Community Support Lead Care Manager

PACIFIC HEALTH GROUP • Santa Clara, CA

3d • $27 - $32 • Remote

About The Position

Lead Care Manager, Community Supports Program at Pacific Health Group Join Our Mission to Transform Lives: Community Supports At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our Community Supports (CS) Program is designed to help Medi-Cal members live more independently in the community by addressing their health-related social needs. As a Community Supports Lead Case Manager, you won’t just create care plans—you’ll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care You won’t just coordinate phone calls. You’ll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members’ needs are addressed comprehensively. By forming strong, personal connections through you’ll become a pivotal support system—someone members can rely on for comfort, guidance, and advocacy. Advocacy and Going the Extra Mile Beyond paperwork and phone calls, you’ll arrange all necessary services to secure safe housing and financial support. You’ll be a consistent presence in members’ lives, making sure no detail goes overlooked and no obstacle remains unaddressed. Shaping the Future of Care Your hands-on experience will generate insights that directly influence how our CS program evolves, ensuring we remain responsive to community needs. By sharing feedback on what members truly need, you’ll help refine the processes and resources we use to serve diverse populations.

Requirements

• Experience: 3-5 years in case management, social services, or healthcare
• Expertise: Familiarity with Medi-Cal, CalAIM, and Community Supports
• Healthcare Insight: Understanding of healthcare systems and local community resources
• Interpersonal Skills: Strong communication, empathy, and cultural competence
• Organizational Ability: Proven time management skills and attention to detail
• Technical Proficiency: Competence using case management software and related tools
• Bilingual: Fluent Spanish is REQUIRED

Nice To Haves

• Genuine Empathy & Compassion
• Needs Assessment & Care Planning
• Service Coordination & Navigation
• Client Advocacy
• Motivational Interviewing
• Problem-Solving & Decision-Making
• Teamwork & Collaboration

Responsibilities

• Comprehensive Care Coordination End-to-End Service Arrangement: Schedule appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support.
• Case Management with a Heart Empathetic Assessments: Look beyond forms and checkboxes to truly understand members’ backgrounds, personal challenges, and aspirations. Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers.
• Resource Management Bridge to Community Services: Identify, coordinate, and optimize local resources—such as housing assistance, job training programs to ensure members’ overall wellbeing.
• Patient Advocacy Champion for Members’ Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress.
• Communication Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through.
• Documentation Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage.
• Continuous Improvement Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our CS program stays effective and deeply compassionate.
• Regulatory Compliance Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards.
• Professional Development Ongoing Learning: Attend training, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention.
• Other Duties Collaborative Mindset: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes.

Benefits

• 401(k)
• Dental Insurance
• Health Insurance (90% of Employee-Only benefits covered by the company)
• Vision Insurance
• Short-term and Long-term Disability (Employer Paid), AD&D, Employee Assistance Program (EAP)
• FSA | Dependent Care Account (DCA)
• Paid Time Off (PTO)
• 12 Paid Holidays (including your birthday and one floating holiday after 1 year)
• Paid Sick Time

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree