Pacific Health Group

Lead Care Manager, Enhanced Care Management

Pacific Health Group

full-time

Posted on:

Location Type: Hybrid

Location: Santa Cruz • California • 🇺🇸 United States

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Salary

💰 $27 - $30 per hour

Job Level

Senior

About the role

  • Regular Face-to-Face Assessments: Conduct multiple on-site visits each month in members’ homes, shelters, or community centers.
  • Personal Connection: Use these visits to establish trust, gather first-hand insights, and address concerns right away.
  • 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.
  • Empathetic Assessments: Look beyond forms and checkboxes to truly understand members’ backgrounds, personal challenges, and aspirations.
  • Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers.
  • Bridge to Community Services: 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.
  • Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through.
  • Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage.
  • Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate.
  • Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards.
  • Ongoing Learning: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention.
  • Collaborative Mindset: 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 Santa Cruz 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 managementcultural competencemotivational interviewingcrisis intervention
Soft skills
communicationempathyorganizational abilityinterpersonal skillsflexibilitytrust-buildingproblem-solvingadaptabilitycollaborationattention to detail
Certifications
California Driver’s Licensecurrent liability insurance