Community Support Lead Care Manager - San Benito County

Pacific Health Group • San Benito, CA

5h • $30 - $35 • Hybrid

About The Position

At Pacific Health Group, we are at the forefront of 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. Our Community Supports (CS) Program helps Medi-Cal members live more independently by addressing health-related social needs. In this role, you won’t just create care plans—you’ll 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. The role involves managing a caseload of members with complex health and social needs, spending approximately 65% of time in the field for in-person visits, assessments, and follow-ups, and traveling locally within Santa Clara County. It also includes coordinating services across healthcare, behavioral health, and community resources, participating in community outreach, providing mentorship to other care managers, and documenting interactions in real-time. This role 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
• 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
• Comfortable working independently in the field
• Can manage complex caseloads and competing priorities
• Strong leader and team collaborator
• Proactive, resourceful, and solution-oriented
• Thrives in fast-paced, community-based environments
• Enjoys engaging with the community and building relationships
• Passionate about supporting high-acuity, underserved populations
• Employment is contingent upon the successful completion of our pre-employment process, which includes a background check and the submission of all required documentation and new hire paperwork

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