Pacific Health Group is a community-focused healthcare organization serving underserved populations through integrated medical, behavioral health, and social support programs. Its work includes enhanced care management for people with complex needs, behavioral health and substance-use treatment, community health worker outreach, street medicine for people experiencing homelessness, housing-related support, and non-ambulatory medical transportation. Working with health plans and community partners across multiple locations, the organization takes a whole-person approach to improving health, access, and equity.
Senior Enhanced Care Management Lead Care Coordinator - California Hybrid
Lead care coordination for California members enrolled in Enhanced Care Management. Connect medical, behavioral health, and social services while overseeing a caseload of approximately 60–70 members.
United States
California$60,320 – $66,560 / year
HybridFull-timeSeniorEnglish RequiredCare CoordinatorGeneralDescription
- Oversee a caseload of approximately 60–70 members
- Coordinate services across medical care, behavioral health, and community providers
- Record member activity in real time or by the end of each day in internal systems
- Create and oversee individualized care plans
- Arrange appointments, services, and provider follow-ups
- Help manage care transitions, including hospital discharges and referrals
- Build member trust through regular in-person engagement
- Advocate for prompt access to appropriate care, services, and resources
- Help members address housing, food, transportation, and behavioral health needs
- Represent Pacific Health Group at community events, through partnerships, and in local initiatives
- Develop and sustain relationships with community organizations, shelters, and local resource partners
- Find ways to strengthen community presence and improve member access to services
- Refer members to relevant local programs and services
- Recognize resource gaps and escalate issues when necessary
- Complete documentation accurately and on schedule
- Follow Medi-Cal, CalAIM, and Enhanced Care Management program requirements
- Provide administrative assistance across Pacific Health Group
- Coordinate work across departments and business units while assisting managers with ongoing tasks and cross-functional priorities
- Represent Pacific Health Group and its affiliates professionally when working with staff, visitors, vendors, partners, and community stakeholders
- Enter data accurately and maintain company databases, tracking tools, and internal platforms
- Organize and secure electronic files in line with company standards
- Create reports, spreadsheets, and presentations
- Collaborate with internal teams, providers, and community stakeholders
- Take part in case conferences and care coordination meetings
Requirements
- Live in California
- Be willing and able to travel for field visits, outreach activities, training, meetings, and other business needs
- Be willing and able to provide coverage across multiple counties and service areas when required
- Preferably have 3–5 years of experience in case management, social services, or healthcare
- Preferably have experience with Medi-Cal, CalAIM, or Enhanced Care Management
- Experience with healthcare systems and community resources is advantageous
- Demonstrate strong communication, organizational, and time-management skills
- Be proficient with documentation systems and workplace technology
- Communicate effectively in both written and spoken English
- Hold a valid California driver’s license and active auto insurance that meets California requirements
- Successfully pass a background check, including an MVR review
- Successfully complete the required Testlify skills assessment
- Have a reliable working laptop for the first 21 days of employment until a company-issued laptop is provided
- Demonstrate effective time-management skills
- Have internet service with at least 300 Mbps download and 25 Mbps upload speeds
- Be comfortable using documentation systems, case management platforms, and communication tools
- Complete the pre-employment process, background check, required documentation, and new-hire paperwork as a condition of employment
Benefits
- $29.00–$32.00 per hour, depending on experience
- Monthly stipend and mileage reimbursement
- Paid time off and paid sick leave
- 11 paid holidays, including a birthday holiday and floating holiday
- Four paid volunteer hours per month
- Employer pays 90% of employee-only medical coverage
- Flexible Spending Account
- Short- and long-term disability coverage plus AD&D insurance
- Employee Assistance Program
- 401(k) plan with company match
- Quarterly in-person team events
- Personal equipment stipend for a reliable working laptop during the first 21 days of employment