Enhanced Care Management (ECM) Lead Care Manager - San Joaquin County
Base pay range: $27.00/yr - $30.00/yr
Why This Role Matters
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
Advocacy and Going the Extra Mile
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
Shaping the Future of Care
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
Frequent In-Person Visits to Members
Regular Face-to-Face Assessments: Conduct multiple on-site visits each month in members' homes, shelters, or community centers
Personal Connection: Use these visits to establish trust, gather first-hand insights, and address concerns right away
Example: While visiting a member recovering at home, you might discover that they lack mobility aids—prompting you to arrange for durable medical equipment and coordinate in-home physical therapy
Comprehensive Care Coordination
End-to-End Service Arrangement: 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
Example: If a member is discharged from the hospital, you'll set up home health visits, fill prescriptions, secure rides for follow-up appointments, and even arrange meal delivery if needed
Case Management with a Heart
Empathetic Assessments: Look beyond forms and checkboxes to truly understand members' backgrounds, personal challenges, and aspirations
Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers
Example: If a member feels overwhelmed by multiple therapies, you could simplify their schedule, coordinate telehealth sessions, and even offer emotional support through regular check-ins
Resource Management
Bridge to Community Services: Identify, coordinate, and optimize local resources—such as housing assistance, job training programs, or childcare services—to ensure members' overall wellbeing
Example: A single parent needing childcare and employment support could be connected to subsidized daycare, workforce development courses, and a community mentor program—all organized by you
Patient Advocacy
Champion for Members' Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress
Example: If a critical procedure is denied by insurance, you'll take charge of the appeals process, gathering documents and evidence to secure approval
Communication
Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through
Example: Coordinate a care conference among a primary care physician, social worker, and rehab specialist so everyone can align on the most effective plan for a member's speedy recovery
Documentation
Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage
Example: After each home visit, document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers
Continuous Improvement
Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate
Example: If you notice a high number of members struggling with job access, you might advocate for creating a new partnership with a local job placement agency
Regulatory Compliance
Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards
Example: Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow
Professional Development
Ongoing Learning: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention
Example: Enroll in a course on trauma-informed care to better support members who have experienced past hardships
Other Duties
Collaborative Mindset: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes
Skills That Set You Apart
Genuine Empathy & Compassion
Needs Assessment & Care Planning
Service Coordination & Navigation
Client Advocacy
Motivational Interviewing
Problem-Solving & Decision-Making
Teamwork & Collaboration
Job Type
Full-time
Pay
$27.00 - $30.00 per hour
Expected Hours
40 per week
Schedule
8-Hour Shift
Monday to Friday, 8:30am PST - 5:00pm PST
Work Location
Hybrid remote in San Joaquin, CA - On the road
Equal Opportunity Employer
Pacific Health Group is an Equal Opportunity Employer. We are committed to creating an inclusive and equitable workplace where all individuals are treated with dignity and respect. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or gender expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking. We value diversity in all forms and encourage individuals from historically underrepresented communities to apply.
Pre-Employment Requirements
Employment is contingent upon the successful completion of a background check.
Requirements
Residency: Must reside in San Joaquin 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
Competitive salary and benefits package
401(k), dental, vision, health, and life insurance
Flexible schedule, paid time off, and employee assistance program
Professional development opportunities
Meaningful work impacting vulnerable community members