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, Shasta, United States

About the role

• Lead Case Manager at Pacific Health Group providing community-based services addressing social determinants of health. Coordinating care and advocating for members' needs with a focus on holistic support.

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.
• Arrange all necessary services—from setting up medical appointments and coordinating transportation to securing safe housing and financial support.
• 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 Shasta 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