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

  • 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.

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.
  • Spanish speaking preferred
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 & Tools
case managementsocial serviceshealthcarecultural competencemotivational interviewingcrisis interventiontime managementattention to detailMedi-CalCalAIM
Soft Skills
communicationempathyorganizational abilityflexibilityrelationship buildingadvocacymonitoring progressproblem-solvingtrust buildingsupporting team
Certifications
California Driver’s License (Class C)liability insurance