Community Support Lead Care Manager

PACIFIC HEALTH GROUP•Santa Clara, CA

1d•$27 - $30•Remote

About The Position

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. 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. 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. 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

3-5 years in case management, social services, or healthcare
Familiarity with Medi-Cal, CalAIM, and Community Supports
Understanding of healthcare systems and local community resources
Strong communication, empathy, and cultural competence
Proven time management skills and attention to detail
Competence using case management software and related tools
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

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.
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.
Bridge to Community Services: Identify, coordinate, and optimize local resources—such as housing assistance, job training programs to ensure members’ overall wellbeing.
Champion for Members’ Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress.
Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through.
Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage.
Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our CS program stays effective and deeply compassionate.
Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards.
Ongoing Learning: Attend training, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention.
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
401(k) matching
Employee assistance program
Employee discount
Flexible spending account
Life insurance
Referral program