Remote Enhanced Care Management Lead Care Coordinator
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 Care Coordinator, 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 clinical visits. 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 frequent in-person visits, you’ll become a pivotal support system—someone members can rely on for comfort, guidance, and advocacy.
Requirements
- Valid California Driver’s License and active auto insurance meeting CA requirements
- Successful completion of background check (including MVR)
- Must successfully complete a Testlify skills assessment
- Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issues laptop is received
- Must have effective Time Management skills
- Must have internet speed of - 300+ mbps download and 25+mbps upload
- Must be proficient in technology, including documentation systems, case management platforms, and communication tools
- Manage a caseload of approximately 60–70 members
- Coordinate care across medical, behavioral health, and community services
- Document in real-time or by end of day using internal systems
Nice To Haves
- 3–5 years in case management, social services, or healthcare
- Experience with: Medi-Cal, CalAIM, or Enhanced Care Management
- Working experience of healthcare systems and community resources is a plus
- Excellent communication, organization, and time management skills
- Proficiency with documentation systems and technology
- Ability to effectively communicate both written and verbally
- Is comfortable working independently in the field
- Can manage a high caseload independently with minimal supervision
- Is resourceful, proactive, and solution-oriented
- Thrives in fast-paced, community-based environments
- Is passionate about supporting underserved populations
- Cares about their community and its people
- Independently navigate new software and company issued equipment
Responsibilities
- Develop and manage individualized care plans
- Coordinate appointments, services, and follow-ups across providers
- Support transitions of care (hospital discharge, referrals, etc.)
- Build trust through consistent, in-person engagement
- Advocate for timely access to care, services, and resources
- Support members navigating housing, food access, transportation, and behavioral health needs
- Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives
- Build and maintain relationships with community-based organizations, shelters, and local resource partners
- Identify opportunities to expand community presence and improve member access to services
- Connect members to local programs and services
- Build relationships with community-based organizations
- Identify gaps in resources and escalate when needed
- Complete timely and accurate documentation
- Maintain compliance with Medi-Cal, CalAIM, and ECM program requirements
- Provide administrative support across Pacific Health Group
- Support coordination between departments and business units; assist department managers with ongoing tasks and cross-functional priorities as directed.
- Serve as a professional representative of PHG and its affiliates in all interactions with staff, visitors, vendors, partners, and community stakeholders.
- Perform accurate data entry; maintain and update company databases, tracking systems, and internal platforms across business units.
- Organize and manage electronic files in compliance with company standards, ensuring secure storage and easy retrieval.
- Prepare reports, spreadsheets, and presentations
- Partner with internal teams, providers, and community stakeholders
- Participate in case conferences and care coordination meetings
Benefits
- $29.00 – $32.00/hour (based on experience)
- Monthly stipend + mileage reimbursement
- PTO + paid sick time
- 11 paid holidays (including birthday + floating holiday)
- 4 paid volunteer hours per month
- 90% employer-paid employee-only medical benefits
- FSA
- Short-term & long-term disability, AD&D
- Employee Assistance Program (EAP)
- 401(k) with company match
- Quarterly in-person team events
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
