Hybrid Enhanced Care Management Lead Care Manager

at Pacific Health Group

• Job title: Enhanced Care Management Lead Care Manager
• Job type: Full Time
• Experience level: Senior
• Salary: $25 - $29 per hour
• Degree requirement: No Education Requirement
• Location requirements: Hybrid, Plumas Lake, United States

About the role

• Lead Care Manager providing Enhanced Care Management for Pacific Health Group members. Addressing social determinants of health through community-based services while fostering authentic relationships.

Responsibilities

• 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.
• 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.
• Conduct multiple on-site visits each month in members’ homes, shelters, or community centers.
• Use these visits to establish trust, gather first-hand insights, and address concerns right away.
• Schedule doctor’s appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support.
• Look beyond forms and checkboxes to truly understand members’ backgrounds, personal challenges, and aspirations.
• Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers.
• Identify, coordinate, and optimize local resources—such as housing assistance, job training programs, or childcare services—to ensure members’ overall wellbeing.
• Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress.
• Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through.
• Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage.
• Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate.
• Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards.
• Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention.
• Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes.

Requirements

• Must be willing to travel to Plumas County
• Experience: 3-5 years in case management, social services, or healthcare
• Expertise: Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management
• Healthcare Insight: Understanding of healthcare systems and local community resources
• Interpersonal Skills: Strong communication, empathy, and cultural competence
• Organizational Ability: Proven time management skills and attention to detail
• Technical Proficiency: Competence using case management software and related tools
• Successful completion of a pre-screen assessment required
• Possess a valid California Driver’s License (Class C minimum), maintain a personal, operable vehicle for daily business use, and carry current liability insurance that meets California's minimum legal requirements. All selected candidates will be required to pass a Motor Vehicle Report (MVR) background check prior to employment.

Benefits

• 160 Hours of Paid Time Off (PTO)
• 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment
• 4 Paid Volunteer Hours per Month to support causes you care about
• Bereavement Leave, including Fur Baby Bereavement
• 90% Employer-paid Employee-Only Medical Benefits
• Flexible Spending Account (FSA)
• Short-Term & Long-Term Disability | AD&D
• Employee Assistance Program (EAP)
• 401(k) with Company Match
• Monthly Stipend
• Opportunities for professional development and internal growth
• Employee Discounts via Great Work Perks and Perks at Work
• Quarterly In-Person Events