Pacific Health Group este o organizație de sănătate axată pe comunitate, care sprijină populațiile insuficient deservite prin programe integrate de îngrijire medicală, sănătate comportamentală și asistență socială. Activitatea sa include gestionarea îmbunătățită a îngrijirii pentru persoanele cu nevoi complexe, tratamentul pentru probleme de sănătate comportamentală și consum de substanțe, acțiuni de informare desfășurate de lucrători comunitari din domeniul sănătății, medicină stradală pentru persoanele fără adăpost, sprijin în domeniul locuirii și transport medical pentru persoanele care nu se pot deplasa. Colaborând cu planuri de sănătate și parteneri comunitari din mai multe locații, organizația adoptă o abordare holistică pentru îmbunătățirea sănătății, accesului și echității.
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.
Descriere
- 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
Cerințe
- 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
Beneficii
- $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