Community Supports Lead Care Coordinator (Housing)

Pacific Health Group•Los Angeles, CA

4d•Hybrid

About The Position

Pacific Health Group is hiring a Community Supports Lead Care Coordinator to support Medi-Cal members participating in CalAIM Community Supports housing programs. The role provides person-centered housing care management for people who are unhoused or at risk of homelessness, helping them access and retain stable housing while coordinating healthcare and community-based services. The position manages a high-needs caseload of approximately 60–70 members and requires independent work across remote and community settings, including mandatory occasional fieldwork in shelters, residences, and other community locations. Field responsibilities include face-to-face case management, housing assessments, unit habitability inspections, and member outreach. The role also coordinates housing resource applications and Housing Deposit Services documentation and landlord allocations, and builds partnerships with housing providers and community organizations. The coordinator conducts outreach and comprehensive intakes, develops individualized housing care plans, coordinates services and appointments, supports housing transitions and tenancy, monitors stability, mitigates barriers, and escalates crises. The position involves ongoing member engagement by phone, video, and in person; community outreach and referral development; interdisciplinary collaboration; and accurate, real-time documentation in multiple platforms consistent with Medi-Cal, CalAIM, and Community Supports requirements. As a lead, the coordinator supports team consistency and collaboration, including sharing resources, cross-coverage, and assisting with shadowing sessions for new Lead Care Managers. The schedule is Monday through Friday, 8:30 AM to 5:00 PM. The role is hybrid, described as California remote with occasional fieldwork, and requires travel within the hiring county and surrounding counties. Compensation is $29.00–$33.00 per hour, depending on experience, qualifications, and internal equity. Employment is contingent on completing pre-employment requirements, including a background check and required documentation.

Requirements

Strong understanding of the housing system and working knowledge of local housing resources, housing navigation, community-based support programs, or transitional housing support workflows.
Three to five years of experience in case management, social services, or healthcare.
Experience independently managing an active caseload in care coordination, housing navigation, or case management.
Strong understanding of healthcare systems, managed care, and community resources.
Strong communication, empathy, and cultural competence.
Strong organizational and time-management skills, with the ability to manage complex caseloads and competing priorities independently.
Proficiency with technology, including case management systems, EHR platforms, documentation tools, and multiple communication platforms.
Ability to document in real time and accurately manage member data.
Ability to travel within the hiring county and surrounding counties.
Valid California Driver’s License and active auto insurance meeting California requirements.
Reliable personal vehicle for daily work use.
Comfort and compassion working with complex individuals facing severe mental health challenges, with emotional intelligence and de-escalation skills for crisis situations.
Ability to work independently in field and remote environments and in fast-paced, community-based settings.

Nice To Haves

Experience with Medi-Cal, CalAIM, and Community Supports programs.

Responsibilities

Support members in Housing Transition Navigation Services, Housing Tenancy & Sustaining Services, and Housing Deposit assistance.
Conduct telephonic outreach and comprehensive intakes to identify housing needs among members who are unhoused or at risk of homelessness.
Provide person-centered housing care management to a caseload of approximately 60–70 high-needs members.
Conduct face-to-face case management in shelters, community settings, and residences, including housing assessments, unit habitability inspections, and member outreach as needed.
Manage housing resource applications and required documentation, including Housing Deposit Services packages, and coordinate landlord allocations.
Develop and manage individualized housing care plans and conduct comprehensive assessments of members’ health and social needs.
Coordinate appointments, healthcare, behavioral health, community services, and long-term housing support systems.
Support members in maintaining stable housing through ongoing case management, advocacy, landlord engagement, and resource connections.
Monitor housing stability and proactively address barriers that could put housing or health outcomes at risk.
Manage high-volume telephonic and field outreach, monthly touchpoints, enrollment strategies, and crisis escalation while maintaining program compliance.
Build and maintain partnerships with housing authorities, landlords, shelters, property managers, healthcare providers, and community-based organizations.
Represent Pacific Health Group at community outreach events and local initiatives, develop referral routes, and identify opportunities to improve access and community presence.
Connect members to housing resources, identify resource gaps, and escalate needs for program improvement.
Maintain accurate, timely, high-fidelity documentation of member interactions and service delivery in multiple systems, including real-time chart notes.
Ensure compliance with Medi-Cal, CalAIM, Community Supports, and applicable documentation and regulatory requirements.
Track member progress, outcomes, and service delivery and support continuity of care and follow-through.
Collaborate with interdisciplinary teams, including behavioral health, outreach, social services, healthcare providers, and payers.
Participate in departmental huddles, share housing resources with the team, provide cross-coverage, and assist with shadowing sessions for new Lead Care Managers.
Collaborate with leadership during one-on-one coaching sessions, integrate feedback, and refine workflows.
Maintain and grow an active caseload through effective outreach and timely enrollment strategies.