Enhanced Care Management Lead Care Coordinator

Pacific Health Group

. Manage a caseload of approximately 60–70 members .

Posted 10/2/2026full-timeNorthern • California • United StatesSenior💰 $60,320 - $66,560 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management and care coordination, with a strong focus on Medi-Cal, CalAIM, and Enhanced Care Management. Proficient in documentation systems and technology, ensuring compliance and effective communication across healthcare and community services.

Highest-signal resume keywords

Case ManagementMedi-Cal ExperienceCare CoordinationDocumentation Systems ProficiencyCommunity Outreach

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Individualized Care PlansData EntryReport PreparationElectronic File ManagementTime Management

Soft Skills

Excellent CommunicationOrganizational SkillsRelationship BuildingAdvocacy

Tools & Technologies

Case Management PlatformsDocumentation SystemsInternal Tracking Systems

Certifications & Qualifications

Valid California Driver’s License

Industry Keywords

Healthcare SystemsBehavioral HealthCommunity ServicesCalAIMEnhanced Care Management

About the role

Key responsibilities & impact

Manage a caseload of approximately 60–70 members
Coordinate care across medical, behavioral health, and community services
Document in real time or by end of day using internal systems
Develop and manage individualized care plans
Coordinate appointments, services, and follow-ups across providers
Support transitions of care, including hospital discharges and referrals
Build trust through consistent, in-person engagement
Advocate for timely access to care, services, and resources
Support members navigating housing, food access, transportation, and behavioral health needs
Represent Pacific Health Group through community outreach events, partnerships, and local initiatives
Build and maintain relationships with community-based organizations, shelters, and local resource partners
Identify opportunities to expand community presence and improve member access to services
Connect members to local programs and services
Identify gaps in resources and escalate when needed
Complete timely and accurate documentation
Maintain compliance with Medi-Cal, CalAIM, and ECM program requirements
Provide administrative support across Pacific Health Group
Support coordination between departments and business units and assist department managers with ongoing tasks and cross-functional priorities
Represent Pacific Health Group and its affiliates professionally with staff, visitors, vendors, partners, and community stakeholders
Perform accurate data entry and maintain company databases, tracking systems, and internal platforms
Organize and manage electronic files securely and according to company standards
Prepare reports, spreadsheets, and presentations
Partner with internal teams, providers, and community stakeholders
Participate in case conferences and care coordination meetings

Requirements

What you’ll need

Must reside within California
Willing and able to travel as needed for field visits, community outreach, trainings, meetings, or other business-related activities
Willing and able to provide coverage across multiple counties and service areas as needed
3–5 years in case management, social services, or healthcare (preferred)
Experience with Medi-Cal, CalAIM, or Enhanced Care Management (preferred)
Working experience of healthcare systems and community resources is a plus
Excellent communication, organization, and time management skills
Proficiency with documentation systems and technology
Ability to effectively communicate both written and verbally
Valid California Driver’s License and active auto insurance meeting CA requirements
Successful completion of background check, including MVR
Must successfully complete a Testlify skills assessment
Must have a reliable working laptop for the first 21 days of employment until company-issued laptop is received
Must have effective time management skills
Internet speed of 300+ Mbps download and 25+ Mbps upload
Proficient in technology, including documentation systems, case management platforms, and communication tools
Employment contingent upon successful completion of the pre-employment process, background check, required documentation, and new hire paperwork

Benefits

Comp & perks

$29.00 – $32.00/hour (based on experience)
Monthly stipend + mileage reimbursement
PTO + paid sick time
11 paid holidays (including birthday + floating holiday)
4 paid volunteer hours per month
90% employer-paid employee-only medical benefits
FSA
Short-term & long-term disability, AD&D
Employee Assistance Program (EAP)
401(k) with company match
Quarterly in-person team events
Personal equipment stipend for a reliable working laptop during the first 21 days of employment