Community Support Lead Care Coordinator - Santa Cruz County

Pacific Health Group • Santa Cruz, CA

8d • $30 - $35 • Hybrid

About The Position

Pacific Health Group is seeking a Community Support Lead Care Coordinator to join their team in Santa Cruz County. This hybrid role focuses on supporting Medi-Cal members in living more independently by addressing health-related social needs. The Care Coordinator will guide members through their journey, ensuring they receive the necessary support and services to thrive. This position is highly field-based, requiring direct support to members in the community, managing a caseload of individuals with complex needs, and conducting in-person visits. The role demands independence, strong time management, leadership capabilities, and comfort in fast-paced, community-based environments.

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 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 60-70% 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 issued 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

Nice To Haves

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

Responsibilities

• Manage a caseload of members with complex health and social needs
• Conduct in-person visits, assessments, and follow-ups
• 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

Benefits

• Monthly stipend
• 160 hours PTO + paid sick time
• 11 paid holidays (including birthday and floating holiday)
• 4 paid volunteer hours per month
• 90% employer-paid employee-only medical benefits
• Flexible Spending Account (FSA)
• Short-term & long-term disability, AD&D
• Employee Assistance Program (EAP)
• 401(k) with company match
• Professional development opportunities
• Quarterly in-person events
• Employee discount programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed