Enhanced Care Management (ECM) Lead Care Manager - Santa Clara County
Base pay range: $29.00/yr - $32.00/yr
Join Our Mission to Transform Lives: Enhanced Care Management. At Pacific Health Group, we focus on addressing social determinants of health and providing community-based services that meet each individual's needs. As a Lead Care Manager, you will guide members at every step, arranging the services they need to thrive and building authentic, trusting relationships along the way.
Responsibilities
Frequent In-Person Visits to Members: Regular face-to-face assessments in members’ homes, shelters, or community centers; establish trust and address concerns on-site.
Comprehensive Care Coordination: End-to-end service arrangement including scheduling doctor appointments, organizing follow-up care, linking to social services, and ensuring resources for ongoing support.
Case Management with a Heart: Empathetic assessments and continuous support via phone, video, and in-person visits; address barriers and milestones.
Resource Management: Identify and coordinate local resources (housing assistance, job training, childcare, etc.) to support overall wellbeing.
Patient Advocacy: Promote timely treatments, manage insurance authorizations, and resolve obstacles to care.
Communication: Serve as central point of contact for members, families, healthcare teams, and community organizations; ensure seamless handoffs.
Documentation: Maintain detailed records of assessments, care plans, and progress notes for transparency and accountability.
Continuous Improvement: Use data and feedback to refine care strategies and ECM program effectiveness.
Regulatory Compliance: Stay current with Medi-Cal, CalAIM, and related regulatory standards.
Professional Development: Participate in trainings and workshops to enhance skills (e.g., cultural competence, motivational interviewing, crisis intervention).
Other Duties: Support the team and share best practices to improve outcomes.
Qualifications
Residency: Must reside in Santa Clara 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: Time management and attention to detail
Technical Proficiency: Experience using case management software and related tools
Driver: Valid California Driver’s License (Class C), operable personal vehicle, and minimum liability insurance; may require Motor Vehicle Report background check
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
Supportive team environment
Job Details
Job Type: Full-time
Pay: $29.00 - $32.00 per hour
Schedule: 8-hour shift; Monday to Friday 1:30pm - 10:00pm
Work Location: On the road
Equal Employment Opportunity
Pacific Health Group is an Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. We provide equal employment opportunities to every qualified candidate irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by law. We also provide reasonable accommodations for individuals with disabilities.
Pre-Employment Requirements
Employment is contingent upon the successful completion of a background check.