Community Supports Lead Care Coordinator – Housing

• Support members participating in CalAIM Community Supports Housing programs, including Housing Transition Navigation Services, Housing Tenancy & Sustaining Services, and Housing Deposit assistance
• Conduct outreach, intake assessments, comprehensive member assessments, in-person visits, and follow-ups
• Provide person-centered housing care management and develop individualized housing care plans
• Build partnerships with housing providers, shelters, landlords, housing authorities, property managers, healthcare providers, and community organizations
• Coordinate housing applications, Housing Deposit Services packages, landlord allocations, appointments, services, and long-term housing support
• Support housing transitions, tenancy retention, advocacy, landlord engagement, and connections to healthcare, behavioral health, and community resources
• Monitor housing stability, address barriers, and ensure continuity of care
• Provide support by phone, video, and in-person visits
• Represent Pacific Health Group at outreach events and local initiatives
• Navigate multiple platforms and complete real-time chart notes and clinical documentation
• Maintain accurate documentation, track outcomes, and ensure compliance with Medi-Cal, CalAIM, and Community Supports requirements
• Collaborate with interdisciplinary teams, healthcare providers, and payers
• Provide cross-coverage, share housing resources, assist with Lead Care Manager shadowing sessions, and promote team best practices
• Identify service gaps and trends and collaborate with leadership to improve workflows

• Strong understanding of the housing system and demonstrated working knowledge of local housing resources, housing navigation, community-based support programs, or transitional housing support workflows (such as Medi-Cal, CalAIM, Community Supports, or HUD programs)
• 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
• 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 Mendocino County
• Valid California Driver's License and reliable transportation
• Ability to work in a hybrid, field-based environment
• Successful completion of a background check

Demonstrates expertise in housing navigation, case management, and community support programs, with a strong focus on member advocacy and partnership building. Proficient in managing documentation and compliance with Medi-Cal, CalAIM, and Community Supports requirements.

• Housing Navigation
• Case Management
• Medi-Cal Experience
• Community Support Programs
• Real-Time Documentation

• Housing Transition Navigation
• Individualized Housing Care Plans
• Comprehensive Member Assessments
• Housing Application Coordination
• Housing Stability Monitoring
• Interdisciplinary Team Collaboration
• Outcome Tracking
• Cultural Competence
• Time Management
• Organizational Skills

• Excellent Communication
• Empathy

• Valid California Driver's License

• CalAIM
• Community Supports
• Transitional Housing
• HUD Programs
• Healthcare Systems
• Managed Care

• Case Management Systems
• EHR Platforms
• Documentation Tools