Community Support Lead Care Coordinator

Schedule: Monday - Friday | 8:30 AM - 5:00 PMCompensation: $30.00 - $35.00 per hourLocation: HybridFLSA Status: Non-ExemptThis position is an individual contributor, not a People Manager.About Pacific Health GroupAt 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.What This Role Looks Like (Day-to-Day Reality)This is a highly field-based role supporting members directly in the community.Manage a caseload of members with complex health and social needsSpend approximately 65% of your time in the field (homes, shelters, community settings)Conduct in-person visits, assessments, and follow-upsTravel locally within Santa Clara CountyCoordinate services across healthcare, behavioral health, and community resourcesParticipate in community outreach efforts including events, partnerships, and local engagementProvide mentorship and support to other care managersDocument in real-time or by end of day using internal systems This role requires independence, strong time management, leadership capability, and comfort working in fast-paced, community-based environmentsWhat You'll DoCare Coordination & Case ManagementConduct comprehensive member assessments to identify health and social needsDevelop and manage individualized care plansCoordinate appointments, services, and long-term support systemsEnsure continuity of care and consistent follow-throughMember Engagement & AdvocacyBuild strong, trusting relationships with members and their familiesProvide ongoing support through phone, video, and in-person visitsAdvocate for timely care, services, and equitable access to resourcesCommunity Outreach & EngagementRepresent Pacific Health Group in the community through outreach events, partnerships, and local initiativesBuild and maintain relationships with community-based organizations, shelters, and service providersIdentify opportunities to expand community presence and improve access to servicesSupport outreach efforts that drive member engagement and program awarenessCommunity Resource NavigationConnect members to housing, food access, workforce programs, childcare, and other servicesStrengthen partnerships with community-based organizationsIdentify gaps in resources and escalate needs for program improvementLeadership & Team SupportProvide guidance, mentorship, and support to care managers within the programAssist with onboarding and training of new team membersPromote consistency, collaboration, and best practices across the teamDocumentation & ComplianceMaintain accurate and timely documentation of all member interactionsEnsure compliance with Medi-Cal, CalAIM, and Community Supports program requirementsTrack progress, outcomes, and service deliveryTeam CollaborationPartner with interdisciplinary teams including behavioral health, outreach, and social servicesCoordinate with healthcare providers and payers to ensure seamless care deliveryContinuous ImprovementIdentify trends and gaps in servicesProvide feedback to leadership to improve care coordination strategies and partnershipsHow Success Is MeasuredMember engagement and successful care coordination outcomesTimely and accurate documentationAbility to manage caseload independently and effectivelyQuality of mentorship and team support providedStrength of community partnerships and outreach engagementCompliance with program and regulatory requirementsWho Thrives in This RoleIs comfortable working independently in the fieldCan manage complex caseloads and competing prioritiesIs a strong leader and team collaboratorIs proactive, resourceful, and solution-orientedThrives in fast-paced, community-based environmentsEnjoys engaging with the community and building relationshipsIs passionate about supporting high-acuity, underserved populationsEqual Employment OpportunityPacific Health Group, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for every qualified candidate, irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by federal, state, or local laws.At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected.Pre-Employment RequirementsEmployment is contingent upon the successful completion of our pre-employment process, which includes a background check and the submission of all required documentation and new hire paperwork.AI & Human Interaction (HI) in RecruitmentPacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location.All resumes that meet these criteria are then reviewed by HI (Human Interaction) — our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration.RequirementsMinimum QualificationsExperience: 3-5 years in case management, social services, or healthcareExperience with: Medi-Cal, CalAIM, and Community Supports programs (preferred)Strong understanding of healthcare systems, managed care, and community resourcesExcellent communication, empathy, and cultural competenceStrong organizational and time management skillsMust be proficient in technology, including case management systems, EHR platforms, and documentation toolsAbility to document in real-time and manage member data accuratelyComfortable navigating multiple systems and communication platformsWork RequirementsAbility to travel locally within Santa Clara CountyValid California Driver's License and reliable transportationAbility to work in a hybrid, field-based environmentBenefitsCompensation & BenefitsHourly Range:$30.00 - $35.00, depending on experience, qualifications, and internal equityMonthly stipend160 hours PTO + paid sick time11 paid holidays (including birthday and floating holiday)4 paid volunteer hours per month90% employer-paid employee-only medical benefitsFlexible Spending Account (FSA)Short-term & long-term disability, AD&DEmployee Assistance Program (EAP)401(k) with company matchProfessional development opportunitiesQuarterly in-person eventsEmployee discount programs