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 Housing Care Coordinator, Community Supports – Santa Cruz Hybrid
Coordinate housing services for Pacific Health Group’s Medi-Cal members through navigation, tenancy support, and deposit assistance. Conduct field-based assessments, care planning, outreach, and community coordination throughout Santa Cruz County.
United States
California$62,400 – $72,800 / year
HybridFull-timeSeniorEnglish RequiredCare CoordinatorGeneralDescription
- Support Medi-Cal members through CalAIM Community Supports housing programs, including transition navigation, tenancy and sustaining services, and housing deposit assistance
- Perform outreach, intake and comprehensive assessments, in-person visits, follow-ups, and home inspections
- Deliver person-centered housing care management for high-needs members, including people affected by severe mental health conditions and substance dependencies
- Create, implement, and maintain individualized housing care plans
- Arrange appointments and coordinate healthcare, behavioral health, community services, and long-term housing supports
- Oversee housing-resource application pipelines, Housing Deposit Services submissions, required records, and landlord allocations
- Partner with housing authorities, landlords, shelters, property managers, healthcare providers, payers, and community organizations
- Monitor housing stability and address obstacles that may affect housing or health outcomes
- Establish trusted relationships with members and families while providing support and advocacy by phone, video, and in person
- Represent Pacific Health Group at community events and local outreach initiatives
- Develop community partnerships, referral pathways, and connections to available services
- Use multiple platforms and produce accurate, timely, detailed chart notes and clinical records
- Maintain compliance with Medi-Cal, CalAIM, and Community Supports standards
- Document member progress, outcomes, and delivered services
- Contribute to interdisciplinary collaboration, team huddles, peer coverage, and Lead Care Manager shadowing
- Recognize service gaps and emerging trends, then work with leadership to improve workflows
Requirements
- Demonstrated knowledge of housing systems and local resources, community-based support programs, housing navigation, or transitional housing workflows such as Medi-Cal, CalAIM, Community Supports, or HUD programs
- Three to five years of experience in case management, social services, or healthcare
- Experience with Medi-Cal, CalAIM, and Community Supports programs is preferred
- Solid understanding of healthcare systems, managed care, and community resources
- Excellent communication skills with empathy and cultural competence
- Strong organizational and time-management abilities
- Proficiency with case management systems, EHRs, documentation tools, and communication platforms
- Ability to document in real time and maintain accurate member data
- Willingness to travel locally within the hiring county
- Valid California driver’s license and active auto insurance that meets California requirements
- Reliable personal vehicle available for daily work use
- Successful completion of a background check, including an MVR review
- Ability to travel 60–70% within the county for in-person visits
- Successful completion of a Testlify skills assessment
- Reliable working laptop for the first 21 days until a company-issued laptop is provided
- Internet service with at least 300 Mbps download and 25 Mbps upload speeds
- Effective time-management skills
Benefits
- Monthly stipend
- 160 hours of PTO plus paid sick time
- 11 paid holidays, including a birthday holiday and floating holiday
- Four paid volunteer hours each month
- Employer-paid employee-only medical coverage at 90%
- Flexible Spending Account
- Short- and long-term disability coverage plus AD&D
- Employee Assistance Program
- 401(k) plan with company match
- Professional development opportunities
- Quarterly in-person events
- Employee discount programs
- Personal equipment stipend for a reliable work laptop during the first 21 days of employment