, eligibility, consent, and other non-clinical intake information in accordance with established workflows.
• Explain program services, next steps, and member expectations in clear and understandable language.
• Complete required intake and enrollment documentation and enter information accurately into designated systems.
• Coordinate timely handoff of enrolled members to Lead Care Managers or other assigned CalAIM staff.
• Follow up on incomplete intake items and maintain organized intake queues, referral lists, or targeted lists.
• Assist with scheduling initial appointments or other onboarding activities as directed.
• Assist with member eligibility renewal and authorization renewal.
• Escalate clinical questions, urgent needs, eligibility concerns, or issues outside the CHW scope to the appropriate team member. 4. CHW - Case Management CHW activities in person may include: (ongoing member support through telephonic follow-up and required member/home visits; routine community events are not a primary responsibility)
• Build trust and serve as a reliable point of contact for assigned CalAIM members using trauma-informed, culturally responsive, and person-centered approaches.
• Support high-risk or low-engagement members with tailored telephonic and in-person follow-up strategies.
• Assist members in understanding care plans, navigating healthcare systems, obtaining community supports, overcoming barriers to care, and participating in treatment plans.
• Conduct home and other member-specific visits as determined by the care plan, program requirements, and assigned workflow.
• Maintain assigned member lists or caseloads and ensure appropriate follow-up and continuity of care.
• Act as a Lead Care Manager (LCM), as assigned, including coordinating appointments, transportation, referrals, and connections to housing, benefits, behavioral health, and community resources.
• Collaborate on person-centered care plans and communicate member progress, barriers, goals, and follow-up needs to the interdisciplinary team.
• Participate in case reviews, Interdisciplinary Care Team meetings, huddles, and reflective supervision as required.
• Provide advocacy for CalAIM members with healthcare providers and community resource organizations as appropriate to the member's care plan.
• Refer or escalate clinical, behavioral health, or higher-acuity needs to the RN, Behavioral Health Specialist, Lead Care Manager, or other appropriate team member.

5. CHW - Housing Case Management CHW activities related to housing case management may include: (housing stability and housing-related care coordination for CalAIM members; this functional assignment is focused on case management rather than dedicated housing navigation)

• Act as a Lead Care Manager (LCM), as assigned, and provide person-centered care coordination for CalAIM members with housing-related needs.
• Build trust and assess housing-related needs, strengths, barriers, and goals for members experiencing homelessness, housing instability, or risk of housing loss, and incorporate identified needs into the member's care plan.
• Support housing and life stabilization activities, including obtaining identification and income documents, budgeting and savings, life skills, and connections to employment, benefits, and community resources.
• Assist members in developing housing stability plans and connect them to appropriate housing-related resources, referrals, and supportive services based on individual needs.
• Coordinate housing-related services with IHS Housing staff, healthcare providers, community partners, social service agencies, and other members of the interdisciplinary team.
• Assist members with tenant responsibilities and housing-related concerns that may affect housing stability, and provide coaching, follow-up, advocacy, and referrals as appropriate.
• Conduct telephonic follow-up and in-person/member home visits as needed; monitor progress toward housing and stabilization goals and update the care plan as appropriate.
• Document housing-related needs, interventions, referrals, appointments, member contacts, field visits, progress, and outcomes in required systems.
• Refer specialized housing navigation activities, including dedicated housing search, landlord/property management engagement, rental negotiations, and unit inspections, to the appropriate IHS Housing team member; escalate clinical, behavioral health, safety, or higher-acuity needs to the appropriate CalAIM or clinical team member. Responsibilities Applicable To All CHW Functional Areas
• Complete required documentation accurately, clearly, and timely in CRM, EHR, spreadsheets, and other required platforms.
• Protect PHI and comply with HIPAA, confidentiality, mandated reporting, and agency security requirements.
• Collaborate professionally with CalAIM team members and communicate barriers, member needs, follow-up requirements, and workflow status as appropriate.
• Attend required staff meetings, trainings, huddles, supervision, and compliance activities.
• Maintain professional boundaries and ethical decision-making at all times.
• Participate in cross-training and remain adaptable to changes in workflow, assignment, technology, and program needs.
• Perform other duties as needed within the scope of the CHW position and CalAIM program. Required Qualifications
• High school diploma or equivalent.
• Strong desire to work with and meaningfully serve vulnerable populations.
• Commitment to learning and delivering trauma-informed, culturally competent, and person-centered care.
• Comfortable using different technologies and willing to master multiple documentation systems.
• Adaptable, dependable, self-directed, and willing to learn and cross-train.
• Exceptional interpersonal, communication, and collaborative skills with the ability to work effectively within a multidisciplinary team.
• Ability to work effectively under time constraints and changing program priorities.
• Ability to pass required background check and health/drug screening, as applicable.
• Valid California driver's license, clean driving record, and reliable insured vehicle when assigned to functional responsibilities requiring community or member travel. Preferred Qualifications
• CHW Certification.
• Prior outreach, intake, case management, housing-related case management, customer service, healthcare, or social service experience.
• Bilingual English/Spanish.
• Previous experience or exposure to Medi-Cal, CalAIM programs and services, community health, housing services, or related social services.
• Experience with electronic medical records (EMR/EHR), CRM platforms, or similar documentation systems. Physical Requirements and Work Environment
• Must be able to sit for extended periods and regularly use a computer, keyboard, mouse, telephone/headset, and other standard office equipment.
• Normal range of hearing and vision, with or without reasonable accommodation.
• Must be able to stand and walk for periods associated with community outreach or member visits when assigned to those functions.
• Must be able to lift or carry up to 25 lbs. when required for outreach materials or assigned duties.
• Community travel and/or member home visits may be required depending on the employee's assigned CHW functional responsibilities.

Employees assigned exclusively to Telephonic Outreach or Intake do not routinely conduct member visits. At IHS we are people advocates. We recognize that individuals come from all walks of life, have different circumstances, or may even have a disability. The strength of our organization is our employees. By uniting diverse cultures, backgrounds, personalities, strengths, and lived experiences, we can continue building a team of exceptional talents and perspectives that can deliver relevant high-quality services while effectively meeting clients where they are. We are committed to creating a workplace where all employees, regardless of background, or characteristics, are engaged, feel they belong, and can grow and develop long careers with our organization. We welcome you to apply!

Job Type:

Full-time Pay:

$25.00 - $29.00 per hour

Benefits:

Dental insurance Flexible schedule Health insurance Life insurance Paid time off Vision insurance Application Question(s): Do you have any experience with housing navigation? Do you have any experience with case management? Are you available to perform home visits?

Language:

Spanish (Preferred)

License/Certification:

Driver's License (Required) Community Health Worker Certificate (Preferred)

Work Location:

In person