Enhanced Care Management Lead Care Coordinator

Schedule: Monday – Friday | 8:30 AM – 5:00 PM. Compensation: $29.00 – $32.00 per hour (based on experience). FLSA: Non-Exempt. Location: Hybrid (Field-Based in Hiring County).

Responsibilities

Manage a caseload of approximately 60–70 members; Conduct 3–5 in-person visits per day (homes, shelters, community settings); Spend 60–70% of your time in the field; 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; Identify gaps in resources and escalate when needed; Complete timely and accurate documentation; Maintain compliance with Medi-Cal, CalAIM, and ECM program requirements; Partner with internal teams, providers, and community stakeholders; Participate in case conferences and care coordination meetings

Requirements

Must reside in hiring county; 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 60-70% 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

Nice to have

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; Comfortable working independently in the field; Can manage high caseload independently with minimal supervision; Resourceful, proactive, and solution-oriented; Thrives in fast-paced, community-based environments; Passionate about supporting underserved populations; Cares about community and its people; Independently navigate new software and company issued equipment

Benefits

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; Personal equipment stipend