- Support members participating in CalAIM Community Supports Housing programs, including Housing Transition Navigation Services, Housing Tenancy & Sustaining Services, and Housing Deposit assistance
- Conduct outreach, intake assessments, comprehensive member assessments, in-person visits, and follow-ups
- Provide person-centered housing care management and develop individualized housing care plans
- Build partnerships with housing providers, shelters, landlords, housing authorities, property managers, healthcare providers, and community organizations
- Coordinate housing applications, Housing Deposit Services packages, landlord allocations, appointments, services, and long-term housing support
- Support housing transitions, tenancy retention, advocacy, landlord engagement, and connections to healthcare, behavioral health, and community resources
- Monitor housing stability, address barriers, and ensure continuity of care
- Provide support by phone, video, and in-person visits
- Represent Pacific Health Group at outreach events and local initiatives
- Navigate multiple platforms and complete real-time chart notes and clinical documentation
- Maintain accurate documentation, track outcomes, and ensure compliance with Medi-Cal, CalAIM, and Community Supports requirements
- Collaborate with interdisciplinary teams, healthcare providers, and payers
- Provide cross-coverage, share housing resources, assist with Lead Care Manager shadowing sessions, and promote team best practices
- Identify service gaps and trends and collaborate with leadership to improve workflows
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)
- 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
- 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 Mendocino County
- Valid California Driver's License and reliable transportation
- Ability to work in a hybrid, field-based environment
- Successful completion of a background check
Core Competencies
Demonstrates expertise in housing navigation, case management, and community support programs, with a strong focus on member advocacy and partnership building. Proficient in managing documentation and compliance with Medi-Cal, CalAIM, and Community Supports requirements.
Highest-signal resume keywords
- Housing Navigation
- Case Management
- Medi-Cal Experience
- Community Support Programs
- Real-Time Documentation
ATS Optimization Keywords
Hard Skills
- Housing Transition Navigation
- Individualized Housing Care Plans
- Comprehensive Member Assessments
- Housing Application Coordination
- Housing Stability Monitoring
- Interdisciplinary Team Collaboration
- Outcome Tracking
- Cultural Competence
- Time Management
- Organizational Skills
Soft Skills
- Excellent Communication
- Empathy
Certifications & Qualifications
- Valid California Driver's License
Industry Keywords
- CalAIM
- Community Supports
- Transitional Housing
- HUD Programs
- Healthcare Systems
- Managed Care
Tools & Technologies
- Case Management Systems
- EHR Platforms
- Documentation Tools