Website Pacific Health Group
Enhanced Care Manager Lead Care Manager (Field-Based) – Santa Clara County
Location: Hybrid (Field-Based in Santa Clara County)
Schedule: Monday – Friday | 8:30 AM – 5:00 PM
Compensation: $29.00 – $32.00 per hour (based on experience) FLSA: Non-Exempt
About Pacific Health Group
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.
Minimum Qualifications
Residency: Must reside in Santa Clara County
Experience: 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
Requirements:
Valid California Driver’s License and active auto insurance meeting CA requirements
Reliable personal vehicle for daily work use
Successful completion of background check (including MVR)
Must be able to travel up to 60-70% within the county to conduct in person visits
Must successfully complete a Testlify skills assessment
Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issues laptop is received
Must have effective Time Management skills
Must have internet speed of – 300+ mbps download and 25+mbps upload
Must be proficient in technology, including documentation systems, case management platforms, and communication tools
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.
What This Role Looks Like (Day-to-Day Reality)
This is a high-impact, field-based role supporting members in the community.
Manage a caseload of approximately 60–70 members
Conduct 3–5 in-person visits per day (homes, shelters, community settings)
Spend 60–70% of your time in the field
Travel locally within Santa Clara County (mileage reimbursed)
Coordinate care across medical, behavioral health, and community services
Document in real-time or by end of day using internal systems
What You’ll Do
Care Coordination & Case Management
Develop and manage individualized care plans
Coordinate appointments, services, and follow-ups across providers
Support transitions of care (hospital discharge, referrals, etc.)
Member Engagement & Advocacy
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
Community Outreach & Engagement
Represent Pacific Health Group in the community through 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
Community Resource Navigation
Connect members to local programs and services
Build relationships with community-based organizations
Identify gaps in resources and escalate when needed
Documentation & Compliance
Complete timely and accurate documentation
Maintain compliance with Medi-Cal, CalAIM, and ECM program requirements
Team Collaboration
Partner with internal teams, providers, and community stakeholders
Participate in case conferences and care coordination meetings
How Success Is Measured
Consistent member engagement and visit completion
Timely and accurate documentation
Effective care coordination and follow-through
Ability to manage caseload independently
Positive collaboration with internal and external partners
Ability to effectively communicate with internal and external stakeholders
Who Thrives in This Role
This role is a strong fit for someone who:
Is comfortable working independently in the field
Can manage a high caseload independently with minimal supervision
Is resourceful, proactive, and solution-oriented
Thrives in fast-paced, community-based environments
Is passionate about supporting underserved populations
Cares about their community and its people
Independently navigate new software and company issued equipment
Compensation & Benefits
$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
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 our pre-employment process, which includes a background check and the submission of all required documentation and new hire paperwork.
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.
To apply for this job please visit apply.workable.com.