Case Manager - Care Coordinator

“Every person deserves compassion, dignity, and the safety of a place to call home.”

Homelessness is the largest social and public health crisis in California. Illumination Health + Home is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care centers, emergency shelters, housing services and children's and family programs. IF currently has 13+ facilities with 22+ micro-communities scattered across Orange County, Los Angeles County and the Inland Empire.

Job Description

The ECM (Enhanced Care Management) Case Manager - Care Coordinator is responsible for providing comprehensive support services to families experiencing homelessness. This role involves conducting assessments, developing individualized service plans, coordinating care, and connecting clients with resources such as housing, employment, healthcare, and education. The ECM Case Manager works collaboratively with Emergency Shelters clients to promote stability, self-sufficiency, and long-term housing solutions, while ensuring all services are delivered in a trauma-informed, culturally competent, and client-centered manner.

The pay range for this position is $24.00 - $27.00 per hour
The schedule for this position is Monday - Friday, 10:00am to 6:30pm

Responsibilities

Administrative/Record Keeping 

• Collect and verify vital household documentation during intake; identify and initiate requests for any missing or necessary records.
• Conduct comprehensive household assessments to evaluate client needs and develop individualized service and care plans with clearly defined short-term goals.
• Perform initial and ongoing evaluations to reassess needs and modify care plans as necessary for optimal support.
• Facilitate referrals and connect eligible clients to Enhanced Care Management (ECM) services.
• Collaborate closely with Housing Navigators and internal departments at Illumination Foundation to support clients in achieving stable, permanent housing; assist with coordination and logistics of housing move-ins.
• Maintain organized, confidential case files and generate accurate statistical reports for program performance monitoring and evaluation.
• Ensure timely and accurate documentation of case notes, service records, and updates in AICA, HMIS, and CalOptima Connect systems.
• Develop and maintain a network of partnerships with community service providers to expand available resources and strengthen referral pathways.
• Engage in scheduled team meetings and interdisciplinary case conferences to discuss client progress and align care strategies.
• Participate in audits, team meetings, and quality assurance reviews to ensure program compliance and continuous improvement.
• Participate in regular supervision meetings to review client progress, refine care strategies, and enhance service delivery in alignment with organizational goals.

​​​​​​​Direct Services

• Collaborate with Care Team members—including Care Coordinators, primary care physicians, and other healthcare providers—to ensure integrated, client-centered care.​​​​​​​
• Connect ECM members to essential social services and supports, such as transportation, food assistance, and behavioral health resources.
• Coordinate discharge planning by working closely with hospital staff to ensure smooth transitions of care and continuity of support post-discharges. 
• Conduct regular follow-up meetings with clients to reassess household needs, update service goals, and ensure progress is being made.
• Provide targeted referrals to appropriate community resources and services, and follow up to confirm successful linkage and engagement.
• Observe for indicators of emotional, physical, or sexual abuse and report concerns to Child Protective Services (CPS) in accordance with mandated reporting laws.
• Advocate on behalf of clients in areas such as housing, healthcare access, education, and overall social and emotional wellbeing.
• Assist clients with accessing transportation resources to support attendance at appointments, services, or essential activities.
• Encourage and facilitate client participation in Illumination Home + Health programs, workshops, and community activities to promote engagement and empowerment. 
• Collaborate with parents and work closely with CFPNs (Child and Family Program Navigators) to address concerns related to parenting, child development, school attendance, and family dynamics.
• Provide referrals and resources for children based on assessed needs to support healthy development and academic success.

Expectations

• We uphold the values of Community, Action, Respect, and Empowerment in all aspects of our work.
  • Community
  • We lead with the vision of a strengthened and compassionate community for all. By  embodying collective care, we serve as an example of what is possible when we come together.
  • Action
  • Our “whatever it takes” mindset drives us forward. We take initiative, step in where others have stepped out, and create solutions when none exist.
  • Respect
  • We deeply value the dignity and uniqueness of every individual we serve. We honor their stories, their journeys, and their right to be seen and heard.
  • Empowerment
  • We heal—always. Our work enables clients to grow stronger in health, confidence, and belief in their potential as they move forward on their life journey.

 

• Must demonstrate the ability to inspire, support, and motivate staff while adapting to change and promoting a culture of respect and collaboration.
• Maintain professional boundaries with clients at all times to support healthy and ethical working relationships. 
• Respond to phone calls and emails in a courteous, professional, and timely manner.
• Comply with the Illumination Foundation dress code and present a professional appearance consistent with organizational standards.
• Exercise sound judgment and apply best practices when providing services to clients.
• Uphold ethical behavior at all times, reflecting core values of integrity, transparency, accountability, respect, and responsibility.
• Model honesty, openness, and accountability in all interactions with clients, colleagues, volunteers, donors, and external partners.
• Maintain strict confidentiality of all work-related information and client data, following HIPAA regulations and organizational policies.
• Take personal responsibility and ownership for the quality and effectiveness of work performed.
• Demonstrate a deep understanding of the needs and challenges facing low-income and homeless populations.
• Communicate effectively and diplomatically using strong interpersonal skills, even in high-pressure or emotionally sensitive situations.
• Collaborate effectively with multidisciplinary team members, clients, and community stakeholders.
• Work independently with minimal supervision while managing time efficiently and prioritizing tasks appropriately. 
• Ensure the protection of all confidential information in compliance with HIPAA and organizational standards.

Preferred Experience/Minimum Qualifications

Required:

• Bachelor’s degree in Social Services, Human Services, or a related field; or an equivalent combination of education, training, and relevant experience.
• Demonstrated experience in case management or a related role within nonprofit settings, homeless services, mental health, or supportive housing programs.
• Basic computer proficiency, including familiarity with Microsoft Office applications (Word, Excel, Outlook) and database systems such as HMIS. 
• Valid California driver’s license and a clean driving record.
• Reliable personal vehicle with current proof of auto insurance.
• Strong written and verbal communication skills, with the ability to effectively interact with diverse populations, interdisciplinary teams, and community partners.​​​​​​​

Preferred:

• Experience working with individuals experiencing homelessness, as well as those living with mental health conditions or physical/behavioral disabilities.
• Familiarity with Permanent Supportive Housing (PSH) models and housing-first approaches to care.
• Bilingual proficiency in Spanish and English is highly desirable and strongly preferred.

Benefits

• Medical Insurance funded by Illumination Health + Home (Kaiser and Blue Shield), depending on the plan
• Dental and Vision Insurance
• Life, AD&D and LTD Insurance funded 100% by Health + Home
• Employee Assistance Program
• Professional Development Reimbursement
• 401K with Company Matching
• 10 days vacation PTO/year
• 6 days sick PTO/year
• 10 days holiday PTO/year
• Potential eligibility for the Public Service Loan Forgiveness Program (PSFL) for federally qualified loans