Lead Care Coordinator

Jobtailor; California (MO); On-site; USD 55,000 - 75,000; Full time

Job summary

Jobtailor is seeking a field-based Case Manager to oversee a caseload of 60–70 members and perform 3–5 in-person visits daily across homes, shelters, and community settings. You will spend most of your time in the field, traveling within the local county, and coordinating care with medical, behavioral health, and community providers.

You will document in real time, develop individualized care plans, and support transitions of care while advocating for timely access to services and housing

Qualifications

• Residency in hiring county.
• 3–5 years in case management, social services, or healthcare preferred.
• Experience with Medi-Cal, CalAIM, or Enhanced Care Management preferred.

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 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.

Skills

Case management

Communication

Time management

Documentation systems

Job description

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
• 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

• Residency: Must reside in hiring county
• Experience: 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
• Excellent communication, organization, and time management skills
• Proficiency with documentation systems and technology
• Ability to effectively communicate both written and verbally