Enhanced Care Management (ECM) Case Manager - RN

Enhanced Care Management (ECM) Case Manager (RN) Program Type: Enhanced Care Management (ECM) - Care Coordination Services Schedule: Monday - Friday | Full-Time (40 hours/week) POSITION OVERVIEW We are seeking a dedicated and compassionate Enhanced Care Management (ECM) Case Manager (RN) to join The Good Seed team in Leimert Park, CA. This position supports the ECM program by engaging members, facilitating enrollment, and ensuring continuity of care through coordinated clinical and social service interventions. The ECM Case Manager is responsible for developing and implementing comprehensive, patient-centered care plans that address both medical and psychosocial needs. This role focuses on improving health outcomes by supporting individuals with complex needs through consistent outreach, care coordination, and multidisciplinary collaboration. KEY RESPONSIBILITIES Engage members in their living environments or preferred care locations Conduct comprehensive risk assessments and develop individualized, patient-centered care plans Implement and update care plans at least quarterly or as needed Support health behavior change using motivational interviewing and trauma-informed care practices Educate members on self-management skills and involve caregivers when appropriate Monitor treatment adherence and care plan progress Coordinate with hospitals and providers on discharge planning and transitions of care Connect members to housing, transportation, and other social services Participate in or initiate case conferences with interdisciplinary care teams Maintain at least one in-person member contact per month Document all care management activities in the EHR with appropriate coding and tracking Accompany members to appointments as needed Maintain regular communication with a