ECM - Lead Care Manager - San Joaquin

PACIFIC HEALTH GROUP•Stockton, CA

1d•Hybrid

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. This role matters because it involves holistic impact and compassionate care, going beyond coordinating clinical visits to responding to real-life challenges such as housing, food insecurity, and mental health. 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. Beyond paperwork and phone calls, you’ll arrange all necessary services—from setting up medical appointments and coordinating transportation to securing safe housing and financial support. You’ll be a consistent presence in members’ lives, making sure no detail goes overlooked and no obstacle remains unaddressed. Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs. By sharing feedback on what members truly need, you’ll help refine the processes and resources we use to serve diverse populations.

Requirements

Residency in San Joaquin County.
3-5 years of experience 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.
Successful completion of a pre-screen assessment.
Possession of a valid California Driver’s License (Class C minimum).
Maintenance of a personal, operable vehicle for daily business use.
Current liability insurance that meets California's minimum legal requirements.
Successful completion of a Motor Vehicle Report (MVR) background check.

Nice To Haves

Experience with motivational interviewing.
Experience with problem-solving and decision-making.
Experience with teamwork and collaboration.

Responsibilities

Conduct frequent in-person visits to members, including regular face-to-face assessments in members’ homes, shelters, or community centers to establish trust, gather first-hand insights, and address concerns.
Arrange comprehensive care, including scheduling doctor’s appointments, organizing follow-up care, linking members to social services, and ensuring they have resources for a full continuum of support.
Perform empathetic assessments to understand members’ backgrounds, personal challenges, and aspirations, providing continuous support through various communication channels.
Identify, coordinate, and optimize local resources such as housing assistance, job training programs, or childcare services to ensure members’ overall wellbeing.
Act as a patient advocate by pushing for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks.
Serve as a central point of contact to keep members, families, healthcare teams, and community organizations aligned on care objectives.
Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability.
Use data and first-hand observations to refine care strategies and ensure ECM programs remain effective and compassionate.
Stay informed about Medi-Cal, CalAIM, and other regulations to ensure care management practices meet legal and quality-of-care standards.
Attend trainings, workshops, and webinars for professional development in areas like cultural competence, motivational interviewing, and crisis intervention.
Remain flexible in supporting the team, taking on additional tasks and sharing best practices.