ECM Case Manager – LCSW/LMFT

Astrana Health

. Manage an assigned caseload of members with complex medical, behavioral, and social needs across multiple health plan contracts .

Posted 11/9/2026full-timeMonterey Park • California • United StatesJunior💰 $34 - $41 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex member caseloads, developing member-centered care plans, and conducting comprehensive assessments while utilizing strong communication and organizational skills. Proficient in navigating case management software and maintaining compliance with healthcare standards.

Highest-signal resume keywords

LCSW Or LMFT LicenseClinical Experience In HealthcareCare Plan DevelopmentBilingual In SpanishUtilization Management Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Comprehensive AssessmentsCare Plan Goal SettingMedication ReconciliationData AccuracyMotivational InterviewingTrauma-Informed CareHarm-Reduction ApproachesAnalytical SkillsCritical ReasoningOrganizational Skills

Soft Skills

Interpersonal CommunicationWritten CommunicationAutonomous WorkSound Clinical JudgmentConfidentiality

Tools & Technologies

Case Management SoftwareExcel TrackersMonday.com BoardsHealth Plan Portals

Certifications & Qualifications

LCSW LicenseLMFT License

Industry Keywords

Managed Care EnvironmentSkilled Nursing FacilityHome HealthHospiceCase ManagementCare CoordinationDHCSDMHCNCQACMS Standards

About the role

Key responsibilities & impact

Manage an assigned caseload of members with complex medical, behavioral, and social needs across multiple health plan contracts
Conduct outreach for members regardless of case assignment and health plan to support ECM program engagement
Meet members in person through home visits, provider office visits, and community-based settings
Build trust, complete assessments, review care plans, and support engagement for hard-to-reach and prospective members
Conduct outreach and complete initial comprehensive assessments, care plans, and interdisciplinary team conferences within specified timeframes
Develop member-centered care plans with clear, measurable, and achievable SMART goals
Support RN Care Manager with health assessments, medication reconciliation, post-hospital discharge assessments, and standardized screening tools
Maintain documentation in case management software, Excel trackers, Monday.com boards, and health plan portals
Coordinate post-hospital and skilled nursing facility transitions of care
Communicate with PCPs, specialists, behavioral health providers, hospitals, and community-based organizations to close referral loops
Review claims and authorizations and perform medication reconciliation
Connect members to social services, transportation, housing, food, and other community resources
Apply motivational interviewing, trauma-informed care, and harm-reduction approaches
Identify treatment-adherence barriers and adjust care plans
Educate members and caregivers on disease management and healthcare navigation
Monitor member progress and caseload activity weekly to meet deliverables and outcomes
Participate in audits, quality reviews, and team meetings
Maintain accurate and honest timekeeping
Share best practices and support a positive, accountable team culture
Perform other duties as assigned

Requirements

What you’ll need

A graduate degree (LCSW or LMFT) by an accredited institution
At least 1+ year of clinical experience in a health care setting, such as skilled nursing facility, home health, hospice, case management, or care coordination
Active, unrestricted LCSW or LMFT license in California required
Familiarity with care plan goal setting, including development of problem statements, interventions, and goals
Ability to learn and navigate multiple case management software platforms and health plan portals while maintaining data accuracy
Strong analytical, critical reasoning, organizational, and interpersonal communication skills
Strong written and verbal communication skills
Ability to multi-task, work autonomously, and exercise sound clinical judgment
Ability to maintain confidentiality and discretion when handling sensitive member, provider, and business information
Bilingual in Spanish
Experience in a managed care environment (health plan, IPA, or MSO)
Utilization Management or Hospice Case Management experience
Working knowledge of DHCS, DMHC, NCQA, and CMS standards

Benefits

Comp & perks

Hybrid work structure with weekly work both in office and at home
Working hours Monday through Friday, 8:30 AM–5:00 PM
Occasional travel/field visits to homes and community-based settings
Equal Employment Opportunity and Affirmative Action employer
Disability accommodation assistance available during the application process