Lead Care Manager, ECM

Pacific Health Group

Lead Case Manager in Enhanced Care Management addressing members' needs in Santa Clara County. Guide members through healthcare services, advocating for their well-being.

Posted 4/17/2026full-timeSanta Clara • California • 🇺🇸 United StatesSenior💰 $29 - $32 per hourWebsite

About the role

Key responsibilities & impact

Manage a caseload of approximately 60–70 members
Conduct 3–5 in-person visits per day (homes, shelters, community settings)
Spend 60–70% of your time in the field
Travel locally within Santa Clara County (mileage reimbursed)
Coordinate care across medical, behavioral health, and community services
Document in real-time or by end of day using internal systems
Develop and manage individualized care plans
Coordinate appointments, services, and follow-ups across providers
Support transitions of care (hospital discharge, referrals, etc.)
Build trust through consistent, in-person engagement
Advocate for timely access to care, services, and resources
Support members navigating housing, food access, transportation, and behavioral health needs
Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives
Build and maintain relationships with community-based organizations, shelters, and local resource partners
Connect members to local programs and services
Complete timely and accurate documentation
Maintain compliance with Medi-Cal, CalAIM, and ECM program requirements
Partner with internal teams, providers, and community stakeholders

Requirements

What you’ll need

Residency: Must reside in Santa Clara County
Experience: 3–5 years in case management, social services, or healthcare (preferred)
Experience with: Medi-Cal, CalAIM, or Enhanced Care Management (preferred)
Working experience of healthcare systems and community resources is a plus
Excellent communication, organization, and time management skills
Proficiency with documentation systems and technology
Ability to effectively communicate both written and verbally

Benefits

Comp & perks

$29.00 – $32.00/hour (based on experience)
Monthly stipend + mileage reimbursement
PTO + paid sick time
11 paid holidays (including birthday + floating holiday)
4 paid volunteer hours per month
90% employer-paid employee-only medical benefits
FSA
Short-term & long-term disability, AD&D
Employee Assistance Program (EAP)
401(k) with company match
Quarterly in-person team events

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

case managementindividualized care plansdocumentation systemshealthcare systemscommunity resourcesMedi-CalCalAIMEnhanced Care Management

Soft Skills

communicationorganizationtime managementrelationship buildingadvocacytrust building