Remote 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

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 within a county where PHG currently maintains a contract or within a neighboring/surrounding county that allows for regular travel and service coverage within PHG's service areas
• Flexible Coverage Support:
  Must be willing and able to provide coverage across multiple counties and service areas as needed. This role may serve in a floating capacity to support member engagement, assessments, care coordination, caseload coverage, onboarding support, or operational needs in areas experiencing staffing shortages, increased demand, or temporary coverage gaps
• 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 30-50% 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
• Spend 30-50% of your time in the field doing street outreach (Events, shelters, food banks, community settings)
• 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

• Develop and manage individualized care plans
• Coordinate appointments, services, and follow-ups across providers
• Support transitions of care (hospital discharge, referrals, etc.)

• Build trust through consistent, in-person engagement
• Advocate for timely access to care, services, and…