Pacific Health Group

Administrative Assistant

• Manage, optimize, and protect the CEO’s calendar, scheduling, and daily priorities
• Anticipate scheduling conflicts and proactively resolve them
• Prepare daily and weekly agendas aligned with executive priorities
• Act as a gatekeeper to minimize distractions and interruptions
• Track action items, deadlines, and follow-ups across all meetings and commitments
• Handle bank deposits for Pacific Health Group and affiliated entities
• Reconcile paperwork, receipts, and basic financial documentation
• Track expenses and assist with administrative financial organization
• Manage filing, documentation, and record retention (digital and physical)
• Prepare documents for executive review, approval, and signature
• Oversee and manage administrative workflows for all businesses and ventures under the Pacific Health Group umbrella
• Coordinate administrative needs between leadership and on-site teams
• Monitor, triage, and manage executive email inbox
• Flag priority communications and draft responses when appropriate
• Manage phone calls, voicemails, and inbound requests
• Ensure timely follow-up on correspondence and commitments
• Maintain strict confidentiality and discretion at all times
• Coordinate all executive travel arrangements, itineraries, and accommodations
• Travel frequently across San Diego County to support operational needs
• Make regular in-person visits to Pacific Health Group locations and subsidiary entities
• Support logistics for meetings, site visits, offsites, and executive engagements
• Run executive and company-related errands as required
• Deliver and retrieve documents, deposits, supplies, or materials
• Serve as an operational extension of the CEO for time-sensitive tasks
• Ensure tasks are completed accurately and on schedule
• Create, maintain, and improve administrative systems and workflows
• Identify inefficiencies and recommend improvements proactively
• Ensure no tasks, deadlines, or commitments fall through the cracks
• Maintain structured systems for reminders, task tracking, and documentation

Digital Marketing

• Develop and manage multi-channel marketing campaigns (social, search, email, display) to increase brand awareness and engagement.
• Create campaign calendars aligned with organizational priorities, health awareness months, and program launches.
• Collaborate with internal teams to ensure digital campaigns reflect current initiatives and service offerings
• Plan and execute offline marketing campaigns including print advertisements, radio spots, direct mailers, and community bulletin placements.
• Develop brochures, posters, banners, and other physical materials to support outreach teams and event promotion.
• Coordinate with local newspapers, magazines, and broadcast media for ad placements and feature stories.
• Manage vendor relationships for printing, signage, and promotional merchandise.
• Ensure all offline marketing efforts align with brand standards, messaging consistency, and cultural sensitivity for the communities we serve.
• Track the reach, response rates, and overall ROI of traditional campaigns, using insights to guide future strategies.
• Partner with the Publicist and Graphic Designer to integrate traditional media campaigns with digital efforts for maximum visibility and impact.
• Write, edit, and publish content across social platforms, email newsletters, and website pages.
• Partner with the Publicist and Graphic Designer to produce engaging visuals, videos, and stories for campaigns.
• Maintain a consistent brand voice and style across all digital channels.
• Oversee daily posting, engagement, and monitoring on platforms including Facebook, Instagram, LinkedIn, and emerging channels.
• Develop strategies to increase followers, shares, and positive engagement.
• Respond to comments, messages, and inquiries in a timely, professional manner.
• Track and report on key performance indicators (KPIs) for all campaigns.
• Analyze campaign data to make informed recommendations for improving reach, conversions, and ROI.
• Conduct A/B testing to refine ad creative, messaging, and targeting.
• Optimize web pages and blog posts for search engine visibility.
• Collaborate with web developers to ensure the site is user-friendly, accessible, and aligned with marketing goals.
• Update landing pages and service information as needed.

Digital Marketer

Auditor

• Reconcile every submitted claim against EOBs, 835 remittance advices, and payment records to verify we received full and accurate reimbursement.
• Audit PEPM payments against enrollment rosters, service logs, and LOA rate schedules across all MCP contracts.
• Identify underpayments, denials, zero-pays, and systematic payment discrepancies—then drive resolution.
• Prepare and file appeals for denied or underpaid claims with complete supporting documentation.
• Cross-reference clinical documentation, care plans, and EHR records against claims to find unbilled and under-billed services.
• Verify correct coding across HCPCS, CPT, and ICD-10—including CalAIM-specific ECM codes (G9007, G9008, G9012), CS codes and BH/SMHS codes.
• Build and maintain audit dashboards tracking denial rates, days in A/R, collection rates, and payer-level variances.
• Produce monthly revenue reconciliation reports for leadership with actionable findings.
• Recommend and implement process improvements that prevent revenue leakage at the source.

Billing Auditor

Recruitment

• ✓ Lead end-to-end recruiting for clinical, operational, and administrative positions across multiple counties, with Lead Care Manager hiring as a top organizational priority.
• ✓ Build candidate pipelines for hard-to-fill roles—especially Lead Care Managers, LCSWs, LMFTs, CHWs, and Care Managers—through creative sourcing and community partnerships.
• ✓ Develop targeted Lead Care Manager recruitment strategies, including outreach to care management professional networks, graduate programs, and managed care organizations.
• ✓ Design interview frameworks rooted in values alignment and trauma-informed hiring practices.
• ✓ Own recruitment metrics and use data to drive continuous improvement.
• ✓ Champion PHG’s employer brand across job boards, social media, career fairs, and professional networks.
• ✓ Collaborate with HR and department leads on onboarding, credentialing, and retention strategy.

Recruiting and Talent Manager

QA Engineer

• Ensure quality, compliance, workflow accuracy, and performance excellence across Enhanced Care Management (ECM), Community Supports (CS), Behavioral Health (BH), and Community Health Worker (CHW) operations
• Audit member records, assessments, and documentation to ensure compliance with ECM, CS, BH, CHW, CalAIM, and Medi-Cal standards
• Monitor outreach, referral, and disenrollment workflows to ensure adherence to required timelines and regulatory guidelines
• Evaluate ECM, CS, BH, and CHW workflows for accuracy, efficiency, and risk exposure
• Develop corrective action plans and process improvements to enhance operational performance
• Track QA metrics across documentation accuracy, outreach compliance, and verification standards
• Collaborate with leadership to ensure ECM, CS, BH, and CHW QA metric thresholds are consistently achieved
• Conduct community-based outreach across multiple counties through in-person engagement and digital channels

Quality Assurance Specialist

Manager

• At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities.
• Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual’s needs.
• As a Lead Case Manager, you won’t just create care plans—you’ll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way.
• Respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members’ needs are addressed comprehensively.
• Form strong, personal connections through frequent in-person visits, becoming a pivotal support system—someone members can rely on for comfort, guidance, and advocacy.
• Arrange all necessary services—from setting up medical appointments and coordinating transportation to securing safe housing and financial support.
• Remain in close contact to monitor progress, celebrate milestones, and swiftly address any new barriers.
• Identify, coordinate, and optimize local resources—such as housing assistance, job training programs, or childcare services—to ensure members’ overall wellbeing.
• Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress.
• Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage.
• Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate.
• Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards.
• Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention.
• Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes.

Lead Care Manager, Enhanced Care Management

• Conduct comprehensive evaluations of members’ needs, preferences, and eligibility through detailed conversations and data review.
• Develop tailored care plans based on individual health and social circumstances.
• Arrange all aspects of member care, including scheduling appointments, organizing follow-up services, and linking members to community resources.
• Ensure members receive consistent, end-to-end support for long-term stability and health improvement.
• Perform empathetic assessments that capture members’ lived experiences and goals, not just medical data.
• Maintain close communication with members via phone, video, or in-person visits to monitor progress and address emerging challenges.
• Serve as a bridge between members and available community resources, such as housing programs, workforce training, childcare, and food assistance.
• Advocate for timely treatments, fair insurance authorizations, and equitable access to care.
• Act as the central communication hub among members, their families, healthcare providers, and community partners.
• Maintain accurate, up-to-date documentation of assessments, care plans, progress notes, and outcomes.
• Ensure all records comply with legal, ethical, and organizational standards for quality and accountability.
• Collect and analyze feedback to identify gaps in care coordination and advocate for new resources or partnerships.
• Remain current on Medi-Cal, CalAIM, and community support policies to ensure all activities meet compliance and quality-of-care standards.
• Participate in workshops, training, and certifications on cultural competence, trauma-informed care, and motivational interviewing.
• Encourage peer learning and continuous growth within the care team.
• Provide mentorship, guidance, and day-to-day support to other Care Managers within the Community Supports Program.
• Assist in onboarding new team members and promoting a collaborative, compassionate care environment.
• Support program initiatives and special projects as assigned.
• Demonstrate flexibility and teamwork to ensure departmental success.

Community Supports Lead Care Manager

• You won’t just coordinate clinical visits. You’ll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members’ needs are addressed comprehensively.
• By forming strong, personal connections through frequent in-person visits, you’ll become a pivotal support system—someone members can rely on for comfort, guidance, and advocacy.
• Arrange all necessary services—from setting up medical appointments and coordinating transportation to securing safe housing and financial support.
• Remain a consistent presence in members’ lives, making sure no detail goes overlooked and no obstacle remains unaddressed.
• Conduct multiple on-site visits each month in members’ homes, shelters, or community centers.
• Use these visits to establish trust, gather first-hand insights, and address concerns right away.
• Schedule doctor’s appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support.
• Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers.
• Identify, coordinate, and optimize local resources—such as housing assistance, job training programs, or childcare services—to ensure members’ overall wellbeing.
• Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress.
• Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage.

Director

• Provide executive oversight of all Behavioral Health programs.
• Integrate Behavioral Health services with ECM, Community Supports, Street Medicine, and care coordination programs.
• Develop and execute strategic growth initiatives aligned with managed care partnerships.
• Oversee clinical quality metrics, performance indicators, and continuous improvement efforts.
• Direct staffing models, productivity benchmarks, and financial performance.
• Ensure compliance with federal, state, and managed care regulations.
• Recruit, mentor, and retain high-performing clinical and administrative leaders.

Director of Behavioral Health Programs

Therapist

• Join Pacific Health Division as a Clinical Supervisor & Licensed Therapist, where you will deliver expert, trauma-informed care through a dual focus on direct clinical practice and professional mentorship.
• This role is responsible for providing BBS-compliant supervision to associate clinicians while maintaining a personal caseload of clients.
• Conduct comprehensive clinical interviews and intake assessments to obtain family, psychosocial, medical, and mental health histories.
• Develop and monitor recovery plans for patients and families, addressing complex mental, emotional, and family disorders.
• Provide immediate psychiatric emergency intervention, case management, and referrals to ensure patient safety and continuity of care.
• Deliver high-quality clinical treatment across individual, family, and couples modalities, including services provided via telehealth.
• Provide 6–8 hours of weekly direct supervision, guiding associate therapists in professional growth and clinical identity.
• Perform weekly chart reviews to ensure clinical documentation meets ethical, legal, and quality standards.
• Apply deep understanding of California laws, patient rights, and BBS regulations to protect both the client and the organization.
• Maintain strict HIPAA confidentiality and stay current with health regulation agencies and mandated reporter protocols.

Administrative Assistant

Digital Marketer

Billing Auditor

Recruiting and Talent Manager

Quality Assurance Specialist

Lead Care Manager, Enhanced Care Management

Community Supports Lead Care Manager

Lead Care Manager, Enhanced Care Management

Community Supports Lead Care Manager

Director of Behavioral Health Programs

Clinical Supervisor – Therapist