Community Support Lead Care Manager - Merced County

Pacific Health Group; Merced (CA); Hybrid; USD 41,328 - 48,216; Full time

Benefits offered by this job

160 hours PTO + paid sick time

11 paid holidays

90% employer-paid medical benefits

Job summary

Pacific Health Group in Merced is seeking a dedicated Care Manager who will be responsible for managing a caseload of members with complex health and social needs. This hybrid position involves conducting in-person assessments, developing individualized care plans, and engaging with community resources to support members effectively. The ideal candidate will have 3-5 years in case management and a strong understanding of initiatives like Medi-Cal and CalAIM. A valid California Driver's License is required, as local travel is involved.

Qualifications

• 3-5 years of experience in case management or healthcare.
• Familiarity with Medi-Cal, CalAIM, and Community Supports programs.
• Strong understanding of healthcare systems and resources.

Responsibilities

• Manage a caseload of members with complex health and social needs.
• Conduct comprehensive member assessments.
• Develop and manage individualized care plans.

Skills

Communication skills

Empathy

Organizational skills

Cultural competence

Time management

Tools

Case management systems

EHR platforms

Job description

About Pacific Health Group

At Pacific Health Group, we are at the forefront of revolutionizing health and wellness 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 helps Medi-Cal members live more independently by addressing health-related social needs. In this role, you won't just create care plans—you'll guide members through every step of their journey, ensuring they receive the support and services needed to thrive.

What This Role Looks Like (Day-to-Day Reality)

• Manage a caseload of members with complex health and social needs
• Spend approximately 65% of your time in the field (homes, shelters, community settings)
• Conduct in-person visits, assessments, and follow-ups
• Travel locally within Santa Clara County
• Coordinate services across healthcare, behavioral health, and community resources
• Participate in community outreach efforts including events, partnerships, and local engagement
• Provide mentorship and support to other care managers
• Document in real-time or by end of day using internal systems; this role requires independence, strong time management, leadership capability, and comfort working in fast-paced, community-based environments

What You’ll Do

Care Coordination & Case Management

• Conduct comprehensive member assessments to identify health and social needs
• Develop and manage individualized care plans
• Coordinate appointments, services, and long-term support systems
• Ensure continuity of care and consistent follow-through

Member Engagement & Advocacy

• Build strong, trusting relationships with members and their families
• Provide ongoing support through phone, video, and in-person visits
• Advocate for timely care, services, and equitable access to resources

Community Outreach & Engagement

• Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives
• Build and maintain relationships with community-based organizations, shelters, and service providers
• Identify opportunities to expand community presence and improve access to services
• Support outreach efforts that drive member engagement and program awareness

Community Resource Navigation

• Connect members to housing, food access, workforce programs, childcare, and other services
• Strengthen partnerships with community-based organizations
• Identify gaps in resources and elevate needs for program improvement

Leadership & Team Support

• Provide guidance, mentorship, and support to care managers within the program
• Assist with onboarding and training of new team members
• Promote consistency, collaboration, and best practices across the team

Documentation & Compliance

• Maintain accurate and timely documentation of all member interactions
• Ensure compliance with Medi-Cal, CalAIM, and Community Supports program requirements
• Track progress, outcomes, and service delivery

Team Collaboration

• Partner with interdisciplinary teams including behavioral health, outreach, and social services
• Coordinate with healthcare providers and payers to ensure seamless care delivery

Continuous Improvement

• Identify trends and gaps in services
• Provide feedback to leadership to improve care coordination strategies and partnerships

How Success Is Measured

• Member engagement and successful care coordination outcomes
• Timely and accurate documentation
• Ability to manage caseload independently and effectively
• Quality of mentorship and team support provided
• Strength of community partnerships and outreach engagement
• Compliance with program and regulatory requirements

Who Thrives in This Role

• Comfortable working independently in the field
• Can manage complex caseloads and competing priorities
• Strong leader and team collaborator
• Proactive, resourceful, and solution-oriented
• Thrives in fast-paced, community-based environments
• Enjoys engaging with the community and building relationships
• Passionate about supporting high-acuity, underserved populations

Schedule

Monday - Friday | 8:30 AM - 5:00 PM

Compensation

$30.00 - $35.00 per hour

Location

Hybrid - Merced County

• Merced
• Atwater
• Los Banos
• Livingston
• Dos Palos

Equal Employment Opportunity

Pacific Health Group, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for every qualified candidate, irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by federal, state, or local laws.

At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected.

Requirements

Minimum Qualifications

• Experience: 3-5 years in case management, social services, or healthcare
• Experience with: Medi-Cal, CalAIM, and Community Supports programs (preferred)
• 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

Work Requirements

• Ability to travel locally within Santa Clara County
• Valid California Driver's License and reliable transportation
• Ability to work in a hybrid, field-based environment

Benefits & Compensation

• Hourly Range: $30.00 - $35.00, depending on experience, qualifications, and internal equity
• Monthly stipend
• 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