Community Support Lead Care Coordinator

Responsibilities

• Manage a caseload of members with complex health and social needs
• Spend approximately 65% of your time in the field (homes, shelters, community settings)
• Conduct in‑person visits, assessments, and follow‑ups
• Travel locally within hiring county
• Coordinate services across healthcare, behavioral health, and community resources
• Participate in community outreach efforts including events, partnerships, and local engagement
• Provide mentorship and support to other care managers
• Document in real‑time or by end of day using internal systems
• Conduct comprehensive member assessments to identify health and social needs
• Develop and manage individualized care plans
• Coordinate appointments, services, and long‑term support systems
• Ensure continuity of care and consistent follow‑through
• Build strong, trusting relationships with members and their families
• Provide ongoing support through phone, video, and in‑person visits
• Advocate for timely care, services, and equitable access to resources
• Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives
• Build and maintain relationships with community‑based organizations, shelters, and service providers
• Connect members to housing, food access, workforce programs, childcare, and other services
• Provide guidance, mentorship, and support to care managers within the program
• Maintain accurate and timely documentation of all member interactions
• Ensure compliance with Medi‑Cal, CalAIM, and Community Supports program requirements
• Partner with interdisciplinary teams including behavioral health, outreach, and social services

• Experience:
  
  3–5 years in case management, social services, or healthcare
• Experience with:
  Medi‑Cal, CalAIM, and Community Supports programs (preferred)
• Strong understanding of healthcare systems, managed care, and community resources
• Excellent communication, empathy, and cultural competence
• Strong organizational and time management skills
• Must be proficient in technology, including case management systems, EHR platforms, and documentation tools
• Ability to document in real‑time and manage member data accurately
• Comfortable navigating multiple systems and communication platforms
• Ability to travel locally within hiring county
• 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 issued 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