Community Supports Lead Care Coordinator (Housing)

At Pacific Health Group, we are at the forefront of revolutionizing health and wellness through innovation, compassion, and community-driven care. Our Community Supports (CS) Program helps Medi-Cal members live more independently by addressing health-related social needs. This is a highly field-based role supporting members directly in the community.

Responsibilities

Support members participating in CalAIM Community Supports Housing programs, including Housing Transition Navigation Services, Housing Tenancy & Sustaining Services, and Housing Deposit assistance; Conduct outreach and complete intake assessments for members in need of housing; Build strong partnerships with housing providers, shelters, landlords, and community organizations; Provide comprehensive, person-centered housing care management to a diverse panel of high-needs members; Spend approximately 65% of time in the field conducting in-person visits, assessments, and follow-ups; Manage and coordinate the application pipeline for housing resources, including processing Housing Deposit Services packages and coordinating landlord allocations; Participate in community outreach efforts including events, partnerships, and local engagement; Navigate multiple platforms; Complete high-fidelity chart notes and clinical documentation in real-time; Develop and manage housing individualized care plans; Coordinate appointments, services, and long-term housing support systems; Advocate for timely care, services, and equitable access to resources; Connect members to housing resources; Assist with new Lead Care Managers shadowing sessions; Maintain accurate and timely documentation and ensure compliance with Medi-Cal, CalAIM, and Community Supports program requirements; Partner with interdisciplinary teams including behavioral health, outreach, and social services

Requirements

Strong understanding of the housing system and demonstrated working knowledge of local housing resources, housing navigation, community-based support programs, or transitional housing support workflows (such as Medi-Cal, CalAim, Community Supports, or HUD programs); Experience: 3–5 years in case management, social services, or healthcare; Strong understanding of healthcare systems, managed care, and community resources; Excellent communication, empathy, and cultural competence; Strong organizational and time management skills; Must be proficient in technology, including case management systems, EHR platforms, and documentation tools; Ability to document in real-time and manage member data accurately; Comfortable navigating multiple systems and communication platforms; Ability to travel locally within hiring county; Valid California Driver's License and active auto insurance meeting CA requirements; Reliable personal vehicle for daily work use

Nice to have

Experience with Medi-Cal, CalAIM, and Community Supports programs (preferred); Comfortable working independently in the field and remote environments; Strong leadership and team collaboration; Proactive, resourceful, and solution-oriented; Detail-oriented and enjoys multitasking; Comfortable and compassionate when working with complex individuals facing severe mental health challenges; Strong emotional intelligence and proven de-escalation techniques

Benefits

Monthly stipend; Mileage reimbursement; 160 hours PTO + paid sick time; 11 paid holidays (including birthday and floating holiday); 4 paid volunteer hours per month; 90% employer-paid employee-only medical benefits; Flexible Spending Account (FSA); Short-term & long-term disability, AD&D; Employee Assistance Program (EAP); 401(k) with company match; Professional development opportunities; Quarterly in-person events; Employee discount programs