Pacific Health Group

Lead Care Manager, Enhanced Care Management

Pacific Health Group

full-time

Posted on:

Location Type: Hybrid

Location: Orland • California • 🇺🇸 United States

Visit company website
✨ AI Apply
Apply

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.
  • Your Responsibilities
  • Regular Face-to-Face Assessments: 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.
  • Example: While visiting a member recovering at home, you might discover that they lack mobility aids—prompting you to arrange for durable medical equipment and coordinate in-home physical therapy.
  • End-to-End Service Arrangement: 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.
  • If a member is discharged from the hospital, you’ll set up home health visits, fill prescriptions, secure rides for follow-up appointments, and even arrange meal delivery if needed.
  • Empathetic Assessments: Look beyond forms and checkboxes to truly understand members’ backgrounds, personal challenges, and aspirations.
  • 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.
  • Champion for Members’ Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress.
  • After each home visit, document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers.
  • Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate.
  • Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow.
  • Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes.

Requirements

  • Must be willing to travel to Glenn 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
  • 160 Hours of Paid Time Off (PTO)
  • 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment
  • 4 Paid Volunteer Hours per Month to support causes you care about
  • Bereavement Leave, including Fur Baby Bereavement
  • 90% Employer-paid Employee-Only Medical Benefits
  • Flexible Spending Account (FSA)
  • Short-Term & Long-Term Disability | AD&D
  • Employee Assistance Program (EAP)
  • 401(k) with Company Match
  • Monthly Stipend
  • Opportunities for professional development and internal growth
  • Employee Discounts via Great Work Perks and Perks at Work
  • Quarterly In-Person Events

Applicant Tracking System Keywords

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

Hard skills
case managementsocial serviceshealthcareMedi-CalCalAIMEnhanced Care Managementtime managementattention to detaildata analysishealthcare systems
Soft skills
communicationempathycultural competenceorganizational abilityflexibilityadvocacyrelationship buildingproblem-solvingtrust establishmentinsight generation
Certifications
California Driver’s License (Class C)liability insurance compliance