Remote CHW Program Manager – CalAIM & Care Coordination

Pacific Health Group; San Diego (CA); Hybrid; USD 78,000 - 82,000; Full time

Benefits offered by this job

Paid Time Off

Holidays

Volunteer time

Bereavement

Medical coverage

FSAs or wellness benefits

Disability and EAP

401(k)

Stipends

Professional development

Employee discounts

Team events

Growth opportunities

Job summary

Pacific Health Group is seeking a CHW Program Manager to lead a CalAIM CHWs team delivering whole-person care to Medi-Cal members across Humboldt County, CA with a remote work option. You will ensure high-quality service delivery, billing accuracy, and adherence to documentation standards.

The role requires 3–5 years in community health or social work, plus supervisory experience and knowledge of CalAIM policies. A California driver’s license and CHW certification are preferred.

Qualifications

• Bachelor's degree in Public Health, Social Work, Healthcare Administration, or a related field is preferred.
• Minimum 3–5 years in community health, Medi-Cal services, or social work with supervisory experience.
• Strong knowledge of CalAIM policies, SDOH, chronic disease management, and local San Diego resources.
• Valid California Driver’s License with a clean MVR and auto insurance; CHW certification preferred.

Responsibilities

• Lead, supervise, and support a team of CalAIM CHWs delivering whole-person care.
• Maintain program and billing compliance with CalAIM guidelines; audit CPT codes.
• Oversee documentation across PH Portal and CHI EHR; review Plans of Care and assessments.
• Coordinate onboarding and continuing education, including Motivational Interviewing and mandated reporting.
• Collaborate with RNs, clinicians, and community organizations to coordinate care.

Skills

Team leadership

Billing compliance

Documentation

Training & development

Cross-functional collaboration

CalAIM policies

Project supervision

Education

Bachelor's degree in Public Health, Social Work or related field

Tools

PH Portal

EHR system

Job description

Pacific Health Group is seeking a CHW Program Manager to lead a CalAIM CHWs team delivering whole-person care to Medi-Cal members across Humboldt County, CA with a remote work option. You will ensure high-quality service delivery, billing accuracy, and adherence to documentation standards.

The role requires 3–5 years in community health or social work, plus supervisory experience and knowledge of CalAIM policies. A California driver’s license and CHW certification are preferred.