Overview

At Pacific Health Group (PHG), we are at the forefront of revolutionizing health and wellness, setting new benchmarks in healthcare services through innovation, compassion, and community-driven care. Our mission is to empower members, uplift families, and positively impact the communities we serve.

Our Community Supports (CS) Program is designed to help Medi-Cal members live more independently in the community by addressing their health-related social needs. As a Community Supports Lead Case Manager, you will guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way.

Key Responsibilities

- Comprehensive Care Coordination
- Case Management with a Heart
- Resource Management
- Patient Advocacy
- Communication & Collaboration
- Documentation
- Continuous Improvement
- Regulatory Compliance
- Professional Development
- Leadership & Team Support
- Other Duties

Responsibilities and Activities

- Member Outreach
- Conduct comprehensive evaluations of members' needs, preferences, and eligibility through detailed conversations and data review
- Develop tailored care plans based on individual health and social circumstances
- Arrange all aspects of member care, including scheduling appointments, organizing follow-up services, and linking members to community resources
- Ensure members receive consistent, end-to-end support for long-term stability and health improvement
- Perform empathetic assessments that capture members' lived experiences and goals, not just medical data




- Maintain close communication with members via phone, video, or in-person visits to monitor progress and address emerging challenges
- Serve as a bridge between members and available community resources, such as housing programs, workforce training, childcare, and food assistance
- Advocate for timely treatments, fair insurance authorizations, and equitable access to care
- Act as the central communication hub among members, their families, healthcare providers, and community partners
- Maintain accurate, up-to-date documentation of assessments, care plans, progress notes, and outcomes
- Ensure all records comply with legal, ethical, and organizational standards for quality and accountability
- Collect and analyze feedback to identify gaps in care coordination and advocate for new resources or partnerships
- Remain current on Medi-Cal, CalAIM, and community support policies to ensure all activities meet compliance and quality-of-care standards
- Participate in workshops, training, and certifications on cultural competence, trauma-informed care, and motivational interviewing
- Encourage peer learning and continuous growth within the care team
- Provide mentorship, guidance,



and day-to-day support to other Care Managers within the Community Supports Program
- Assist in onboarding new team members and promoting a collaborative, compassionate care environment
- Support program initiatives and special projects as assigned
- Demonstrate flexibility and teamwork to ensure departmental success

Work Environment

- Setting: Hybrid, 65% field based (Santa Clara County) remainder, remote work from home
- Schedule: Standard 8-hour shift, Monday through Friday, 8:30 AM - 5:00 PM
- Culture: Inclusive, mission-driven, and compassionate, focused on equity, dignity, and empowerment
- Pace: Energetic and people-focused, requiring flexibility, emotional intelligence, and proactive communication

Internal & External Relationships

- Internal: Care Management Team, Program Leadership, Interdisciplinary Teams
- External: Members & Families, Community Organizations, Healthcare Providers & Payers

Compensation

- Pay: $27.00 - $32.00 per hour

Requirements

- Experience: 3-5 years in case management, social services, or healthcare
- Expertise: Familiarity with Medi-Cal, CalAIM, and Community Supports programs
- Healthcare Insight: Knowledge of healthcare systems, managed care operations, and local community resources
- Interpersonal Skills: Strong communication, empathy, cultural competence, and teamwork
- Organizational Skills: Proven time management and attention to detail
- Technical Proficiency: Competence in using case management software, EHR systems, and related tools

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📌 Community Supports Lead Care Manager - San Joaquin County (Stockton)
🏢 Pacific Health Group
📍 Stockton