Enhanced Care Management Lead Care Coordinator
About The Position
The Enhanced Care Management Lead Care Coordinator is an individual-contributor role providing community-based support to members in San Diego County or Imperial County. The position coordinates services that address clinical and social needs, including housing, food access, transportation, and behavioral health, while building trusting relationships through frequent in-person engagement. The role is hybrid and field-based, with travel within the hiring county and mileage reimbursement. The coordinator manages approximately 60–70 members, typically conducting 3–5 in-person visits per day and spending 60–70% of working time in the field. Responsibilities include developing individualized care plans, coordinating medical, behavioral health, and community services, supporting care transitions, advocating for access to resources, and maintaining timely and accurate documentation. The coordinator also represents Pacific Health Group in community outreach, develops relationships with community organizations, and collaborates with internal teams, providers, and community stakeholders. The schedule is Monday through Friday, 8:30 AM to 5:00 PM. Compensation is $29–$32 per hour based on experience, with a monthly stipend and mileage reimbursement. Employment is contingent on completing the pre-employment process, including a background check and required documentation. The position requires a reliable personal vehicle, a valid California driver’s license and qualifying auto insurance, and travel of up to 60–70% within the county. A reliable working laptop is required for the first 21 days until a company laptop is issued.
Requirements
- Must reside in the hiring county.
- Three to five years of experience in case management, social services, or healthcare is preferred.
- Experience with Medi-Cal, CalAIM, or Enhanced Care Management is preferred.
- Working experience with healthcare systems and community resources is a plus.
- Excellent communication, organization, and time-management skills.
- Ability to communicate effectively both verbally and in writing.
- Proficiency with documentation systems, technology, case-management platforms, and communication tools.
- Valid California driver’s license and active auto insurance meeting California requirements.
- Reliable personal vehicle for daily work use.
- Successful completion of a background check, including an MVR check.
- Ability to travel up to 60–70% within the county to conduct in-person visits.
- Successful completion of a Testlify skills assessment.
- Reliable working laptop for the first 21 days of employment, until a company-issued laptop is received.
- Internet speed of at least 300 Mbps download and 25 Mbps upload.
- Ability to work independently in the field and manage a high caseload with minimal supervision.
Nice To Haves
- Bilingual proficiency in Spanish.
- Experience with Medi-Cal, CalAIM, or Enhanced Care Management.
- Working experience with healthcare systems and community resources.
Responsibilities
- Manage a caseload of approximately 60–70 members.
- Conduct 3–5 in-person visits per day in homes, shelters, and other community settings.
- Develop and manage individualized care plans.
- Coordinate appointments, services, and follow-ups across providers.
- Support transitions of care, including hospital discharges and referrals.
- Build trust through consistent, in-person member engagement.
- Advocate for timely access to care, services, and resources.
- Support members with housing, food access, transportation, and behavioral health needs.
- Represent Pacific Health Group at community outreach events, partnerships, and local initiatives.
- Build and maintain relationships with community-based organizations, shelters, and local resource partners.
- Identify gaps in community resources and escalate them when needed.
- Complete timely and accurate documentation, in real time or by the end of the day.
- Maintain compliance with Medi-Cal, CalAIM, and Enhanced Care Management program requirements.
- Partner with internal teams, providers, and community stakeholders.
- Participate in case conferences and care coordination meetings.
Benefits
- Monthly stipend and mileage reimbursement.
- PTO and paid sick time.
- 11 paid holidays, including a birthday holiday and floating holiday.
- Four paid volunteer hours per month.
- 90% employer-paid employee-only medical benefits.
- Flexible spending account (FSA).
- Short-term and long-term disability coverage.
- AD&D coverage.
- 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
