Pacific Health Group

Lead Care Manager, Enhanced Care Management

Pacific Health Group

full-time

Posted on:

Location Type: Hybrid

Location: San Diego • California • 🇺🇸 United States

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Salary

💰 $25 - $29 per hour

Job Level

Senior

About the role

  • 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.
  • Beyond paperwork and phone calls, you’ll arrange all necessary services—from setting up medical appointments and coordinating transportation to securing safe housing and financial support.
  • You’ll be a consistent presence in members’ lives, making sure no detail goes overlooked and no obstacle remains unaddressed.
  • Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs.
  • 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.
  • Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through.
  • 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.
  • Stay 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.

Requirements

  • Residency: Must reside in San Diego County
  • Experience: 3-5 years in case management, social services, or healthcare
  • Expertise: Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management
  • Healthcare Insight: Understanding of healthcare systems and local community resources
  • Interpersonal Skills: Strong communication, empathy, and cultural competence
  • Organizational Ability: Proven time management skills and attention to detail
  • Technical Proficiency: Competence using case management software and related tools
  • Successful completion of a pre-screen assessment required
  • Possess a valid **California Driver’s License** (Class C minimum), maintain a personal, **operable vehicle** for daily business use, and carry **current liability insurance** that meets California's minimum legal requirements. All selected candidates will be required to pass a **Motor Vehicle Report (MVR)** background check prior to employment.
Benefits
  • Competitive salary and benefits package
  • 401(k), dental, vision, health, and life insurance
  • Flexible schedule, paid time off, and employee assistance program
  • Professional development opportunities
  • Meaningful work impacting vulnerable community members
  • Supportive team environment

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
case managementsocial serviceshealthcare systemscultural competencemotivational interviewingcrisis interventiontime managementattention to detailMedi-CalCalAIM
Soft skills
communicationempathyorganizational abilityinterpersonal skills
Certifications
California Driver’s Licensecurrent liability insurance