Pay range: $21.51 - $29.58 DOEEducation Pay: $1.00 - $3.00/hrBilingual Pay: $1.92/hr (REQUIRED)Service Area(s): Sonoma/Napa CountiesWhy Victor?Learning Organization: Victor provides the best training for new grads and clinicians looking to begin their career!Leadership Development: Victor provides employees leadership training and promotes within! Many of our executive leadership team have been promoted from entry-level positions!Reimbursements: Victor provides reimbursements for license registration fees, CEUs, travel, internet/cell phone usage and more!Loan Forgiveness: Victor employees can apply for Public Service Loan Forgiveness!Benefits:Low cost Medical, Dental and VisionLife Insurance plan for employee and family8 Paid Holidays, PTO and Sick payRetirement Savings Plan (403B)100% Employer Funded Retirement PlanEmployee Assistance ProgramMileage ReimbursementVerizon Wireless DiscountEmployee Referral Bonus ProgramFlexible Community-Based SchedulesJob Summary:Under the direction of the Director of Innovation, the Lead Care Coordinator (LCC) provides direct service, as well as coordinates care management and functions as a part of a "Care Team" for the Enhanced Care Management (ECM) Program. The LCC oversees specific cases, coordinates health care benefits, provides education and facilitates client access to care in a timely and cost-effective manner. The LCC collaborates and communicates with clients, caregivers/family support persons, and other providers to promote wellness, recovery, independence, resilience, and empowerment, while ensuring access to appropriate services and maximizing client benefit. The LCC also serves as an advocate for clients, an active client of the interdisciplinary team, a liaison with other programs and external health and social service providers in the community.Essential Functions:Assesses client needs in the areas of physical health; mental health; SUD; oral health; trauma-informed care; social supports; housing; vocational/employment; wellness; and referral and linkage to community-based services and supports.Oversees the development and implementation of the Individual Care Plan/Health Action Plan.Provides services where the client lives, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services.Connects clients to other social services and supports that are needed (e.g., community support group).Coordinates and advocates on behalf of the client with health care professionals with consent and authorization (e.g., PCP).Works collaboratively with hospital staff regarding Transitional Care Planning.Conducts outreach and engagement activities to facilitate linkage to the ECM program. Outreach and Engagement consists of phone calls, mailed information, and field visits.Coordinates transportation for clients and accompanies them to office visits, as needed and appropriate.Evaluates progress and updates goals.Completes all required documentation within the timeframes established by the individual action plans.Attends weekly staff/team meetings and supervision.Attends training as assigned (e.g., ACEs Certification).Completes other duties as assigned.Minimum Required Education and Experience:Must possess three years' working experience in Health, Education, Social Services, or related field; or a combination of at least one year of work experience and an AA degree or higher level, or one year of work experience and two years of lived experience and/or community engagement.High School Diploma or equivalent required.Must be bilingual in English/SpanishMust have demonstrated excellent customer/employee relations skills.Must have superior communication skills including writing (including editing), vocabulary, grammar, spelling and punctuation.Must have proficiency and knowledge of PC hardware/software operations and applications including Microsoft Word and Excel.Ability to complete the training program and ongoing educational requirements as assigned.Position/Program Requirements:Must possess a valid California driver's license, personal automobile insurance and driving record that meets the standards outlined in the Agency's Policy: Motor Vehicle Operating Standards.Must be physically and mentally fit in accordance with the Agency's Policy: Physical Fitness Standards and Examinations. Must be willing to complete a Tuberculosis (TB) test and drug screening test.Must be willing to complete a personal background investigation conducted by the State of California.Must be willing to work within a culturally integrated workplace and be willing to respect human differences based upon protected classes as defined by state, federal and local laws, or any other condition that distinguishes people from one another.Physical Requirements:Have an adequate range of body motion and mobility to work in an office or outdoor environment including standing and walking (even and uneven surfaces), alternating between standing and sitting for extended periods of time, bending, kneeling, twisting, reaching balancing and occasional carrying and lifting up to 25 pounds occasionally, and up to 10 pounds frequently.Physically able to walk up and down stairs routinely.Must be able to sit for prolonged periods of time in a vehicle (may be up to 100 miles driving distance).Requires the ability to utilize computer and telephone systems, which includes the coordination of eye and hand and fine manipulation by the hands and fingers for typing, writing and working with files.Desired Qualifications:Prior experience as a Community Health Worker, Peer Support Specialist or Medical Assistant or similar role.Prior experience utilizing evidence-based practices such as Motivational Interviewing, Harm Reduction Techniques and Trauma-Informed Care principles.Multilingual capabilities preferred, but not required.Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)