Community Supports Lead Care Manager - San Joaquin County

Pacific Health Group; Stockton; Hybrid; CAD 50,660 - 60,042; Full time

Job summary

A leading healthcare organization in Canada seeks a Community Supports Lead Case Manager to guide Medi-Cal members in their healthcare journey. You will manage care coordination, build meaningful relationships, and address health-related social needs. The ideal candidate has 3–5 years in case management and is familiar with Medi-Cal programs. This role is hybrid, combining fieldwork and remote tasks, offering a pay range of $27–$32 per hour.

Qualifications

• 3-5 years of experience in case management or social services is required.
• Familiarity with Medi-Cal, CalAIM, and community support programs is essential.
• Strong organizational skills and attention to detail are needed.

Responsibilities

• Conduct comprehensive evaluations of members' needs.
• Develop tailored care plans based on assessment data.
• Advocate for timely treatments and resource access.

Skills

Case Management

Communication

Empathy

Cultural Competence

Time Management

Tools

Case Management Software

EHR Systems

Job description

Overview

At Pacific Health Group (PHG), we are at the forefront of revolutionizing health and wellness, setting new benchmarks in healthcare services through innovation, compassion, and community-driven care. Our mission is to empower members, uplift families, and positively impact the communities we serve.

Our Community Supports (CS) Program is designed to help Medi-Cal members live more independently in the community by addressing their health-related social needs. As a Community Supports Lead Case Manager, you will guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way.

Key Responsibilities

• Comprehensive Care Coordination
• Case Management with a Heart
• Resource Management
• Patient Advocacy
• Communication & Collaboration
• Documentation
• Continuous Improvement
• Regulatory Compliance
• Professional Development
• Leadership & Team Support
• Other Duties

Responsibilities and Activities

• Member Outreach
• Conduct comprehensive evaluations of members\' needs, preferences, and eligibility through detailed conversations and data review
• Develop tailored care plans based on individual health and social circumstances
• Arrange all aspects of member care, including scheduling appointments, organizing follow-up services, and linking members to community resources
• Ensure members receive consistent, end-to-end support for long-term stability and health improvement
• Perform empathetic assessments that capture members\' lived experiences and goals, not just medical data
• Maintain close communication with members via phone, video, or in-person visits to monitor progress and address emerging challenges
• Serve as a bridge between members and available community resources, such as housing programs, workforce training, childcare, and food assistance
• Advocate for timely treatments, fair insurance authorizations, and equitable access to care
• Act as the central communication hub among members, their families, healthcare providers, and community partners
• Maintain accurate, up-to-date documentation of assessments, care plans, progress notes, and outcomes
• Ensure all records comply with legal, ethical, and organizational standards for quality and accountability
• Collect and analyze feedback to identify gaps in care coordination and advocate for new resources or partnerships
• Remain current on Medi-Cal, CalAIM, and community support policies to ensure all activities meet compliance and quality-of-care standards
• Participate in workshops, training, and certifications on cultural competence, trauma-informed care, and motivational interviewing
• Encourage peer learning and continuous growth within the care team
• Provide mentorship, guidance, and day-to-day support to other Care Managers within the Community Supports Program
• Assist in onboarding new team members and promoting a collaborative, compassionate care environment
• Support program initiatives and special projects as assigned
• Demonstrate flexibility and teamwork to ensure departmental success

Work Environment

• Setting: Hybrid, 65% field based (Santa Clara County) remainder, remote work from home
• Schedule: Standard 8-hour shift, Monday through Friday, 8:30 AM - 5:00 PM
• Culture: Inclusive, mission-driven, and compassionate, focused on equity, dignity, and empowerment
• Pace: Dynamic and people-focused, requiring flexibility, emotional intelligence, and proactive communication

Internal & External Relationships

• Internal: Care Management Team, Program Leadership, Interdisciplinary Teams
• External: Members & Families, Community Organizations, Healthcare Providers & Payers

Compensation

• Pay: $27.00 - $32.00 per hour

Requirements

• Experience: 3-5 years in case management, social services, or healthcare
• Expertise: Familiarity with Medi-Cal, CalAIM, and Community Supports programs
• Healthcare Insight: Knowledge of healthcare systems, managed care operations, and local community resources
• Interpersonal Skills: Strong communication, empathy, cultural competence, and teamwork
• Organizational Skills: Proven time management and attention to detail
• Technical Proficiency: Competence in using case management software, EHR systems, and related tools