Case Manager- Bilingual at Sonoma Community Action Network – Santa Rosa, California

EXEMPT: No

SALARY LEVEL: $22-26 per hour

DEPARTMENT:Thriving Families

LOCATION: Santa Rosa- various service sites

REPORTS TO: Navigator Supervisor

HOURS: FT, 40 hours a week, may inc. weekends/eves

DATE: 03/2026 APPROVED BY: Senior Director of Human Resources

Our Mission: Sonoma CAN is a catalyst for equitable transformation, aligning partners and resources to implement values-based, data-driven, community-led solutions that help families reach their full potential.

Our Vision: We see our Sonoma County transformed into an empowered community of thriving families where every child is raised with joy, justice, and connection.

Our Promise: Sonoma CAN changes people’s lives, embodies the spirit of hope, improves communities, and makes America a better place to live. We care about the entire community, and we are dedicated to helping people help themselves and each other.

At Sonoma Community Action Network (SonomaCAN), we believe that a variety of backgrounds, experiences, and perspectives strengthen our team and help us better serve our community. We are committed to fair hiring practices and a workplace where employees are treated with respect and have the opportunity to grow professionally.

We make employment decisions based on qualifications, merit, and organizational needs. Our hiring process complies with all federal, state, and local laws related to equal employment opportunity and nondiscrimination. We welcome applicants from all backgrounds and encourage individuals who meet the qualifications to apply.

TOTAL COMPENSATION PACKAGE: The salary for this position is $22.00-$26.00 per hour, depending on experience. CAN offers a generous benefits package available on the first day of the month after your date of hire that includes:

• Medical insurance through Kaiser or Sutter is 80-95% paid by the employer for employee premiums, plus 50% paid by the employer for dependent coverage
• Elective dental, vision insurance, FSA, and Accident insurance.
• Employer-paid $10k of life insurance with expandable options
• Employer-paid Long-term Disability Insurance
• 401(K) plan with a 2% contribution and an additional 1% matched contribution after one year of service
• Employee assistance program, CalPerks
• 3 weeks vacation (4 hours accrued per pay period) based on full-time work increases at 5 years of service
• 96 hours of sick time per year (4 hours accrued per pay period) based on full-time work
• 1 floating personal day
• 16 paid holidays

SUMMARY OF THE POSITION:

The Community Health Worker/Case Manager is a frontline, client-facing role within Sonoma CAN’s Thriving Families Department, with a strong emphasis on CalAIM Enhanced Care Management (ECM) principles, such as a person-centered, high-touch approach to address social drivers of health. This position serves as the first point of contact for individuals and families seeking services at Sonoma CAN and is responsible for intakes, assessments, triage, and ongoing case management. The CHW/Case Manager works closely with families to identify strengths, assess needs, reduce barriers to care, and support progress toward stability using trauma-informed, culturally responsive, and motivational interviewing approaches. This role requires strong documentation skills, including the ability to complete timely, accurate case notes, and collaboration across internal programs and external community partners.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Serve as the primary intake and screening point for individuals and families seeking services at Sonoma CAN.
• Conduct initial and ongoing strengths-based, trauma-informed assessments via phone, in person, or virtual platforms.
• Utilize motivational interviewing techniques to engage clients, support goal-setting, and encourage self-efficacy.
• Partner with individuals and families to explore needs, strengths, and goals, and connect them to Sonoma CAN programs, CalAIM-related supports, and appropriate community resources.

• Provide short- and medium-term case management services to individuals and families with complex needs.
• Develop individualized service plans in partnership with clients, aligned with CalAIM and whole-family principles designed to meet the needs of children and their caregivers.
• Coordinate referrals and warm handoffs to internal programs and external service providers, including; healthcare, behavioral health, workforce, and family supports.
• Provide follow-up, advocacy, and problem-solving support to reduce barriers to care.

• Complete accurate, timely documentation of all client interactions, including structured PIRP (Problem, Intervention, Response, Plan) progress notes and required assessment tools.
• Maintain up-to-date client records in agency databases (e.g., empowOR, ChildPlus) in compliance with program, funder, and CalAIM documentation standards.
• Collect and enter data to support billing, reporting, outcomes tracking, and continuous quality improvement.

• Participate in outreach activities, tabling events, and community presentations to connect families to services.
• Build and maintain collaborative relationships with community-based organizations, healthcare partners, and referral sources.
• Educate clients and community members about Sonoma CAN programs and available resources.

• Serve as a responder during community-wide emergencies or crises, providing intake, assessment, and resource navigation support as needed.
• Collaborate closely with supervisors, program coordinators, and interdisciplinary teams to ensure coordinated care.
• Participate in team meetings, trainings, and professional development opportunities, including CalAIM, trauma-informed care, and equity-focused practices.

REQUIRED SKILLS/ABILITIES:

• Excellent bilingual language skills, in speaking, reading, and writing (English/Spanish)
• Excellent interpersonal communication skills and the ability to build strong relationships.
• Develops and maintains a positive team working environment with staff.
• Detailed oriented with strong organization and time management skills.
• Ability to to express and implement basic problem solving techniques.
• Cultural humility - ability to interact productively with persons of all economic, ethnic, linguistic and cultural backgrounds
• Intermediate proficiency with Word processing and Google Docs.
• Intermediate proficiency with spreadsheets, preferably Google Sheets.
• Ability to work in a fast paced, dynamic environment with minimal supervision and multiple deadlines.
• Uphold and act in alignment with the Mission, Vision, and Values of the agency as stated above.

• Valid California Driver's License and a properly insured vehicle for use on the job
• Prior to beginning work, must be able to pass a criminal record background check

Required

• High School Diploma or equivalent
• Minimum of 2 years of experience in direct service work with individuals and/or families (e.g., community health, case management, social services, behavioral health, housing, or related fields)
• Experience working with low-income or marginalized communities

Preferred:

• AA degree or higher in social services, human services, psychology, public health, or related field
• Experience working within CalAIM, ECM, or Medi-Cal–adjacent systems
• Prior experience conducting intakes, assessments, and ongoing case management
• 3+ years’ experience in the nonprofit sector.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. This job operates in a professional office environment. The noise level in the work environment is usually moderate.

While performing the duties of this job, the employee is frequently required to sit; use the computer keyboard and mouse, use hands to finger, handle or feel; reach with hands and arms; and talk or hear. The employee may occasionally be required to stand, walk, stoop, crouch, and lift/move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Please note this job description is not designed to cover or contain a comprehensive listing of

activities, duties or responsibilities that are required of the employee for this job. Duties,

responsibilities and activities may change at any time with or without notice.