Community Support Lead Care Manager at Pacific Health Group | Remote
Pacific Health Group
Join Pacific Health Group (PHG) in our mission to transform health and wellness, pioneering healthcare services through innovation and compassionate, community-driven care. We are dedicated to empowering our members, supporting families, and enriching the communities we serve.As a Community Supports Lead Case Manager, you will play a vital role in our Community Supports (CS) Program, which assists Medi-Cal members in achieving greater independence within their communities by addressing their health-related social needs. You will not only design personalized care plans but also guide members through every stage of their journey, ensuring they access the necessary services to thrive while cultivating genuine, trusting relationships.Key Responsibilities1. Member OutreachConduct in-depth evaluations of members’ needs, preferences, and eligibility through engaging conversations and comprehensive data analysis.Create customized care plans tailored to individual health and social circumstances.2. Comprehensive Care CoordinationManage all facets of member care, including scheduling appointments, organizing follow-up services, and connecting members to essential community resources.Ensure members receive continuous, holistic support for sustained health and stability.3. Compassionate Case ManagementConduct sensitive assessments that reflect members’ life experiences and aspirations, extending beyond mere medical data.Maintain regular communication with members via phone, video, or in-person visits to track progress and resolve emerging challenges.4. Resource ManagementAct as a liaison between members and available community resources like housing programs, workforce development, childcare, and food assistance.5. Patient AdvocacyChampion timely treatments, fair insurance authorizations, and equitable access to healthcare services.6. Communication & CollaborationServe as the primary communication link among members, their families, healthcare providers, and community partners.7. DocumentationKeep precise, up-to-date records of assessments, care plans, progress notes, and outcomes, ensuring compliance with legal, ethical, and organizational standards.8. Continuous ImprovementGather and analyze feedback to pinpoint gaps in care coordination and advocate for new resources or partnerships.9. Regulatory ComplianceStay informed on Medi-Cal, CalAIM, and community support policies to ensure compliance with quality-of-care standards.10. Professional DevelopmentEngage in workshops, training, and certifications focused on cultural competence, trauma-informed care, and motivational interviewing.
Mar 1, 2026