Community Support Lead Care Manager - San Benito County

Pacific Health Group • San Juan Bautista, CA

6d • $30 - $35 • Hybrid

About The Position

Pacific Health Group is seeking a Community Support Lead Care Manager in San Benito County. This role is part of the Community Supports (CS) Program, which assists Medi-Cal members in living more independently by addressing health-related social needs. The Care Manager will guide members through their journey, ensuring they receive necessary support and services. This is a highly field-based role, requiring approximately 65% of time to be spent in the community, conducting in-person visits, assessments, and coordinating services across various sectors. The position requires independence, strong time management, leadership capability, and comfort in fast-paced, community-based environments. The role is an individual contributor, not a people manager.

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

• 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