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Calaim Jobs in California (NOW HIRING)

CalAIM Case Manager

Santa Cruz, CA ยท On-site

$37.50/hr

CalAIM Case Manager Santa Cruz, California About the Organization Stepping Up Santa Cruz is a non-profit organization dedicated to supporting individuals with complex needsincluding mental health ...

This role provides clinical oversight of the discharge planning process for CalAIM-eligible individuals, reviewing and approving reentry care plans to ensure they are clinically appropriate and ...

CalAIM Case Manager

Santa Cruz, CA ยท On-site

$37.50/hr

CalAIM Case Manager Santa Cruz, California About the Organization Stepping Up Santa Cruz is a non-profit organization dedicated to supporting individuals with complex needsโ€ฏincluding mental health ...

Client Care Coordinator CalAIM

Irvine, CA ยท On-site

$24 - $29/hr

We serve a diverse client population including Private clients, CalAIM Community Supports members, and Regional Center consumers. Our mission is to deliver high-quality, compassionate, and reliable ...

This role provides clinical oversight of the discharge planning process for CalAIM-eligible individuals, reviewing and approving reentry care plans to ensure they are clinically appropriate and ...

This role provides clinical oversight of the discharge planning process for CalAIM-eligible individuals, reviewing and approving reentry care plans to ensure they are clinically appropriate and ...

Showing results 41-60

Calaim information

What is CalAIM?

CalAIM stands for California Advancing and Innovating Medi-Cal. It is a multi-year initiative by the California Department of Health Care Services (DHCS) to improve and transform the Medi-Cal program. CalAIM aims to streamline services, better coordinate care for individuals with complex needs, and address social determinants of health such as housing and behavioral health. The initiative focuses on whole-person care and integrating healthcare delivery across physical, behavioral, and social services.

What are some common challenges faced by professionals working in CalAIM implementation roles, and how can they be addressed?

Professionals working in CalAIM (California Advancing and Innovating Medi-Cal) implementation often encounter challenges such as coordinating care across multiple providers, navigating evolving state guidelines, and managing complex member needs. Success in these roles requires strong communication and collaboration skills, as well as adaptability to policy changes and new workflows. Building effective relationships with community-based organizations and regularly participating in training or knowledge-sharing sessions can help address these challenges and ensure smooth program execution.

What are the key skills and qualifications needed to thrive as a California Advancing and Innovating Medi-Cal (CalAIM) program manager, and why are they important?

To thrive as a CalAIM Program Manager, you need expertise in Medi-Cal policy, program implementation, and healthcare administration, often supported by a degree in public health, healthcare management, or a related field. Familiarity with state healthcare systems, data analytics tools, project management software, and regulatory compliance is typically required. Outstanding organizational, leadership, and stakeholder communication skills help drive collaboration and effective program delivery. These skills are crucial for successfully managing complex healthcare initiatives that aim to improve care coordination and outcomes for Medi-Cal beneficiaries.

What is the difference between Calaim vs Claims Adjuster?

AspectCalaimClaims Adjuster
Required CredentialsCertification in insurance claims processing, relevant licensesInsurance license, certification in claims adjusting often preferred
Work EnvironmentInsurance companies, third-party claims firmsInsurance companies, independent adjusting firms
Industry UsageUsed mainly in insurance claim processing rolesCommonly used in insurance claim assessment and settlement

Both Calaim and Claims Adjuster roles involve evaluating insurance claims, but Calaim typically refers to a specialized certification or platform, whereas Claims Adjuster is a broader job title for professionals assessing and settling claims. Understanding these differences helps job seekers target the right roles and certifications in the insurance industry.

What cities in California are hiring for Calaim jobs?

Cities in California with the most Calaim job openings:

Infographic showing various Calaim job openings in California as of August 2026, with employment types broken down into 92% Full Time, 6% Part Time, and 2% Contract. Highlights an 98% In-person, and 2% Remote job distribution.

CalAIM Case Manager

Stepping Up Santa Cruz

Santa Cruz, CA โ€ข On-site

$37.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 8 days ago


Job description

CalAIM Case Manager
Santa Cruz, California
About the Organization
Stepping Up Santa Cruz is a non-profit organization dedicated to supporting individuals with complex needsincluding mental health,substance use,developmental disabilities, medical vulnerability, and homelessness.We go beyond simply providing services; weempower individualsto reach their full potential by offeringhigh-quality, individualized advocacy.We firmly believe in tailoring our support to each person's unique needs and circumstances.Our passionate team builds a rapport toconnect individuals with essential resources which they self-identify,ensuring they have everything they need to thrive. We believe the staff's loyalty is earned through giving them the tools to be successful and fulfilled and to reward their hard work through great pay and benefits.
About the Position
You'll play a pivotal role as a CalAIM Case Manager, providing comprehensive care coordination and supportto clients enrolled in CalAIM's ECM (Enhanced Care Management) and CS (Community Supports) programs.This dynamic role demands initiative,dedication,and agenuine desire to make a positive impact on people's lives.Prepare to work in a diverse environment,combining the satisfaction of office work with the direct engagement of community outreach.
Responsibilities
  • Maintain a manageable caseload to build strong relationships with clients and provide high quality care.
  • Work collaboratively and independently within a case management team. Provide constructive feedback and celebrate success.
  • Assist in the development and planning of processes for the four goals of taking care of clients, taking care of staff, financial sustainability, and high integrity/professional service delivery.
  • Receive, assess, and incorporate feedback to personally and professionally grow.
  • Contributes to apositive and collaborative team environment,both in the office and during outreach activities,fostering inclusivity and respect for diverse experiences.
  • Attend mandatory training on-site, online, and off-site at partner agencies for professional development to provide the highest level of service.
  • Ensure all case planning, program referrals, and daily case notes meet required standards in order to best serve members.
  • Conductin-depth needs assessmentsand developpersonalized care plansin collaboration with clients,ensuring Strengths-Based alignment with Trauma-Informed Care (TIC) principles and Harm Reduction philosophy.
  • Coordinate care with various providers (doctors,therapists,social workers) through in-person consultations and remote communication,prioritizing culturally competent and client-centered approaches.
  • Conduct home visitsto build rapport with clients,assess their living environment,and provide direct support to ensure safety and stability.
  • Engage in community outreach,connecting with individuals in need through street outreach, program visits,and community events, utilizing the program outreach van and shower trailer.
  • Advocate for client needs,ensuring they receiveappropriate, individualized, and Trauma-Informed care regardless of location or service they are receiving.
  • Monitor client progress andadapt care plans as needed based on client interactions, feedback, and observations,in alignment with best practices for care management and eligibility for billing.
  • Document all client interactions and services accurately and daily,ensuringauthorizations, case notes, care plans, and assessments meet required standards for billing and quality service delivery.
  • Using rapport, respect, and clear expectations and boundaries, de-escalate potentially volatile situationsusing effective communication techniques and understanding the impact of trauma and past experiences.
  • Drive and manage van and shower trailer when doing outreach with other staff.
  • Other duties as assigned.

Minimum Qualifications
  • Current California Driver's License and proof of auto insurance
  • Eligible to work in the US.
  • Must be 18 years of age or older.
  • Bachelor's degree in social work,public health,or a related field or equivalent experience.
  • One year of experience case managing individuals with complex needs.
  • Reliable transportation and ability to transport members occasionally.
  • Must pass a relevant criminal background check as a Medi-Cal provider and a driver background check upon provisional offer of employment and maintain eligibility.

Desired Skills
  • Demonstrated understanding and application of Trauma-Informed Care (TIC) principles and Harm Reduction philosophy.
  • Strong client skills,including assessment,planning,and intervention.
  • Excellent communication and interpersonal skills to connect with clients and staff from diverse backgrounds.
  • Lived Experience a plus.
  • Ability to work independently and collaboratively in both office and community settings.
  • Strong organizational and time management skills to juggle various responsibilities and adapt to dynamic situations.
  • Proficiency in Microsoft Office Suite and willingness to learn other relevant software.
  • Strong work ethic,self-motivation,and a genuine desire to help others.
  • Ability to lift up to 35 lbs. occasionally.
  • Bilingual (Spanish of Mixteco preferred) is a plus with hourly bonus.
  • Ability to drive a van and trailer is a plus.

Compensation and Benefits
  • Hourly rate of $37.50 per hour with potential for performance-based pay increase after 6 months.
  • 36-hour work week, to support a healthy work-life balance.
  • Generous Paid Time Off (PTO) of four (4) weeks per year for relaxation and recharge, and Sick Leave of five (5) days per year.
  • Comprehensive benefits package,including no-cost health coverage with optional dental and vision coverage.
  • Company-sponsored 403(b) retirement savings plan with a generous employer match of 100% of your contributions for up to 5% of your salary.
  • Extensive training,coaching,and tools to empower you to create positive change in clients' lives and support your professional growth.
  • Opportunities for advancement.
  • Opportunities to improve people's lives.
  • Pay bonus of $1.00 per hour for bilingual with Spanish or Mixteco.
  • Potential for pay bonuses for relevant certifications.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, creed, ancestry, color, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, weight, height or other physical characteristics, marital status, veteran status, disability status, genetic information, or any other protected characteristics.
Additional Information
  • CalAIM is a new program,offering an exciting opportunity to be at the forefront of this impactful work.
  • This challenging yet rewarding position allows you to directly impact clients' lives through a dynamic mix of office work and community outreach.
  • If you're a passionate,driven individual with a bachelor's degree or equivalent experience,a willingness to go the extra mile,a heart for helping others, and an acknowledgment of your own self-care, this may be your dream job.

Stepping Up Santa Cruz will consider qualified applicants with a criminal history pursuant to the California Fair Chance Act. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if Stepping Up Santa Cruz is concerned about a conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.