Case Manager

Job description

JOB SUMMARY
The Case Manager plays a vital role in providing culturally responsive, high-quality case management and care coordination to Black mothers, birthing people, fathers, infants, and families across Los Angeles County. This position supports participants through comprehensive assessments, individualized care plans, consistent follow-up, resource navigation, health education, outreach, accurate data management, and program administration. The ideal candidate has strong case management experience, excellent Excel and documentation skills, and a proven ability to develop community partnerships that expand resources and improve outcomes for patients.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Performs a combination, but not necessarily all, of the following duties:
Case Management and Client Support
• Conduct comprehensive client intakes, needs assessments, and develop individualized care plans.
• Provide intensive, ongoing case management, timely follow-up, and coordinated support throughout the prenatal and postpartum periods and during other identified periods of need.
• Connect clients to prenatal and postnatal care, housing, food, WIC, mental health, domestic violence services, substance use treatment, employment, job readiness, education, re-entry support, and other community resources.
• Conduct home visits and virtual check ins to ensure client success and retention.
• Advocate for clients to reduce barriers to care and improve outcomes.

Medical Billing and Administrative Support
• Support medical billing activities for maternal, paternal, and infant health services, including accurate service documentation, code verification, claim tracking, and reconciliation, as assigned.
• Ensure accuracy of billing codes, service documentation, and compliance with payer and program requirements.
• Maintain accurate, timely, and confidential documentation in client records per HIPAA and agency standards.
• Assist with grant reporting, audits, and administrative duties related to program compliance.
• Support the Program Director with accurate data tracking, spreadsheet maintenance, monthly billing summaries, and other administrative reports.

Group Education and Facilitation
• Plan and lead culturally affirming group sessions on topics such as prenatal care, breastfeeding, parenting, mental health, and postpartum wellness.
• Foster a safe, inclusive, and supportive space for participants to learn and connect.
• Collaborate with doulas, lactation counselors, and health educators to enhance program offerings.

Data Collection and Reporting
• Accurately collect, enter, maintain, and validate client data, including demographics, referrals, service utilization, attendance, outcomes, and follow-up activities.
• Create and maintain accurate Excel spreadsheets; use formulas, filters, sorting, and other functions to track services, identify discrepancies, and support reporting.
• Complete routine data-quality reviews and promptly correct missing, duplicate, or inconsistent information across spreadsheets, databases, and electronic health records.
• Support evaluation activities, grant reporting, quality improvement efforts, data validation audits, program performance reports, and continuous improvement initiatives.

Community Outreach and Engagement
• Represent the program at outreach events, community meetings, and collaborative partnership activities.
• Recruit and enroll new participants through referrals, outreach, and trusted community relationships.
• Maintain an organized and current community resource directory and conduct follow-up with partners to confirm availability, eligibility requirements, and referral outcomes.
• Identify, cultivate, and secure partnerships with community organizations that can provide additional resources for patients, including job-readiness and employment services, housing support, domestic violence services, substance use treatment, free group therapy, educational institutions, and re-entry programs.
• Participate in staff meetings, trainings, and events that promote Black maternal and infant health.

Responsibility to Team – actively support assigned team/department by participating in and supporting all team/departmental initiatives, proactively communicating with supervision, meeting assigned goals and objectives, and committing to embracing process improvement initiatives.
Responsibility to Organization – actively support SJCH by consistently meeting St. John’s Mission, Vision, and Values; modeling positive interactions with patients, staff, and community; keeping informed of internal (e.g., policies and procedures) and external (e.g., legal or political matters) which may affect business.
Additional Duties – as assigned.
For Grant Funded Positions – if position is grant funded, grant specific duties which may be in addition to the above are attached with employee attestation herewith.
St. John’s Community Health is an Equal Employment Opportunity Employer.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Experience
• Bachelor's degree in Social Work, Public Health, Health Administration, Human Services, or a related field preferred; equivalent relevant education and experience may be considered.
• Minimum 3 years of strong case management or care coordination experience, preferably in maternal and child health, behavioral health, public health, or community-based services.
• Experience with medical billing, coding, claims management, or billing documentation in a healthcare or public health setting is a plus.
• Strong experience with Microsoft Excel, including formulas, filters, sorting, data validation, spreadsheet maintenance, and reporting; proficiency with Microsoft Office, EHR systems, and client databases.
• Experience identifying, developing, and securing community partnerships and patient resources strongly preferred.
• Demonstrated ability to maintain accurate, complete, timely, and confidential data across spreadsheets, databases, and client records.
• Strong interpersonal, communication, and organizational skills.
• Understanding of Black maternal health disparities and commitment to racial and birth equity.

Preferred Qualifications:
• Certified Doula, Community Health Worker, or Lactation Counselor.
• Experience working in nonprofit, community based, or public health settings.
• Bilingual preferred, especially Spanish or African languages.
• Familiarity with Los Angeles County resources

Additional Requirements:
• Reliable transportation and flexibility to travel between Los Angeles, San Bernardino, and Riverside Counties as needed.
• Flexibility to work evenings and weekends as needed for community events

Language Skills
Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Reasoning Ability
Ability to define problems, collect data, establish facts, and draw valid conclusions. Synthesize complex or diverse information. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Ability to interpret situations, characteristics, behavior, etc. and respond appropriately.
Computer Skills
To perform this job successfully, an individual must demonstrate proficiency with MS Outlook, MS Word, and MS Excel, including formulas, filters, sorting, data validation, and spreadsheet reporting. Experience with Electronic Health Records, client databases, and secure internet-based systems is preferred.