Care Coordinator

• 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

Enhanced Care Management Lead Care Coordinator

• Monitor the Right Fax server, EDI Interface, and medical management system intake to ensure face sheets are processed timely
• Ensure hard-copy and electronic face sheets are complete and accurate with current Member demographic information
• Review daily census reports to eliminate duplicates and other unnecessary admissions
• Cover Cisco ACD Queue telephone lines and phone queues
• Check eligibility and assign authorizations to the appropriate ITC nurse using the Far tool
• Attach reviews and orders into the medical management system for ITC nurse review
• Review and approve service requests within the ITC Coordinator scope under the Utilization Management Guide
• Obtain Member discharge dates from facilities via calls, electronic medical records, or memo submissions
• Meet productivity, accuracy, and timely-processing standards for inpatient authorizations, service requests, and discharges
• Assist referral processes by requesting additional medical information from providers by phone, fax, or email
• Set up hospital follow-up appointments and provide information to Members; document calls in the medical management system
• Ensure Members receive ordered Home Health and Durable Medical Equipment items, documenting calls
• Process and coordinate disenrollment and transportation as needed
• Answer Utilization Management Department calls professionally on behalf of the Inland Empire Health Plan
• Communicate with providers and facilities regarding authorizations, orders, and clinical reviews in consultation with the ITC Nurse
• Assist the ITC Nurse with care management coordination for Members with identified care management conditions
• Collaborate on Member care issues and consult with ITC Nurses or ITC management to ensure appropriate treatment plans are followed
• Assist with identifying HEDIS gaps and conducting Member outreach
• Ensure documentation complies with regulatory requirements and accreditation standards
• Support Management or the Inpatient Clinical Team as requested
• Attend scheduled meetings
• Promote a positive and collaborative working environment within the CM Team

Coordinator – Integrated Transitional Care

• Deliver compassionate, personalized service to support each member’s unique therapy journey
• Help members understand their options, navigate barriers, and advocate for necessary care adjustments and services
• Manage new and ongoing therapy cases, ensuring accurate documentation and coordination with providers, pharmacies, and internal teams
• Monitor therapy progress and prioritize member needs while handling inbound/outbound communication and casework
• Resolve inquiries quickly and accurately using critical thinking to address complex issues
• Anticipate challenges and adapt to changing member needs
• Maintain clear, proactive communication with members, providers, and internal teams
• Foster strong relationships and ensure satisfaction through professional, empathetic interactions

Care Concierge Coordinator

• Deliver compassionate, personalized service supporting each member’s therapy journey
• Help members understand options, navigate barriers, and advocate for necessary care adjustments and services
• Manage new and ongoing therapy cases
• Maintain accurate documentation and coordinate with providers, pharmacies, and internal teams
• Monitor therapy progress and prioritize member needs
• Handle inbound and outbound communication and casework
• Resolve inquiries quickly and accurately using critical thinking
• Anticipate challenges and adapt to changing member needs
• Maintain clear, proactive communication with members, providers, and internal teams
• Foster strong relationships and ensure satisfaction through professional, empathetic interactions

• Perform assessments and screenings to determine and provide appropriate interventions and referrals
• Act as a triage and starting point of contact with members, providers, and medical groups for administration of benefits/programs and troubleshooting access issues
• Use motivational interviewing techniques to understand and address member goals and concerns
• Coordinate care and services using member benefits and community resources
• Address and resolve access-to-care issues to support better health outcomes and a positive member experience
• Complete timely and accurate documentation, including assessments, care plans, service plans, and case notes, across multiple computer systems
• Coordinate care and services with county offices and governmental agencies as needed
• Demonstrate critical thinking to resolve issues with members, providers, and vendors
• Exhibit professionalism and empathy in interactions with members and provider partners
• Follow department procedures, workflows, job aids, and training materials
• Refer complex issues to higher-level staff while handling basic issues under direct supervision
• Support SCAN’s Vision and Goals and perform other duties as assigned

Care Coordinator – Health Plan

• Assess and screen members to determine and provide appropriate interventions and referrals
• Serve as a triage and starting point of contact with members, providers, and medical groups for administration of benefits/programs and troubleshooting access issues
• Use motivational interviewing to understand and address member goals and concerns
• Coordinate care and services using member benefits and community resources
• Address and resolve access-to-care issues to support health outcomes and member experience
• Complete timely and accurate assessments, care plans, service plans, and case notes in multiple computer systems
• Submit documentation within established timeframes and follow department procedures and training materials
• Apply critical thinking to resolve issues with members, providers, and vendors
• Coordinate with county offices and governmental agencies as needed
• Exhibit professionalism and empathy in member and provider interactions
• Perform work under direct supervision, handling basic issues and referring complex issues to higher-level staff
• Support SCAN’s Vision and Goals
• Perform other duties as assigned

• Provide compassionate, personalized member advocacy throughout each member’s therapy journey
• Help members understand options, navigate barriers, and advocate for necessary care adjustments and services
• Manage new and ongoing therapy cases with accurate documentation
• Coordinate with providers, pharmacies, and internal teams
• Monitor therapy progress and prioritize member needs
• Handle inbound and outbound communications and casework
• Resolve inquiries quickly and accurately using critical thinking
• Anticipate challenges and adapt to changing member needs
• Maintain clear, proactive communication with members, providers, and internal teams
• Foster strong relationships and ensure member satisfaction through professional, empathetic interactions

• Provide day-to-day support and guidance to fellow Lead Care Managers
• Serve as a resource for staff questions, workflows, and ECM best practices
• Monitor team productivity, documentation completion, and operational consistency
• Identify and escalate concerns, risks, workflow gaps, and trends to management
• Support coverage needs, including member follow-up when assigned LCMs are unavailable
• Collaborate with leadership to maintain accountability, performance standards, and quality of care
• Support onboarding and ongoing development of LCMs
• Provide shadowing, coaching, guidance, and operational support to staff
• Demonstrate best practices for member engagement, documentation, outreach, and care coordination
• Provide direct member support and care coordination based on operational and coverage needs
• Coordinate medical, behavioral health, and community-based services
• Assist with transitions of care, hospital discharges, referrals, and follow-up coordination
• Build supportive relationships with members through person-centered engagement
• Participate in community-based outreach across multiple counties
• Assist with identifying, engaging, and enrolling eligible members into ECM, Community Supports, and Behavioral Health programs
• Support community partnership development and outreach efforts
• Maintain timely, accurate, and compliant documentation under Medi-Cal, CalAIM, and ECM requirements
• Support quality improvement and internal auditing processes
• Ensure care coordination activities are documented in company systems

Lead Care Coordinator

• Deliver compassionate, personalized service to support each member’s unique therapy journey
• Help members understand their options, navigate barriers, and advocate for necessary care adjustments and services
• Manage new and ongoing therapy cases
• Ensure accurate documentation and coordination with providers, pharmacies, and internal teams
• Monitor therapy progress and prioritize member needs
• Handle inbound and outbound communication and casework
• Resolve inquiries quickly and accurately using critical thinking to address complex issues
• Anticipate challenges and adapt to changing member needs
• Maintain clear, proactive communication with members, providers, and internal teams
• Foster strong relationships and ensure satisfaction through professional, empathetic interactions

• Manage a caseload of approximately 60–70 members
• Conduct 3–5 in-person visits per day in homes, shelters, and community settings
• Spend 60–70% of time in the field
• Travel locally within the hiring county; mileage reimbursed
• 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 at 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 resource gaps and escalate when needed
• Complete timely and accurate documentation
• Maintain compliance with Medi-Cal, CalAIM, and ECM program requirements
• Partner with internal teams, providers, and community stakeholders
• Participate in case conferences and care coordination meetings

Care Coordinator jobs in California

Enhanced Care Management Lead Care Coordinator

Coordinator – Integrated Transitional Care

Care Concierge Coordinator

Care Concierge Coordinator

Care Coordinator – Health Plan

Care Coordinator – Health Plan

Care Concierge Coordinator

Lead Care Coordinator

Care Concierge Coordinator

Enhanced Care Management Lead – Care Coordinator