Lead Care Manager jobs at Kids Care Dental

About Us: We are a dynamic and innovative Cardiac Cath Lab Ambulatory Surgery Center, proudly accredited by AAAASF and committed to delivering the highest quality patient care. Our facility includes two state-of-the-art Cath labs and eight recovery bays, serving a diverse patient population with compassion and precision. We are seeking an experienced and bilingual (English/Spanish) Nurse Administrator to lead and oversee all operations, ensure compliance, and continue fostering a culture of excellence. Position Summary: The Nurse Administrator is a critical leadership role responsible for overseeing the daily operations of the ASC, maintaining accreditation and CMS standards, and ensuring the delivery of safe, high-quality cardiac care. This role reports directly to the Medical Director and collaborates closely with clinical and administrative teams. Key Responsibilities: Oversee the clinical and administrative operations of the ASC, including two cardiac Cath labs and eight recovery bays. Ensure compliance with AAAASF accreditation standards and CMS regulatory guidelines. Lead and manage quality assurance (QA), quality improvement (QI), and infection control programs. Supervise and support clinical and administrative staff, ensuring effective workflow and patient safety. Collaborate with physicians and the Medical Director to optimize procedural outcomes. Provide strategic oversight of all financial functions, including budgeting, forecasting, and cost analysis. Develop, implement, and monitor the facility's annual operating budget, identifying opportunities for cost savings without compromising quality of care. Manage vendor contracts, supply chain operations, and inventory controls to ensure fiscal responsibility and operational efficiency. Analyze key financial metrics and performance indicators, preparing regular reports for executive leadership and stakeholders. Ensure accurate billing, coding, and revenue cycle management in coordination with the business office team. Monitor and manage budget, staffing, and resource utilization efficiently. Maintain accurate records and reports, ensuring transparency and accountability. Act as the primary liaison with governing bodies, vendors, and community partners. Qualifications: Education: Bachelor of Science in Nursing (BSN) required; Master of Science in Nursing (MSN) preferred. Licensure: Active RN license in the state of [Insert State]. Certifications: ACLS and BLS certifications required. Experience: Minimum 3-5 years of leadership experience in an ASC setting, preferably with cardiac or cath lab specialization. Proven business office management experience in an ASC. Demonstrated expertise in financial operations, budget development, and cost containment strategies. Experience maintaining AAAASF accreditation and CMS compliance. Proficiency in QA/QI processes and infection control protocols. Languages: Bilingual - fluent in English and Spanish (preferred) Strong interpersonal, leadership, and organizational skills. Ability to lead, motivate, and inspire teams in a fast-paced environment. Working knowledge of healthcare billing, reimbursement models, and ASC revenue cycle management systems. Compensation & Benefits: Competitive salary (commensurate with experience) Health, dental, and vision insurance Paid time off and holidays Continuing education and professional development support Retirement plan options Job Type: Full-time Pay: From $120,000.00 per year Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance

University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. At University Health, our mission is to improve the good health of the community through high-quality compassionate patient care, innovation, education and discovery. We are currently looking for a Director of Clinical Services to join our Dialysis team. This is an exciting opportunity to join a company with a reputation for exceptional service and patient care. We are committed to providing our employees with an array of medical, dental, and vision packages to support the needs of their families. Some of the wonderful benefits we offer include: Generous benefits packages Flexible hours and paid personal leave Pet insurance We are ranked as one of the best hospitals in South Texas General Responsibilities: Provides clinical direction and supervision for the University Health's inpatient and outpatient dialysis program. Qualifications: Ideal candidate will have 3 years of both inpatient and outpatient experience. Current RN license in the State of Texas . Bachelor's degree required; Master's degree in Nursing is preferred. Two years' experience as the clinical nurse supervisor/charge nurse/administrator and /or director of a free standing or hospital dialysis unit is required. Three or more years as the administrator/director of a multi-system dialysis, operation is preferred. We promptly review all applications on a daily basis and highly qualified candidates will be contacted directly for an interview. We are actively interviewing so apply today!

Nurse Leadership Opportunity! This is a wonderful opportunity for a motivated, self-starter who is seeking a supervisory position and a new challenge! University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC). Magnet hospitals and health systems offer patients reassurance that they are being cared for by a team with a proven track record for providing excellent care and positive outcomes for their patients. What sets us apart? Most up-to-date advancements in nursing Home to the only Level I trauma center in South Texas Nationally certified nursing staff Regionally, nationally and internationally recognized P osition Summary: The Registered Nurse Manager (Patient Care Coordinator-PCC) will be responsible for performing expert leadership skills in management of staff and coordination of patient care activities. The professional RN will work collaboratively with all healthcare providers and non-health care providers. Will serve as a mentor and role model for all staff and will receive mentoring for the Nursing Director. Requirements: Must have a current Texas RN licensure BSN Required BLS from the American Heart Association and national certification in related field are required. Three (3) years recent, full-time hospital experience with a minimum of two (2) years in an equivalent management capacity is also required.

/ RESPONSIBILITIES The Care Coordinator is responsible for coordinating and streamlining the care of patients referred to the Interventional Cardiology Clinic. In this role, you will work closely with multidisciplinary teams, triage referred patients, facilitate timely and appropriate provider scheduling, and ensure continuity of care across outpatient and inpatient settings. The coordinator also serves as a liaison between referring providers, the interventional team, and patients, while supporting program growth through outreach and data management. EDUCATION/EXPERIENCE Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred. Three years recent, full-time hospital experience preferred. Work experience in cardiovascular or interventional cardiology nursing preferred. Strong knowledge of cardiac procedures, terminology, and clinical workflow. Familiarity with catheterization lab operations, cardiovascular imaging, and post-procedure. Prior experience with patient navigation or care coordination in a cardiology setting preferred. Proficiency in Epic or other major EHR systems preferred. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required. National certification in related field is preferred. Case Manager Certification (CCM or ANCC) is highly desirable.

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 won't just create care plans; you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. II. Key Responsibilities1. 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. 2. Comprehensive Care Coordination 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. 3. Case Management with a Heart 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. 4. Resource Management Serve as a bridge between members and available community resources, such as housing programs, workforce training, childcare, and food assistance. 5. Patient Advocacy Advocate for timely treatments, fair insurance authorizations, and equitable access to care. 6. Communication & Collaboration Act as the central communication hub among members, their families, healthcare providers, and community partners. 7. Documentation 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. 8. Continuous Improvement Collect and analyze feedback to identify gaps in care coordination and advocate for new resources or partnerships. 9. Regulatory Compliance Remain current on Medi-Cal, CalAIM, and community support policies to ensure all activities meet compliance and quality-of-care standards. 10. Professional Development 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. 11. Leadership & Team Support 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. 12. Other Duties Support program initiatives and special projects as assigned. Demonstrate flexibility and teamwork to ensure departmental success. 13. 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. 14. Key Internal & External RelationshipsInternal Care Management Team: Mentor and collaborate with case managers to coordinate care and maintain consistency in service delivery. Program Leadership: Work with management to align care strategies with organizational goals. Interdisciplinary Teams: Partner with social workers, behavioral health specialists, and outreach teams to support holistic member care. External Members & Families: Build trusting relationships, ensuring members feel supported throughout their care journey. Community Organizations: Coordinate services for housing, employment, food security, and other essential needs. Healthcare Providers & Payers: Maintain communication for seamless coordination and access to care. 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.

**Job Title:** Lead Care Manager **Company:** Correctional Health Treatment Centers, Inc. Program: CalAIM - Enhanced Care Management (ECM) Program **About Us:** At Correctional Health Treatment Centers, Inc., we are committed to providing compassionate, high-quality care for our clients. We strive to create an environment where our team members can grow and thrive while making a meaningful impact on the lives of those we serve. As a leader in the healthcare industry, we value professionalism, integrity, and the drive to enhance our clients' well-being. Correctional Health Treatment Centers (CHTC) is a community-based, non-profit organization based in Southern California with the mission to increase access to care for individuals who are currently or were formerly involved in the criminal justice system. CHTC provides a continuum of holistic, person-centered care by addressing individuals' medical and behavioral health needs as well as the social determinants of health needs that directly impact their well-being, such as homelessness. CHTC staff represent a diverse makeup of specialties, including medical directors, behavioral health specialists, case managers, socials workers, community health workers, front line jail operations and management, and reentry services coordinators. The CHTC CalAIM Program offers services in alignment with California's Medi-Cal Transformation Initiative, which seeks to improve the quality of life and health outcomes of Medi-Cal Members. These services include Enhanced Care Management (ECM), a comprehensive set of case management services to support the highest-need and most-vulnerable individuals by coordinating services for their complex clinical and non-clinical needs and navigating the healthcare and social service systems. **Job Summary:** We are seeking an experienced and dedicated Lead Care Manager to join our team. The successful candidate will oversee and coordinate care management services, ensuring our clients receive optimal support and resources. This role requires effective communication, exceptional organizational skills, and a strong commitment to client-centered care. **Key Responsibilities:** - Serve as the primary point of contact for ECM Program clients, their family, authorized representative (AR), caregiver, other authorized support person(s) as appropriate, and the multidisciplinary care team providing care to the client. - Conduct comprehensive assessments and develop comprehensive Care Plans with input from the client and/or their parent, caregiver, guardian and multidisciplinary care team, to ensure a whole-person approach is taken in identifying gaps in treatment or gaps in available and needed services. - Coordinate the delivery of services from various social service providers within Correctional Health Treatment Centers and the community for ECM Program participants. - Provide consultation, case management services, and guidance to ECM and Community Support (CS) Program clients, as well as liaison services with other agencies according to each client's case plan. - Assist in formulating SMART goals, implementing the case plan, supervising its progress, and making revisions as needed. - Initiate and maintain communication with other agencies and members of the treatment team for each client. - Conduct weekly face-to-face visits (or as often as necessary) as part of the Care Plan development when necessary. - Develop individualized Care Plans that address clients' clinical and non-clinical needs. - Write timely progress and quarterly reports, as well as case notes. - Develop a transition plan for each client that includes post-planning and instruction. - Provide member and family education about chronic medical and behavioral health conditions to improve health literacy. - Gather input from other ECM Care Team members to prioritize member cases for systematic population/caseload review. - Work with members to identify health/wellness goals and incorporate these goals into Care Plans that facilitate communication among members and providers. - Consult with the ECM Care Team members about clinical concerns or questions and provide educational training on chronic disease states, prevention, treatment, medications, and healthy living. - Track and ensure required assessments and screenings are performed. - Keep client files updated with medical, legal, and social service-related documents. - Attend trainings and regular meetings. - Perform other duties and responsibilities as required by the ECM Program Supervisor. **Qualifications:** - Bachelor's degree in Social Work, Nursing, or a related field preferred, but no required. - Experience in a care management or healthcare setting preferred but not required - Strong understanding of healthcare regulations, policies, and best practices. - Experience in case management and interacting with clients, some with social determinants of health (SDoH) concerns. - Excellent communication, interpersonal, and problem-solving skills. - Proficiency in care management software and electronic medical records, Microsoft Office and similar software. Preferred Additional Experience - Lived experience in such areas such as homelessness, unstable housing, substance use disorders, mental health issues, abuse, family incarceration, foster care, exposure to violence, and financial instability. - Experience with Medi-Cal Transformation (CalAIM), Enhanced Care Management (ECM), or Community Supports Services. - Bilingual English and one of the local threshold languages. **Why Join Us:** - Competitive salary and benefits package. - Opportunities for professional growth and development. - A supportive and collaborative work environment. - The chance to make a difference in the lives of our clients every day. **How to Apply:** Interested candidates should submit a resume and cover letter detailing their relevant experience to [Email Address] with the subject line “Lead Care Manager Application.” We thank all applicants for their interest; however, only those selected for an interview will be contacted. [Company Name] is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment decisions are made based on qualifications, merit, and business need.

Job Description Join Our Mission to Transform Lives: Enhanced Care Management At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care 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. Your Responsibilities Frequent In-Person Visits to Members in Tulare County, CA 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. 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. 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. 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. Patient Advocacy Champion for Members' Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress. Communication Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through. Documentation Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage. Continuous Improvement Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate. 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. Professional Development Ongoing Learning: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention. 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 What We're Looking For Residency: Must reside in Tulare County, CA 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 Why You'll Love Working with Us Meaningful Impact: Every action you take-from scheduling a specialist appointment to arranging housing support-has the power to transform someone's life. Team Support: You'll join a diverse, dedicated team that values collaboration, mentorship, and continuous learning. Growth and Development: We encourage professional advancement through training, networking, and real-time feedback that fosters your growth as a care provider. Schedule 8-Hour Shift Monday to Friday 8:30AM - 5:00PM Job Type: Full-time Work Location: On the road Join Us in Making a Difference At Pacific Health Group, we believe in diversity and inclusion and are committed to equal opportunities for all. We strive to build a team that reflects the communities we serve. If you're ready to arrange every detail of care, walk alongside members through their journey, and truly transform lives, apply today and become part of our mission to provide caring, comprehensive Enhanced Care Management for those who need it most.

Join Our Mission to Transform Lives: Enhanced Care Management At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care 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. Your Responsibilities 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: $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, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for 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 federal, state, or local laws. At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected. Pre-Employment Requirements Employment is contingent upon the successful completion of a background check. Please DO NOT contact employer regarding your application status, thank you! AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) - our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. Requirements Residency: Must reside in Santa Clara County Bilingual in English and Spanish (Spoken and Written) 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 Supportive team environment

Join Our Mission to Transform Lives: Enhanced Care Management At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care 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. Your Responsibilities 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: $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, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for 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 federal, state, or local laws. At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected. Pre-Employment Requirements Employment is contingent upon the successful completion of a background check. Please DO NOT contact employer regarding your application status, thank you! AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) - our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. Requirements Residency: Must reside in Santa Clara County Bilingual in English and Spanish (Spoken and Written) 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 Supportive team environment

At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care 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. Your Responsibilities 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 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. Please DO NOT contact employer regarding your application status, thank you! AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) - our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. 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 Supportive team environment

Job DescriptionDescription: Title: Lead Care Manager, ECM Program Base Salary Range: $45,760 - $67,618 plus benefits FTE: Full-time, Non-Exempt We seek a dynamic and experienced Lead Care Manager, ECM Program, who wants to make a difference in our community. We want to hear from you if you thrive in a fast-paced, caring, and compassionate environment! Our Mission: The Mission of South Central Family Health Center is to improve the quality of life for the diverse Community of inner-city Los Angeles by providing affordable and comprehensive health care and education in a welcoming and multicultural environment. To lead the way in health care in South Los Angeles, as the premier provider and employer of choice offering comprehensive, high-quality, affordable, efficient, and culturally responsive services. General Summary: The Lead Care Manager (LCM), Enhanced Care Management (ECM), is responsible for coordinating and implementing organization-wide enhanced Care Management. The Lead Care Manager (LCM), Enhanced Care Management (ECM) works closely with medical, dental, behavioral health, and vision teams and patients to develop personalized care plans that address the unique needs of each patient. The Lead Care Manager (LCM) oversees the care management services provided to patients, ensuring that services are efficient, effective, and patient-centered. The LCM ensures that ECM incorporates a broad range of services, including medical, social, and behavioral health services. The LCM serves as a liaison between various healthcare providers, ensuring that all members of the care team are informed about patient statuses and plans. The ideal candidate will have to perform some of the following essential duties. Oversees and implements provision of the Enhanced Care Management (ECM) services; and identification and achievement of Care Plan goals and objectives with the member that meet their self-identified strengths and health care and psychosocial needs. Offers services where the ECM member lives, seeks care, or finds most easily accessible and within health plan guidelines. Advocates on behalf of members with health care professionals, and connects with ECM member via phone or in-person to facilitate engagement, assessment, follow-up, and education/training visits in order to develop and address the Care Plan. Uses motivational interviewing and trauma-informed care practices and works in conjunction with ECM members to identify Care Plan goals and objectives. Coordinates pre-operative evaluations. Coordinates with ECM resource partners to obtain data/information to ensure accurate Care Plan updates Provides linkage to outside health education, wellness programs, and community resources Assists with translation for staff when necessary. Utilize SCFHC's NextGen and other electronic tracking systems to coordinate services and input data for reporting. Reviews existing SCFHC protocols and polices to match ECM requirements. Outreaches to patients who have missed preventative services (well-child exams, colon and cervical cancer screenings etc.) Coordinates appointments with health care providers to ensure timely delivery of diagnostic, treatment and wellness exams abuse, or poverty. Qualifications and Experience: High School Diploma or equivalent required. Bachelor's Degree preferred. Medical Assistant/LVN certification preferred. Knowledge of community resources in area Must have a minimum of 2 years' experience in case management in community clinic or FQHC setting. Comfortable working with diverse populations Bilingual in English/Spanish (oral and written). Ability to work flexible hours. Top benefits or perks: As a team member at South Central Family Health Center, you'll enjoy competitive wages and generous benefits: Benefits: Health care, dental, life insurance 403 (b) Retirement plan Education Reimbursement Career development: Entry-level employees have opportunities to work in management, HR or other areas of the company Requirements:

Title: Lead Care Manager, ECM Program Base Salary Range: $45,760 - $67,618 plus benefits FTE: Full-time, Non-Exempt We seek a dynamic and experienced Lead Care Manager, ECM Program, who wants to make a difference in our community. We want to hear from you if you thrive in a fast-paced, caring, and compassionate environment! Our Mission: The Mission of South Central Family Health Center is to improve the quality of life for the diverse Community of inner-city Los Angeles by providing affordable and comprehensive health care and education in a welcoming and multicultural environment. To lead the way in health care in South Los Angeles, as the premier provider and employer of choice offering comprehensive, high-quality, affordable, efficient, and culturally responsive services. General Summary: The Lead Care Manager (LCM), Enhanced Care Management (ECM), is responsible for coordinating and implementing organization-wide enhanced Care Management. The Lead Care Manager (LCM), Enhanced Care Management (ECM) works closely with medical, dental, behavioral health, and vision teams and patients to develop personalized care plans that address the unique needs of each patient. The Lead Care Manager (LCM) oversees the care management services provided to patients, ensuring that services are efficient, effective, and patient-centered. The LCM ensures that ECM incorporates a broad range of services, including medical, social, and behavioral health services. The LCM serves as a liaison between various healthcare providers, ensuring that all members of the care team are informed about patient statuses and plans. The ideal candidate will have to perform some of the following essential duties. Oversees and implements provision of the Enhanced Care Management (ECM) services; and identification and achievement of Care Plan goals and objectives with the member that meet their self-identified strengths and health care and psychosocial needs. Offers services where the ECM member lives, seeks care, or finds most easily accessible and within health plan guidelines. Advocates on behalf of members with health care professionals, and connects with ECM member via phone or in-person to facilitate engagement, assessment, follow-up, and education/training visits in order to develop and address the Care Plan. Uses motivational interviewing and trauma-informed care practices and works in conjunction with ECM members to identify Care Plan goals and objectives. Coordinates pre-operative evaluations. Coordinates with ECM resource partners to obtain data/information to ensure accurate Care Plan updates Provides linkage to outside health education, wellness programs, and community resources Assists with translation for staff when necessary. Utilize SCFHC's NextGen and other electronic tracking systems to coordinate services and input data for reporting. Reviews existing SCFHC protocols and polices to match ECM requirements. Outreaches to patients who have missed preventative services (well-child exams, colon and cervical cancer screenings etc.) Coordinates appointments with health care providers to ensure timely delivery of diagnostic, treatment and wellness exams abuse, or poverty. Qualifications and Experience: High School Diploma or equivalent required. Bachelor's Degree preferred. Medical Assistant/LVN certification preferred. Knowledge of community resources in area Must have a minimum of 2 years' experience in case management in community clinic or FQHC setting. Comfortable working with diverse populations Bilingual in English/Spanish (oral and written). Ability to work flexible hours. Top benefits or perks: As a team member at South Central Family Health Center, you'll enjoy competitive wages and generous benefits: Benefits: Health care, dental, life insurance 403 (b) Retirement plan Education Reimbursement Career development: Entry-level employees have opportunities to work in management, HR or other areas of the company

Join Our Mission to Transform Lives: Enhanced Care Management At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care 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. Your Responsibilities 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: $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, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for 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 federal, state, or local laws. At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected. Pre-Employment Requirements Employment is contingent upon the successful completion of a background check. Please DO NOT contact employer regarding your application status, thank you! AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) - our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. Requirements Residency: Must reside in Santa Clara County Bilingual in English and Spanish (Spoken and Written) 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 Supportive team environment

Join Elica's mission and become a part of a team where every day is an opportunity to make a positive impact in your community! At Elica Health Centers, we share a common goal: provide the best possible patient care to our growing community! Our passion extends throughout Elica, from the exceptional healthcare services we provide to our underserved patients at our Community Health Clinics and state-of-the-art mobile medicine program, Health on Wheels, to our Resource Center where we empower patients and members of the community to connect with resources to help them build healthy and full lives. We are growing our Enhanced Care Management (ECM) program at Elica! ECM is a key part of CalAIM's new statewide Medi-Cal benefit available to select “Populations of Focus" with complex needs and who are facing difficult life and health circumstances. This program is focused on breaking down the traditional walls of health care - extending beyond hospitals and health care settings into communities. ECM will address clinical and non-clinical needs of the highest-need enrollees through intensive coordination of health and health-related services and will meet beneficiaries wherever they are - on the street, in a shelter, in their doctor's office, or at home. WHAT YOU'LL DO: The Enhance Care Management (ECM) Care Manager will provide a wide range of case management services for the California Advancing and Innovating Medi-Cal (CalAIM) initiative. Duties include the development of collaborative care management plans with clients which support clients' needs in the areas of physical health, mental health, substance use disorders, community-based long-term services support, oral health, palliative care, social supports, and social determinants of health. Core ECM activities include but are not limited to, outreach, comprehensive assessment and care management, care coordination, health promotion, comprehensive transitional care, identifying client support needs, and coordination of and referral to community and social services support. BENEFITS: Retirement Savings Made Easy: Enjoy a 403(b) retirement plan with up to 4% employer matching and 100% immediate vesting-start building your future from day one! Comprehensive Healthcare Options: Choose from two Anthem Blue Cross PPO plans for medical, plus dental and vision coverage for you and your family. Employer-Funded HRA: Our Health Reimbursement Arrangement helps cover out-of-pocket medical costs, giving you peace of mind. Flexible Spending Accounts: Take advantage of two FSA options: Health Care FSA and Dependent Care FSA, tailored to suit your needs. Security for the Unexpected: We provide company-paid basic Life and AD&D Insurance, with options to enhance coverage. Enhanced Protection: Explore additional benefits like Hospital Indemnity, Critical Illness, and Accident Insurance, plus ID Theft Protection and Pet Insurance. Time to Recharge: Enjoy accrued paid time off, paid holidays, and Employee Assistance Plan (EAP) access, which includes counseling, financial, and legal services, along with a vast library of online resources. Invest in Yourself: Benefit from our Tuition Reimbursement Program for ongoing education and growth, plus CME/CEU and license reimbursements for eligible roles. This is more than just a benefits package-it's a commitment to your health, well-being, and professional success! Learn more about Elica's services and mission at our website or check us out on Facebook. Requirements The successful candidate will be willing and able to: Client outreach and engagement, including direct communication with clients such as in person meetings, mail, email, texts and telephone; community and street-level outreach; Complete documentation required for data reporting and outcome tracking; Complete a Comprehensive Assessment by researching and analyzing patient records and interviewing patients and/or caregivers; Develop a Care Management Plan (CMP) that incorporates client's needs in the areas of physical health, mental health, SUD, community-based Long-Term Services Support, oral health, palliative care, social supports, and Social Determinants of Health; Care coordination and organizing client care activities per the CMP and case conferences for care coordination; Maintaining an active panel of 50 members; Sharing and maintaining information with client's multidisciplinary team and implementing activities per CMP, including Community Supports; Support client engagement in support including coordination or medication review and or reconciliation, scheduling appointments, appointment reminders, coordinating transportation, accompany client to critical appointments, identify and address other barriers to client's engagement in services; Ensuring regular contact with the member and their family member(s), guardian, caregiver, and/or authorized support person(s) as part of care coordination; Engage and help client participate in and manage their care; Coaching members to make lifestyle choices based on healthy behavior - goal is for members to successfully monitor and manage their health; Supporting members in strengthening their skills to identify and access resources to assist them in managing and prevention of chronic condition; Linkage to resources based on member's needs such as smoking cessation, self-help recovery, etc.; Provide transitional care for clients during discharge from hospital or institutional setting including developing a transition care plan (Targeted Care Plan Update), and coordination of care to provide adherence support and referrals to appropriate resources and community supports, as needed; Identify supports needed for client; Collaboration with Community Supports provider and other community-based organizations to coordinate services; Provide appropriate education of the client and/or their family support/authorized support about care instructions for the person served; Assist members in accessing additional benefits and related documentation such as, Social Security Insurance (SSI), CalFresh, cash aid, and obtaining required documentation to apply (ID, birth certificate, immigration status, financial records, marriage/divorce records, proof of medical conditions, etc.); Develop, establish, and maintain professional and collaborative working relationships with internal and external care team; Network with community and stakeholders to remain current on issues and activities as they impact coordination of care for clients; Coordination of care with health plans; Attend required training to maintain provider certification and current industry knowledge; Perform administrative tasks including timely record keeping and data entry; Maintain up to date, adequate records and other documentation necessary for the collection of data and statistics pertaining to program outcomes, demographics, and information as required by funders; Collaborate as an active member of a team; Actively model and communicate the mission and vision and support a corporate culture of empowerment, team building, and open communication; Maintain compliance with all applicable county, state and federal laws and regulations, funder and program requirements; Perform other duties as assigned. The successful candidate has: Bachelor's Degree in the social service field with two (2) years of experience in care coordination/case management preferred OR minimum 4 years of case management and care planning experience in lieu of Bachelor's Degree. Bilingual/Multilingual in English and Spanish, Farsi, Dari, Russian, Arabic, Hmong, Vietnamese, Korean, Chinese, and/or American Sign Language highly preferred. 2 years of experience with SOAP/encounter note writing is required 1 year of experience with Enhanced Care Management is required 1 year of experience with Assessment and Care Planning (SMART format preferred) is required 1 year of experience managing 50 or more cases is required Experience working with the Homeless, Chronically ill, Substance Use Disorders, Serious Mental Illness, and/or Children & Youth is preferred. Experience in outreach and inter-agency referral services preferred Experience with Electronic Medical Records (EMR), EPIC preferred Knowledge of Sacramento and Yolo County Community Resources strongly preferred Knowledge of basic medical terminology Strong understanding of HIPAA Knowledge of Microsoft Office and Google Suite Current BLS certification preferred Essential Skills/Abilities Possess strong organizational skills Reliable form of transportation with clean driving record Valid CA Driver's License required Must demonstrate a high level of verbal, writing and listening skills. Ability to meet patients where they are up to 6 hours per day, year round Ability to work appropriately and effectively within a variety of communities with varying populations, possessing strong interpersonal skills Ability to distribute and maintain records and files Additional Requirements Must have a current and valid California driver's license and the ability to provide proof of personal auto insurance on the vehicle driven during working hours. Physical Requirements and Work Environment The work environment is office, clinic and field based administering program education and Care Coordination to Adults, Children and Youth experiencing homelessness, high utilizers, those with Serious Mental Illness and/or Substance Use Disorders and recent immigrants. Work environment includes office, clinic, hospitals/facilities, client homes, streets and homeless encampments, and homeless shelters. Employees are to adhere to field visit policies, including, but not limited to being accompanied by a colleague while working with clients in a not public setting. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to walk; use hands to finger, handle, or feel. The employee is also required to stand; walk; and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus. The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment can range from quiet to moderately loud; the incumbent must be able to focus in an environment with many distractions. The employee may be in contact with individuals and families in crisis who may be ill, using substances and/or not attentive to personal health. The employee may experience a number of unpleasant sensory demands associated with the client's use of alcohol and drugs, and the lack of personal care. The employee may also be exposed to bio-hazardous materials (bodily fluids including blood and urine) and hazardous chemicals. The employee must be ready to respond quickly and effectively to many types of situations, including crisis situations and potentially hostile situations. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. *Elica Health Centers is a healthcare facility that adheres to the mandates issued by the California Department of Public Health including the recent orders regarding the COVID-19 vaccine. Medical and religious exemptions will be considered. Compensation - Dependent Upon Experience $27.00 - $30.00 an hour Salary Description $27.00 - $30.00

The Enhanced Care Coordinator will work with members to coordinate comprehensive care among various service providers. The ECM Coordinator works as part of an interdisciplinary team to address the member's physical and mental health, substance use, social needs, oral health, and long-term services and supports. All services are provided in person, with minimal exclusion. The ECM Coordinator primary responsibility requires outreach and engagement of new clients, comprehensive assessment, development of care management plan, coordination of care, health promotion, transitional care services, family supports, and coordination of community and social supports. The ECM Coordinator position requires excellent customer services skills, people skills, and is expected to use Evidence Based Practices, such as Motivational Interviewing and Harm Reduction Model to maintain high quality services. This person is required to build strong relationships with internal programs serving the same clients and our external partners and service providers to ensure clients receive the best care possible. ESSENTIAL DUTIES & RESPONSIBILITIES Client Care Conduct outreach when first assigned a member to establish rapport, including family engagement when applicable. Provide culturally and linguistically appropriate communication and information to engage members. Conduct a comprehensive assessment to determine areas of need. Collaborate with clients on developing a person-centered, individualized service/treatment plan Meet with client in their homes and/or community. When an in-person session is not possible, meet with client on the phone or via telehealth as appropriate. Identify clinical and non-clinical resources to address clients' gaps in care. Organize clients' care activities and collaborate with other members of the team regarding the care plan Ensure that client has an assigned PCP and accesses care consistently Ensure integrated care among all service providers by following up with primary care physical and developmental health, mental health, SUD treatment, Oral health, and necessary community-based and social services, including housing as needed. Provide appointment reminders to clients, coordinate transportation, accompany critical appointments, and identify and address barriers to engagement in treatment. Support members in developing skills to identify and access resources to assist in managing their conditions Support clients in transitional care services from one setting or level of care to another, including discharges from hospitals, institutions, and other acute care facilities to home or community-based settings. Engages with the family members to the appropriate extent to assess for services and involve in treatment. Documentation Facilitate intake paperwork. Complete initial assessment and bi-annual reassessment. Complete Client Care Plan and revise as necessary. Maintain proper records on case management and/or other activities as instructed utilizing the appropriate Electronic Health Record (EHR). Enter case notes within 24 hours of service. Other Work collaboratively with other provides to ensure appropriate levels of treatment/support. Communicate clients' needs and preferences in a timely manner to the clients' multi-disciplinary care team. RESPONSIBILITIES COMMON TO ALL AGENCY EMPLOYEES Always maintain a safe work environment and confidentiality Be proactive, creative, and flexible in determining, evaluating, researching, and resolving issues Organize and prioritize multiple activities to meet all external and internal deadlines Maintain professional demeanor that reflects positively on the agency Demonstrate respect and courtesy toward others Able to thrive in a work environment emphasizing teamwork and collaboration Respond in a timely manner in all aspects of communication Work with minimum supervision Perform other duties as assigned QUALIFICATIONS Fluent in Spanish required. 2 years of experience working with the unhoused population preferred. 1-2 years of experience working with the unhoused and / or low and mixed- income populations in addition to experience in child welfare, family work, and substance abuse preferred. Have an understanding of low-income and unhoused individuals and their specific needs preferred. Knowledge of crisis prevention, intervention, goal setting. Proficient skills in Microsoft Office, including Microsoft Word and Excel. Excellent customer service, communication and problem-solving skills. High quality organizational skills. The ability to work well under deadlines and to multitask. The ability to build relationships and coalitions with the community. The ability to build partnerships and good relationships with providers and clients. Excellent verbal and written communication skills. Excellent critical thinking and problem-solving skills. All other duties as assigned. WORK ENVIRONMENT Field and indoor office environment Will necessitate working in busy and loud environments Will be exposed to elements like cold, heat, dust, noise and odor May need to bend, stop, twist, and sit throughout the day Regularly required to walk or drive to different local sites throughout the day Regularly required to sit, stand, bend and occasionally lift or carry up to 35 pounds Will necessitate working in busy and loud environments Will be exposed to elements like cold, heat, dust, noise and odor Job Type: Full-time Schedule: 8-10 hour shift required. Monday thru Saturday. Application Question(s): Knowledge of crisis prevention, intervention, resolution techniques preferred. Experience: working with the unhoused population: 2 years (Preferred) working with low and mixed-income populations: 2 years (Preferred) and in child welfare, family work, and substance abuse: 1 year (preferred) Lived experience (History of challenges with social determinants of health: housing insecurity, food insecurity, etc.) License/Certification: Driver's License (Required) Reliable Transportation (Required) Salary Description $23.00 - $27.00 per hour

At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care 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. Your Responsibilities 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 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. Please DO NOT contact employer regarding your application status, thank you! AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) - our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. 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 Supportive team environment

At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care 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. Your Responsibilities 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 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. Please DO NOT contact employer regarding your application status, thank you! AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) - our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. 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 Supportive team environment

At Pacific Health Group, we're more than just a healthcare organization-we're a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual's needs. As a Lead Case Manager, you won't just create care plans-you'll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Why This Role Matters - Holistic Impact and Compassionate Care 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. Your Responsibilities 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 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. Please DO NOT contact employer regarding your application status, thank you! AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) - our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. 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 Supportive team environment

The Enhanced Care Management (ECM) benefit is a statewide benefit established by the Department of Health Care Services (DHCS) to provide a whole-person approach to care that addresses the clinical and non-clinical circumstances of high-need Medi-Cal beneficiaries enrolled in Medi-Cal managed care. ECM is a collaborative and interdisciplinary approach to providing intensive and comprehensive care management services to populations of focus. The overall goal of the ECM benefit is to provide comprehensive care and achieve better health outcomes for the highest need beneficiaries in Medi-Cal. The Lead Care Manager is a member's designated care manager for Enhanced Care Management (ECM). The Lead Care Manager operates as part of the member's multi-disciplinary care team and is responsible for coordinating all aspects of ECM and coordination with a Community Supports provider, as applicable. To the extent a member has other care managers, the Lead Care Manager is considered to be the primary care manager for the member and will be responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the member and non-duplication of services. ECM providers must have protocols in place outlining how clinical supervision is provided to non-licensed (i.e., paraprofessional) staff members by the Lead Care Manager to ensure continued guidance, training, and clinical support to appropriately oversee the non-licensed (i.e., paraprofessional) staff members activities aligning to the ECM member's care plan and care coordination needs. The Lead Care Manager is a professional (e.g., licensed mental health or behavioral health professional/clinician, social worker, or nurse) or paraprofessional (with appropriate training and oversight) Schedule: * Monday-Friday, 8:00 AM to 5:00 PM Primary Duties and Responsibilities * Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the member and non-duplication of services. * Engage eligible members. * Oversee provision of ECM services and implementation of the care plan. * Offer services where the member lives, seeks care, or finds most easily accessible and within Health Net guidelines. * Connect member to other social services and supports the member may need, including transportation. * Advocate on behalf of members with health care professionals. * Use motivational interviewing, trauma- informed care, and harm-reduction approaches. * Coordinate with hospital staff on discharge plan. * Accompany member to office visits, as needed. * Monitor treatment adherence (including medication). * Provide health promotion and self- management training. * Supervision of Community Health Worker and other staff or personnel providing direct patient care and assumes responsibility for daily clinic management. * Other duties as designated by the ECM Director.