Community Health Worker Program Manager
Listed on 2026-10-03
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Healthcare
Healthcare Management
Location: Remote – California (Stockton, Eureka, Redding California Preferred)
Employment Type: Full-Time;
Exempt
Compensation: $78,000-$82,000 Annually
Work Environment: Remote
At Pacific Health Group, we care deeply about the people and communities we serve. We meet individuals with kindness, respect, and understanding—listening first, honoring each person’s journey, and offering support without judgment.
Through compassionate, person-centered healthcare, behavioral health services, and social supports, we walk alongside people as they work toward healing, stability, and a healthier, more hopeful life.
Our Core Values- Speak with integrity—clear, respectful, and honest in every interaction.
- Embrace innovation, trying new ideas, learning fast, and improving care.
- Own our roles, staying accountable for outcomes and documenting accurately.
- Build genuine connections with members, families, and teammates through empathy and cultural sensitivity.
- Lead with trust by being consistent, transparent, and following through.
- Celebrate wins together, recognizing individual and team achievements.
- Collaborate with purpose, partnering across departments and with community providers to solve problems.
- Ask for support and offer support, because thriving together is how we serve our members best
Pacific Health Group is seeking a CHW Program Manager to lead, supervise, and support a team of CalAIM Community Health Workers (CHWs) delivering whole-person care to vulnerable Medi-Cal members across San Diego County, CA. The Program Manager ensures high-quality service delivery, operational efficiency, and strict adherence to CalAIM billing and documentation standards.
Key Responsibilities- Team Leadership & Supervision: Oversee, mentor, and evaluate a team of CalAIM CHWs conducting outreach, health navigation, group facilitation, and advocacy for high-risk populations.
- Program & Billing Compliance: Maintain full compliance with CalAIM guidelines, auditing CPT coding (98960, 98961, 98962, T1028), enforcing daily/period service unit limits, and ensuring clear boundaries regarding non-covered services.
- Quality & Documentation Assurance: Oversee dual-system documentation across the Partnership Health Portal and Pacific Health Group EHR, auditing member Plans of Care, six-month progress updates, and standardized assessments (SDOH 5-Q, PHQ-9/2, Hunger Vital Sign)
- Training & Workforce Development: Coordinate required onboarding and continuing education, including Motivational Interviewing, Mandated Reporting, and the Stanford University Advocacy Training for CHWs.
- Cross-Functional Collaboration: Partner with RNs, licensed clinical providers, and Humboldt County community organizations to streamline care coordination and interdisciplinary case management.
Required Qualifications
- Education: Bachelor’s degree in Public Health, Social Work, Healthcare Administration, or a related field preferred.
- Experience: Minimum 3–5 years of experience in community health, Medi-Cal services, or social work, with at least 2 years in a supervisory or team lead capacity.
- Knowledge Base: Strong expertise in CalAIM policies, social determinants of health, chronic disease management, and local San Diego County resources.
- Licensure & Compliance: Valid California Driver’s License (Class
C) with an operable vehicle, clean MVR, and active auto insurance. CHW certification preferred.
- Paid Time Off
- Holidays
- Volunteer time
- Bereavement
- Medical coverage
- FSAs or other wellness benefits
- Disability and EAP
- 401(k)
- Stipends
- Professional development
- Employee discounts
- Team events
- Growth opportunities
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