Care Manager in Cardiff

The Care Manager supports the transition of clients identified by CHASI’s Social Care Network into the Health Home program for long-term, coordinated care. After clients complete their Health-Related Social Needs (HRSN) screening with the Social Care Network team, those determined to have ongoing or complex needs are referred internally to the Care Manager. The Care Manager engages these clients, confirms eligibility, completes Health Home enrollment, and coordinates initial care planning to ensure a smooth transition into continuous case management. Building trust and maintaining continuity between short-term resource navigation and sustained Health Home care is central to the role.

DUTIES & RESPONSIBILITIES

• Client Engagement & Enrollment
• Conduct outreach to engage referred clients, confirm interest, and verify eligibility for Health Home services.
• Complete required enrollment documentation and initial assessments in accordance with program requirements.
• Explain program services and benefits to clients, ensuring informed participation.
• Coordinate and facilitate the client’s transition from Social Care Network support into ongoing Health Home care management.
• Conduct follow-up to confirm enrollment, establish initial care goals, and address immediate barriers.
• Maintain accurate and timely documentation in designated platforms.
• Care Coordination & Collaboration
• Work closely with Social Care Network staff to ensure timely and appropriate referrals to Health Home.
• Collaborate with management and colleagues to ensure smooth handoffs and continuity of care.
• Participate in multidisciplinary meetings to discuss client progress, address barriers, and align on care planning.
• Monitor referral completion, enrollment outcomes, and engagement metrics.
• Report outcomes and trends to supervisors for quality improvement.

Requirements

• At least 3 years of experience working with persons with behavioral health diagnoses, mental or developmental disabilities, and/or chronic health conditions by providing case management or services linking to a broad range of services essential to successfully living in a community setting.
• A bachelor’s degree in any of the following: child & family studies, community mental health, counseling, education, psychology, rehabilitation, social work, sociology, speech and hearing, or other related field; OR Credentialed Alcoholism and Substance Abuse Counselor (CASAC) REQUIRED. Master’s degree may supplement for up to 2 years of experience.
• Significant years of directly related experience beyond the required minimum may be considered in lieu of a bachelor’s degree or CASAC credential.
• Bilingual (English/Spanish) capacity a strong plus.
• Ability to communicate well with medical providers and support staff.
• Ability to work well with diverse populations.
• Ability to handle multiple tasks and results-driven environment.
• Ability to work flexible hours including some evenings and weekends.
• Ability to use common office software (Word, Excel, Power Point) and basic computer and internet navigation skills required.
• Familiarity with ECW preferred.
• Effective oral/written/interpersonal communication skills required.

CHASI is an equal opportunity employer and is committed to hiring and supporting a diverse staff. All qualified applicants will be afforded equal employment opportunities without discrimination because of race, religion, color, national origin, sex, sexual orientation, gender identity, age, genetic information, disability or marital status.