Lead Care Coordinator, Enhanced Care Management

Pacific Health Group

Lead Care Coordinator in Pacific Health Group’s Enhanced Care Management team. Managing caseload, advocating for members, and coordinating care services in hybrid model.

Posted 6/25/2026full-timeNorthern • California • 🇺🇸 United StatesSenior💰 $29 - $32 per hourWebsite

About the role

Key responsibilities & impact

Manage a caseload of approximately 60–70 members
Spend 30–50% of your time in the field doing street outreach (Events, shelters, food banks, community settings)
Travel locally within hiring 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
Identify opportunities to expand community presence and improve member access to services
Connect members to local programs and services
Build relationships with community-based organizations
Identify gaps in resources and escalate when needed
Complete timely and accurate documentation
Maintain compliance with Medi-Cal, CalAIM, and ECM program requirements
Provide administrative support across Pacific Health Group
Support coordination between departments and business units; assist department managers with ongoing tasks and cross-functional priorities as directed.
Serve as a professional representative of PHG and its affiliates in all interactions with staff, visitors, vendors, partners, and community stakeholders.
Perform accurate data entry; maintain and update company databases, tracking systems, and internal platforms across business units.
Organize and manage electronic files in compliance with company standards, ensuring secure storage and easy retrieval.
Prepare reports, spreadsheets, and presentations
Partner with internal teams, providers, and community stakeholders
Participate in case conferences and care coordination meetings

Requirements

What you’ll need

Residency: Must reside within a county where PHG currently maintains a contract or within a neighboring/surrounding county that allows for regular travel and service coverage within PHG's service areas.
Flexible Coverage Support: Must be willing and able to provide coverage across multiple counties and service areas as needed. This role may serve in a floating capacity to support member engagement, assessments, care coordination, caseload coverage, onboarding support, or operational needs in areas experiencing staffing shortages, increased demand, or temporary coverage gaps.
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
Valid California Driver’s License and active auto insurance meeting CA requirements
Reliable personal vehicle for daily work use
Successful completion of background check (including MVR)
Must be able to travel up to 30-50% within the county to conduct in person visits
Must successfully complete a Testlify skills assessment
Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issues laptop is received
Must have effective Time Management skills
Must have internet speed of - 300+ mbps download and 25+mbps upload
Must be proficient in technology, including documentation systems, case management platforms, and communication tools

Benefits

Comp & perks

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 managementcare coordinationdocumentation systemsdata entryreport preparationspreadsheetspresentationsindividualized care planscommunity resource navigationMedi-Cal

Soft Skills

communicationorganizationtime managementrelationship buildingadvocacytrust buildingflexibilityproblem solvingengagementcollaboration

Certifications

California Driver’s Licenseactive auto insurance