Enhanced Care Management Lead Care Manager - Monterey County

Pacific Health Group

3h • Hybrid

About The Position

At Pacific Health Group, the Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services tailored to individual needs. As a Lead Case Manager, the role involves guiding members, arranging necessary services, and building trusting relationships. This position is crucial for its holistic impact and compassionate care, extending beyond clinical visits to address real-life challenges like housing, food insecurity, and mental health. The Lead Care Manager forms strong, personal connections through frequent in-person visits, acting as a pivotal support system for comfort, guidance, and advocacy.

Requirements

• Must reside in listed County (Monterey 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)
• Must be able to travel up to 60-70% within the county to conduct in person visits
• 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

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 Monterey 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

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed