Enhanced Care Management Lead Care Coordinator

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)
This position is an individual contributor, not a People Manager

About Pacific Health Group
At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual’s needs. As a Lead Care Coordinator, you won’t just create care plans—you’ll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way.

• You won’t just coordinate clinical visits. You’ll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members’ needs are addressed comprehensively.
• By forming strong, personal connections through frequent in-person visits, you’ll become a pivotal support system—someone members can rely on for comfort, guidance, and advocacy.

• 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

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

This is a high-impact, field-based role supporting members in the community.

• 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

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

• Consistent member engagement and…