Healthtech, Healthcare Software, Data Platform

ECM Care Coordinator

Pomona, CAOnsiteFull Time$28–$28 /hrPosted 1 day ago

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Required skills

CalAIM populations
homelessness
SMI/SUD
incarceration
complex medical needs
assessment forms
care plans
behavioral changes
medical appointments
social services appointments

Nice to have

bilingual
English
Spanish
AI-guided tools
structured medical investigation
informed clinical decision-making

Role summary

The ECM Care Coordinator supports members with complex medical and social needs by managing their health and wellbeing. This role involves motivating behavioral changes through education and peer support, utilizing AI-guided tools for medical investigation and decision-making. Responsibilities include managing patient caseloads, developing care plans, coaching patients, accompanying them to appointments, connecting them to services, and documenting encounters in case management software. The position requires a High School Diploma, 2+ years of experience with CalAIM populations, and willingness to travel extensively for field work.

The Opportunity

The ECM Care Coordinator will support members with complex medical and social needs in managing their health and overall wellbeing. The ECM Care Coordinator will assist in motivating behavioral changes to improve health outcomes through education, peer support, and the relaying of shared experiences. This role offers the opportunity to work alongside Akido’s proprietary technology, including AI-guided tools that support structured medical investigation and informed clinical decision-making.

What you’ll do

Manage a caseload of patients, including completing assessment forms, developing care plans in partnership with members and clinical teams, and carrying out activities aligned to the care plan.

Build rapport with patients with the goal of increasing the likelihood of positive behavior changes.

Coach patients to minimize risks associated with identified health conditions and behaviors.

Accompany members to medical and social services appointments.

Connect members to appropriate programs to address barriers to care and enhance compliance.

Link members to local, county, and state services; follow up with members and serve as a patient advocate.

Introduce systems and strategies to promote self-management and self-efficacy.

Document information from every encounter in designated information systems.

Conduct outreach and engage eligible patients to enroll them into the Akido ECM Program.

Perform other duties as assigned.

Who you are

High School Diploma or equivalent

Bilingual in English and Spanish strongly preferred

2+ years of experience working with CalAIM populations of focus (people experiencing homelessness, adults with SMI/SUD, adults transitioning from incarceration, adults with complex medical needs)

Ability to work in a dynamic, outdoor environment

Ability to work independently as well as collaboratively within a team

Ability to prioritize multiple and competing tasks

Strong communication skills, including the ability to articulate relevant personal experiences

Excellent oral communication and interpersonal skills

Comfort using computers to document information in case management software

Willingness to travel 90% for in-person field work; must have a valid driver’s license, automobile insurance, and reliable transportation

Benefits

Medical, dental, and vision health benefits

Paid sick time in accordance with California law

Accrued paid time off (PTO)

Physical Demands: Work may include both sedentary office duties and active field-based engagement, requiring walking and standing for extended periods.

Hourly pay range$28—$28 USD

Ready to apply?

You'll be redirected to Akido Labs's application page.