Enhanced Care Management Lead Care Coordinator

Schedule: Monday - Friday | 8:30 AM - 5:00 PMCompensation: $29.00 - $32.00 per hour (based on experience)FLSA: Non-ExemptLocation: Hybrid (Field-Based in Hiring County)This position is an individual contributor, not a People ManagerAbout Pacific Health GroupAt 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.Why This Role Matters - Holistic Impact and Compassionate CareYou 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 comprehensivelyBy 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 advocacyMinimum QualificationsResidency: Must reside in Santa Clara CountyExperience: 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 plusExcellent communication, organization, and time management skillsProficiency with documentation systems and technologyAbility to effectively communicate both written and verballyRequirementsRequirements:Valid California Driver's License and active auto insurance meeting CA requirementsReliable personal vehicle for daily work useSuccessful completion of background check (including MVR)Must be able to travel up to 60-70% within the county to conduct in person visitsMust 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 receivedMust have effective Time Management skillsMust have internet speed of - 300+ mbps download and 25+mbps upload Must be proficient in technology, including documentation systems, case management platforms, and communication toolsWhat This Role Looks Like (Day-to-Day Reality)This is a high-impact, field-based role supporting members in the community.Manage a caseload of approximately 60-70 membersConduct 3-5 in-person visits per day (homes, shelters, community settings)Spend 60-70% of your time in the fieldTravel locally within Santa Clara County (mileage reimbursed)Coordinate care across medical, behavioral health, and community servicesDocument in real-time or by end of day using internal systemsWhat You'll DoCare Coordination & Case ManagementDevelop and manage individualized care plansCoordinate appointments, services, and follow-ups across providersSupport transitions of care (hospital discharge, referrals, etc.)Member Engagement & AdvocacyBuild trust through consistent, in-person engagementAdvocate for timely access to care, services, and resourcesSupport members navigating housing, food access, transportation, and behavioral health needsCommunity Outreach & EngagementRepresent Pacific Health Group in the community through outreach events, partnerships, and local initiativesBuild and maintain relationships with community-based organizations, shelters, and local resource partnersIdentify opportunities to expand community presence and improve member access to servicesCommunity Resource NavigationConnect members to local programs and servicesBuild relationships with community-based organizationsIdentify gaps in resources and escalate when neededDocumentation & ComplianceComplete timely and accurate documentationMaintain compliance with Medi-Cal, CalAIM, and ECM program requirementsTeam CollaborationPartner with internal teams, providers, and community stakeholdersParticipate in case conferences and care coordination meetingsHow Success Is MeasuredConsistent member engagement and visit completionTimely and accurate documentationEffective care coordination and follow-throughAbility to manage caseload independentlyPositive collaboration with internal and external partnersAbility to effectively communicate with internal and external stakeholdersWho Thrives In This RoleThis role is a strong fit for someone who:Is comfortable working independently in the fieldCan manage a high caseload independently with minimal supervisionIs resourceful, proactive, and solution-orientedThrives in fast-paced, community-based environmentsIs passionate about supporting underserved populationsCares about their community and its peopleIndependently navigate new software and company issued equipmentBenefitsCompensation & Benefits$29.00 - $32.00/hour (based on experience)Monthly stipend + mileage reimbursementPTO + paid sick time11 paid holidays (including birthday + floating holiday)4 paid volunteer hours per month90% employer-paid employee-only medical benefitsFSA Short-term & long-term disability, AD&DEmployee Assistance Program (EAP)401(k) with company matchQuarterly in-person team eventsEqual 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.BenefitsCompensation & Benefits$29.00 - $32.00/hour (based on experience)Monthly stipend + mileage reimbursementPTO + paid sick time11 paid holidays (including birthday + floating holiday)4 paid volunteer hours per month90% employer-paid employee-only medical benefitsFSA Short-term & long-term disability, AD&DEmployee Assistance Program (EAP)401(k) with company matchQuarterly in-person team events