Community Support Lead Care Coordinator

Pacific Health Group•Lincoln, CA

6d•$30 - $35•Hybrid

About The Position

Pacific Health Group is 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. The Community Supports (CS) Program helps Medi-Cal members live more independently by addressing health-related social needs. In this role, you will guide members through every step of their journey, ensuring they receive the support and services needed to thrive. This is a highly field-based role supporting members directly in the community.

Requirements

3–5 years in case management, social services, or healthcare
Strong understanding of healthcare systems, managed care, and community resources
Excellent communication, empathy, and cultural competence
Strong organizational and time management skills
Must be 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 hiring county
Valid California Driver’s License and reliable transportation
Ability to work in a hybrid, field-based environment

Nice To Haves

Experience with: Medi-Cal, CalAIM, and Community Supports programs

Responsibilities

Manage a caseload of members with complex health and social needs
Spend approximately 65% of your time in the field (homes, shelters, community settings)
Conduct in-person visits, assessments, and follow-ups
Travel locally within hiring county
Coordinate services across healthcare, behavioral health, and community resources
Participate in community outreach efforts including events, partnerships, and local engagement
Provide mentorship and support to other care managers
Document in real-time or by end of day using internal systems
Conduct comprehensive member assessments to identify health and social needs
Develop and manage individualized care plans
Coordinate appointments, services, and long-term support systems
Ensure continuity of care and consistent follow-through
Build strong, trusting relationships with members and their families
Provide ongoing support through phone, video, and in-person visits
Advocate for timely care, services, and equitable access to resources
Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives
Build and maintain relationships with community-based organizations, shelters, and service providers
Identify opportunities to expand community presence and improve access to services
Support outreach efforts that drive member engagement and program awareness
Connect members to housing, food access, workforce programs, childcare, and other services
Strengthen partnerships with community-based organizations
Identify gaps in resources and escalate needs for program improvement
Provide guidance, mentorship, and support to care managers within the program
Assist with onboarding and training of new team members
Promote consistency, collaboration, and best practices across the team
Maintain accurate and timely documentation of all member interactions
Ensure compliance with Medi-Cal, CalAIM, and Community Supports program requirements
Track progress, outcomes, and service delivery
Partner with interdisciplinary teams including behavioral health, outreach, and social services
Coordinate with healthcare providers and payers to ensure seamless care delivery
Identify trends and gaps in services
Provide feedback to leadership to improve care coordination strategies and partnerships