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
Career 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: Dynamic 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 (Manitoba)
🏢 Pacific Health Group
📍 Manitoba