Enhanced Care Management Lead Care Coordinator

Pacific Health Group; California (MO); On-site; USD 39,950 - 44,083; Full time

Benefits offered by this job

Monthly stipend + mileage reimbursement

PTO + paid sick time

401(k) with company match

Short-term & long-term disability

Job summary

Pacific Health Group is seeking a Lead Care Coordinator in California, MO. This role involves managing a caseload of members, coordinating care across services, and engaging with the community. Candidates should have 3-5 years of experience in case management and excellent communication skills. The position offers a competitive pay rate of $29.00 - $32.00 per hour based on experience, along with comprehensive benefits including PTO and medical coverage.

Qualifications

• 3-5 years in case management, social services, or healthcare preferred.
• Experience with Medi-Cal, CalAIM, or Enhanced Care Management is a plus.
• Ability to communicate effectively in writing and verbally.

Responsibilities

• Manage a caseload of approximately 60-70 members.
• Develop and manage individualized care plans.
• Build trust through consistent, in-person engagement.

Skills

Communication skills

Time management skills

Organizational skills

Tools

Documentation systems

Case management platforms

Job description

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)

Position Overview

As a Lead Care Coordinator, you will personally guide members at every step. Your role involves arranging all the services they need to thrive and building authentic, trusting relationships along the way.

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

• 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 Santa Clara County (mileage reimbursed).
• Coordinate care across medical, behavioral health, and community services.
• Document in real‑time or by end of day using internal systems.

What You’ll Do

Care Coordination & Case Management

• Develop and manage individualized care plans.
• Coordinate appointments, services, and follow‑ups across providers.
• Support transitions of care (hospital discharge, referrals, etc.).

Member Engagement & Advocacy

• 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.

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 local resource partners.
• Identify opportunities to expand community presence and improve member access to services.

Community Resource Navigation

• Connect members to local programs and services.
• Build relationships with community‑based organizations.
• Identify gaps in resources and elevate when needed.

Documentation & Compliance

• Complete timely and accurate documentation.
• Maintain compliance with Medi‑Cal, CalAIM, and ECM program requirements.

Team Collaboration

• Partner with internal teams, providers, and community stakeholders.
• Participate in case conferences and care coordination meetings.

How Success Is Measured

• Consistent member engagement and visit completion.
• Timely and accurate documentation.
• Effective care coordination and follow‑through.
• Ability to manage caseload independently.
• Positive collaboration with internal and external partners.
• Effective communication with internal and external stakeholders.

Minimum Qualifications

• Must reside in Santa Clara County.
• 3‑5 years in case management, social services, or healthcare (preferred).
• Experience with Medi‑Cal, CalAIM, or Enhanced Care Management (preferred).
• Experience working with healthcare systems and community resources is a plus.
• Excellent communication, organization, and time‑management skills.
• Proficiency with documentation systems and technology.
• Ability to communicate effectively in writing and verbally.

Requirements

• Valid California Driver’s License and auto insurance meeting CA requirements.
• Reliable personal vehicle for daily work use.
• Successful completion of a background check (including MVR).
• Must be able to travel up to 60‑70% within the county for in‑person visits.
• Must successfully complete a Testlify skills assessment.
• Must bring a working laptop for the first 21 days of employment (personal equipment stipend until company issued laptop is received).
• Must have effective time‑management skills.
• Must have internet speed of at least 300 Mbps download and 25 Mbps upload.
• Must be proficient in technology, including documentation systems, case‑management platforms, and communication tools.

Benefits

• $29.00 – $32.00/hour (based on experience).
• 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.

Equal Employment Opportunity

Pacific Health Group is committed to creating an inclusive environment for all employees. We provide equal employment opportunities for every qualified candidate, regardless 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. We also offer reasonable accommodations for individuals with disabilities.