Community Supports Lead Care Coordinator Siski

Community Supports Housing Specialist

Schedule:

Monday – Friday | 8:30 AM – 5:00 PM Compensation: $30.00 – $35.00 per hour

Location:

Hybrid (Siskiyou County) FLSA Status:
Non-Exempt This position is an individual contributor, not a People Manager.

At Pacific Health Group, we are at the forefront of revolutionizing health and wellness through innovation, compassion, and community-driven care. Our mission is to empower members, uplift families, and positively impact the communities we serve. Our Community Supports (CS) Program helps Medi-Cal members live more independently by addressing health-related social needs. In this role, you won't just create care plans—you'll guide members through every step of their journey, ensuring they receive the support and services needed to thrive.

This is a highly field-based role supporting members directly in the community.

• Support members participating in CalAIM Community Supports Housing programs, including Housing Transition Navigation Services, Housing Tenancy & Sustaining Services, and Housing Deposit assistance.
• Conduct outreach and complete intake assessments for members in need of housing
• Build strong partnerships with housing providers, shelters, landlords, and community organizations to improve housing access and long-term stability.
• Provide comprehensive, person-centered housing care management to a diverse panel of high-needs members (including individuals experiencing severe mental health conditions and substance dependencies).
• Spend approximately 65% of your time in the field (home inspections, shelters, community settings)
• Conduct in-person visits, assessments, and follow-ups
• Travel locally within county and surrounding counties
• Manage and coordinate the application pipeline for housing resources, including processing critical documents like Housing Deposit Services (HDS) packages and coordinating landlord allocations.
• Participate in community outreach efforts including events, partnerships, and local engagement to build referral routes.
• Navigate seamlessly and concurrently across multiple primary platforms.
• Complete high-fidelity chart notes and clinical documentation in real-time following state guidelines.
• This role requires independence, strong time management, leadership capability, and comfort working in fast-paced, community-based environments.

Housing Stability Services

• Support members experiencing homelessness or at risk of homelessness by providing Housing Transition Navigation Services, helping them successfully transition into long-term stable housing while coordinating healthcare and community-based services that address housing as a key social driver of health.
• Coordinate Housing Tenancy & Sustaining Services by helping members keep a stable housing through ongoing case management, advocacy, landlord engagement, and connections to healthcare, behavioral health, and community resources.
• Assist members with Housing Deposits, coordinating required documentation and facilitating access to deposit assistance that removes financial barriers to securing permanent housing.
• Collaborate with housing authorities, landlords, shelters, property managers, healthcare providers, and community-based organizations to ensure successful housing placement and long-term tenancy.
• Monitor members' housing stability and proactively address barriers that could place housing or health outcomes at risk.

Care Coordination & Case Management

• Conduct comprehensive member assessments to identify health and social needs.
• Develop and manage housing individualized care plans
• Coordinate appointments, services, and long-term housing support systems
• Ensure continuity of care and consistent follow-through

Member Engagement & Advocacy

• 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

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 service providers
• Identify opportunities to…