1

Calaim Jobs in Riverside, CA (NOW HIRING)

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 ...

next page

Showing results 1-20

Calaim information

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 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 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 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 are popular job titles related to Calaim jobs in Riverside, CA? For Calaim jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Calaim jobs in Riverside, CA look for? The top searched job categories for Calaim jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Calaim jobs? Cities near Riverside, CA with the most Calaim job openings:
Infographic showing various Calaim job openings in Riverside, CA as of May 2026, with employment types broken down into 86% Full Time, and 14% Temporary. Highlights an 86% In-person, and 14% Remote job distribution.
CalAIM Case Manager

$24 - $27/hr

Other

Medical, Dental, Vision

Posted 11 days ago


Job description

Description

Job Title:    CalAIM Case Manager 

Salary:       $24-$27 per hour

Location:   Tustin, CA

Openings:  1


Position Purpose: The CalAIM Case Manager is responsible for outreaching and enrolling clients in Enhanced Care Management or Community Supports. They will work collaboratively with and as part of the CalAIM interdisciplinary team to provide high quality, effective case management to CalOptima members. Case management includes, but is not limited to, comprehensive assessment of needs, development of a care plan, provision of intensive case management services, use of therapeutic interventions to promote health behaviors, coordination of care, and resource linkages to medical, psychiatric, behavioral, educational, and other services as needed. The CalAIM Case Manager will be responsible for ensuring all documentation is completed within organizational standard of 72 hours.


FTOC's Expectations of all Employees

  • Adheres to all FTOC Policies and Procedures.
  • Providing the upmost customer service experience to all clients
  • Conducts self in a manner that always represents FTOC's core values.
  • Maintains a positive and respectful attitude with all work-related contacts.
  • Communicates regularly with immediate supervisor about Departmental and FTOC concerns.
  • Consistently reports to work as scheduled and in a timely manner prepared to perform the duties of the position.
  • Meets productivity standards and performs duties as workload necessitates.
  • Ability to train on all Learning Management Systems (LMS) by self-learning models from FTOC's EMR. 


Core Duties and responsibilities, include but are not limited to:

  1. Conduct outreach, enrollment, and case management to the selected population of focus determined by the assigned health plan and facility
  2. Develop an individualized comprehensive care plan integrating clinical and non-clinical needs to achieve health goals designed to improve health outcomes
  3. Manage and coordinate care for a defined caseload of members with complex needs
  4. Engage with members both in person in a field-based setting and on the phone in a manner that utilizes evidence-based approaches, such as motivational interviewing, that promotes collaboration between the case manager and the patient
  5. Assists with the coordination of medical and behavioral health services
  6. Attend health fairs, events, and other activities as assigned to promote CalAIM services
  7. Maintain documentation for each contact as instructed and within the program and organizational timelines
  8. Display knowledge of other services offered at Families Together, such as: Medical, Behavioral Health, Dental, Vision, and Wellness
  9. Understand the organizations chain of command and report all concerns and/or suggestions to the direct supervisor
  10. Help patients connect with transportation services and provide ongoing appointment reminders


*This job description in no way states or implies that these are the only duties to be performed by the employee. He or she will be required to follow any other instructions and to perform other duties, within scope, as assigned by his or her supervisor.


Teamwork and Interpersonal Skills:

  • Displays an awareness of others' needs and consistently acts in their best interests.
  • Exhibits courtesy, mutual respect, and compassion in all interactions with others.
  • Takes initiative to propose constructive solutions to challenges.
  • Recognizes and respects differences while actively seeking more effective communication approaches.
  • Demonstrates a positive and professional response to changes and challenges.
  • Nurtures positive working relationships and contributes to a collaborative work environment.
  • Exhibits effective teamwork, working cohesively to support the organization in achieving its goals and objectives.
  • Adapts smoothly to shifting workplace priorities.
  • Attends and actively participates in scheduled meetings, whether weekly, bi-weekly, or monthly.


Requirements

Education, Qualifications, and Experience:

  • Bachelor's degree in social work, psychology, counseling, sociology, or behavioral science
  • Bilingual English/Spanish required
  • Minimum 2 years working for a community based organization or community health center as a case manager
  • Skilled in evidenced based communication such as Motivational Interviewing or similar empathy-based communication strategies
  • Understanding and knowledge of mental health, substance use, and the unhoused population
  • Resourceful community liaison with experience navigating through complex health systems and community services
  • Strong assessment, interpersonal, and intervention skills
  • Strong writing and professional communication skills
  • Must excel in multitasking within a high-paced environment
  • Available to work weekends if needed


Work Schedule:

  • FTOC is an in-person organization first, and foremost. Employees are expected to be on-site for their scheduled shifts.
  • Hours of operation are Monday to Friday 8 a.m. to 8 p.m., however, employee schedules vary, depending on organizational, staffing, community, and patient needs. As such, FTOC may need to modify work schedules to meet such needs.
  • Holidays and weekends may be required depending on an employee's department due to organizational, staffing, community, and patient needs as FTOC continues to grow and expand work days and hours. 
  • Overtime may also occur due to organizational, staffing, community, and patient needs. 


Work Location:

  • While employees may be assigned a primary site (Tustin, Garden Grove, Fountain Valley, Wellness Center, Mobile Units, Treehaven, Magnolia, Telehealth, etc.), employees may be required to temporarily fill in at another site based on organizational, staffing, community, and patient needs.


Travel Requirements:

  • Occasional travel will be required. Employees must be able to travel to FTOC sites as needed, including with short notice.


Physical Demands and Working Conditions:

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 
  • While performing the duties of this job, the employee may be required to drive to FTOC facilities as needed. The ability to sit for extended periods of time, and the ability to occasionally lift and/or move up to 25 pounds.