Enhanced Care Management Lead Care Manager - Mendocino County

Pacific Health Group

3h•Hybrid

About The Position

At Pacific Health Group, we are a catalyst for positive change in our communities, focusing on Enhanced Care Management (ECM) programs that address social determinants of health and provide community-based services tailored to individual needs. As a Lead Case Manager, you will guide members through every step, arranging necessary services and building authentic, trusting relationships. This role is vital for its holistic impact and compassionate care, extending beyond clinical visits to address real-life challenges such as housing, food insecurity, and mental health. You will ensure members' needs are comprehensively met by forming strong, personal connections through frequent in-person visits, acting as a pivotal support system for comfort, guidance, and advocacy.

Requirements

Reside in listed County
3–5 years in case management, social services, or healthcare
Excellent communication, organization, and time management skills
Proficiency with documentation systems and technology
Ability to effectively communicate both written and verbally
Valid California Driver’s License and active auto insurance meeting CA requirements
Reliable personal vehicle for daily work use
Successful completion of background check (including MVR)
Ability to travel up to 60-70% within the county to conduct in person visits
Successfully complete a Testlify skills assessment
Reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issues laptop is received
Effective Time Management skills
Internet speed of - 300+ mbps download and 25+mbps upload
Proficient in technology, including documentation systems, case management platforms, and communication tools

Nice To Haves

Experience with Medi-Cal, CalAIM, or Enhanced Care Management (preferred)
Working experience of healthcare systems and community resources is a plus

Responsibilities

Manage a caseload of approximately 60–70 members
Conduct 3–5 in-person visits per day (homes, shelters, community settings)
Spend 60–70% of your time in the field
Travel locally within Santa Clara County (mileage reimbursed)
Coordinate care across medical, behavioral health, and community services
Document in real-time or by end of day using internal systems
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
Partner with internal teams, providers, and community stakeholders
Participate in case conferences and care coordination meetings