Community Supports Lead Care Manager - Hybrid
About The Position
At Pacific Health Group (PHG), we are at the forefront of revolutionizing health and wellness, setting new benchmarks in healthcare services 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 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.
Requirements
- MUST RESIDE IN MERCED, MARIPOSA, MONTEREY, SAN BENITO OR SANTA CRUZ
- Experience: 3–5 years in case management, social services, or healthcare.
- Expertise: Familiarity with Medi-Cal, CalAIM, and Community Supports programs.
- Healthcare Insight: Knowledge of healthcare systems, managed care operations, and local community resources.
- Interpersonal Skills: Strong communication, empathy, cultural competence, and teamwork.
- Organizational Skills: Proven time management and attention to detail.
- Technical Proficiency: Competence in using case management software, EHR systems, and related tools.
Responsibilities
- Conduct comprehensive evaluations of members’ needs, preferences, and eligibility through detailed conversations and data review.
- Develop tailored care plans based on individual health and social circumstances.
- Arrange all aspects of member care, including scheduling appointments, organizing follow-up services, and linking members to community resources.
- Ensure members receive consistent, end-to-end support for long-term stability and health improvement.
- Perform empathetic assessments that capture members’ lived experiences and goals, not just medical data.
- Maintain close communication with members via phone, video, or in-person visits to monitor progress and address emerging challenges.
- Serve as a bridge between members and available community resources, such as housing programs, workforce training, childcare, and food assistance.
- Advocate for timely treatments, fair insurance authorizations, and equitable access to care.
- Act as the central communication hub among members, their families, healthcare providers, and community partners.
- Maintain accurate, up-to-date documentation of assessments, care plans, progress notes, and outcomes.
- Ensure all records comply with legal, ethical, and organizational standards for quality and accountability.
- Collect and analyze feedback to identify gaps in care coordination and advocate for new resources or partnerships.
- Remain current on Medi-Cal, CalAIM, and community support policies to ensure all activities meet compliance and quality-of-care standards.
- Participate in workshops, training, and certifications on cultural competence, trauma-informed care, and motivational interviewing.
- Encourage peer learning and continuous growth within the care team.
- Provide mentorship, guidance, and day-to-day support to other Care Managers within the Community Supports Program.
- Assist in onboarding new team members and promoting a collaborative, compassionate care environment.
- Support program initiatives and special projects as assigned.
- Demonstrate flexibility and teamwork to ensure departmental success.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
No Education Listed
