Community Support Lead Care Manager - Merced County

Pacific Health Group•Merced County, CA

9d•$30 - $35•Hybrid

About The Position

Pacific Health Group is seeking a Community Support Lead Care Manager to join their team in Merced County. This role is part of the Community Supports (CS) Program, which aims to help Medi-Cal members live more independently by addressing health-related social needs. The Lead Care Manager will guide members through their journey, ensuring they receive the necessary support and services. This is a highly field-based role, with approximately 65% of the time spent in the community conducting in-person visits, assessments, and follow-ups. The position requires independence, strong time management, leadership capability, and comfort working 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 Santa Clara 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

Hourly Range:$30.00 - $35.00, depending on experience, qualifications, and internal equity
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