Enhanced Care Management (ECM) Lead Care Manager - Santa Clara County

Pacific Health Group • San Jose, CA

87d • $29 - $32

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 Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual’s needs. As a 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

• 3-5 years in case management, social services, or healthcare
• Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management
• 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
• Must have a reliable vehicle
• Valid Driver's License
• Valid Vehicle Insurance

Nice To Haves

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

Responsibilities

• Frequent In-Person Visits to Members
• Regular Face-to-Face Assessments: Conduct multiple on-site visits each month in members’ homes, shelters, or community centers.
• Personal Connection: Use these visits to establish trust, gather first-hand insights, and address concerns right away.
• Comprehensive Care Coordination: Schedule doctor’s 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: 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: Identify, coordinate, and optimize local resources to ensure members’ overall wellbeing.
• Patient Advocacy: Push for timely treatments, insurance authorizations, and fair access to services.
• Communication: Keep members, families, healthcare teams, and community organizations aligned on care objectives.
• Documentation: Maintain meticulous records of assessments, care plans, and progress notes.
• Continuous Improvement: Use data and first-hand observations to refine care strategies.
• Regulatory Compliance: Stay current with Medi-Cal, CalAIM, and other regulations.
• Professional Development: Attend trainings, workshops, and webinars to sharpen your skills.
• Collaborative Mindset: Remain flexible in supporting the team.

Benefits

• Competitive salary and benefits package
• 401(k)
• Dental insurance
• Vision insurance
• Health insurance
• Life insurance
• Flexible schedule
• Paid time off
• Employee assistance program
• Professional development opportunities
• Meaningful work impacting vulnerable community members
• Supportive team environment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 51-100 employees