Community Health Worker Program Manager

Pacific Health Group•San Diego, CA

3d•Remote

About The Position

Pacific Health Group is seeking a CHW Program Manager to lead, supervise, and support a team of CalAIM Community Health Workers (CHWs) delivering whole-person care to vulnerable Medi-Cal members across Humboldt County, CA. The Program Manager ensures high-quality service delivery, operational efficiency, and strict adherence to CalAIM billing and documentation standards.

Requirements

Bachelor’s degree in Public Health, Social Work, Healthcare Administration, or a related field preferred.
Minimum 3–5 years of experience in community health, Medi-Cal services, or social work, with at least 2 years in a supervisory or team lead capacity.
Strong expertise in CalAIM policies, social determinants of health, chronic disease management, and local San Diego County resources.
Valid California Driver’s License (Class C) with an operable vehicle, clean MVR, and active auto insurance.
CHW certification preferred.

Responsibilities

Oversee, mentor, and evaluate a team of CalAIM CHWs conducting outreach, health navigation, group facilitation, and advocacy for high-risk populations.
Maintain full compliance with CalAIM guidelines, auditing CPT coding (98960, 98961, 98962, T1028), enforcing daily/period service unit limits, and ensuring clear boundaries regarding non-covered services.
Oversee dual-system documentation across the Partnership Health Portal and Pacific Health Group EHR, auditing member Plans of Care, six-month progress updates, and standardized assessments (SDOH 5-Q, PHQ-9/2, Hunger Vital Sign).
Coordinate required onboarding and continuing education, including Motivational Interviewing, Mandated Reporting, and the Stanford University Advocacy Training for CHWs.
Partner with RNs, licensed clinical providers, and Humboldt County community organizations to streamline care coordination and interdisciplinary case management.