Community Support Lead Care Manager - Santa Clara County
Pacific Health Group, California, MO, United States
About Pacific Health Group
At Pacific Health Group, we are at the forefront of revolutionizing health and wellness 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 helps Medi-Cal members live more independently by addressing health-related social needs. In this role, you won’t just create care plans—you’ll guide members through every step of their journey, ensuring they receive the support and services needed to thrive.
Minimum Qualifications
Experience: 3–5 years in case management, social services, or healthcare
Experience with: Medi-Cal, CalAIM, and Community Supports programs (preferred)
Strong understanding of healthcare systems, managed care, and community resources
Excellent communication, empathy, and cultural competence
Strong organizational and time management skills
Must be proficient in technology, including case management systems, EHR platforms, and documentation tools
Ability to document in real-time and manage member data accurately
Comfortable navigating multiple systems and communication platforms
What This Role Looks Like (Day-to-Day Reality)
This is a highly field-based role supporting members directly in the community.
Manage a caseload of members with complex health and social needs
Spend approximately 65% of your time in the field (homes, shelters, community settings)
Conduct in-person visits, assessments, and follow-ups
Travel locally within Santa Clara County
Coordinate services across healthcare, behavioral health, and community resources
Participate in community outreach efforts including events, partnerships, and local engagement
Provide mentorship and support to other care managers
Document in real-time or by end of day using internal systems
This role requires independence, strong time management, leadership capability, and comfort working in fast-paced, community-based environments
What You’ll Do
Care Coordination & Case Management
Conduct comprehensive member assessments to identify health and social needs
Develop and manage individualized care plans
Coordinate appointments, services, and long-term support systems
Ensure continuity of care and consistent follow-through
Member Engagement & Advocacy
Build strong, trusting relationships with members and their families
Provide ongoing support through phone, video, and in-person visits
Advocate for timely care, services, and equitable access to resources
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 service providers
Identify opportunities to expand community presence and improve access to services
Support outreach efforts that drive member engagement and program awareness
Community Resource Navigation
Connect members to housing, food access, workforce programs, childcare, and other services
Strengthen partnerships with community-based organizations
Identify gaps in resources and elevate needs for program improvement
Leadership & Team Support
Provide guidance, mentorship, and support to care managers within the program
Assist with onboarding and training of new team members
Promote consistency, collaboration, and best practices across the team
Documentation & Compliance
Maintain accurate and timely documentation of all member interactions
Ensure compliance with Medi-Cal, CalAIM, and Community Supports program requirements
Track progress, outcomes, and service delivery
Team Collaboration
Partner with interdisciplinary teams including behavioral health, outreach, and social services
Coordinate with healthcare providers and payers to ensure seamless care delivery
Continuous Improvement
Identify trends and gaps in services
Provide feedback to leadership to improve care coordination strategies and partnerships
How Success Is Measured
Member engagement and successful care coordination outcomes
Timely and accurate documentation
Ability to manage caseload independently and effectively
Quality of mentorship and team support provided
Strength of community partnerships and outreach engagement
Compliance with program and regulatory requirements
Who Thrives in This Role
Is comfortable working independently in the field
Can manage complex caseloads and competing priorities
Is a strong leader and team collaborator
Is proactive, resourceful, and solution-oriented
Thrives in fast-paced, community-based environments
Enjoys engaging with the community and building relationships
Is passionate about supporting high-acuity, underserved populations
Growth Opportunities
Pathways into Program Management, Quality, and Leadership roles
Opportunities to support program development and expansion
Exposure to CalAIM and community-based healthcare innovation
Schedule
Monday – Friday | 8:30 AM – 5:00 PM
Compensation
$30.00 – $35.00 per 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
Location
Santa Clara
San Jose
Milpitas
Gilroy
Sunnyvale
Cupertino
Work Requirements
Ability to travel locally within Santa Clara County
Valid California Driver’s License and reliable transportation
Ability to work in a hybrid, field-based environment
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.
#J-18808-Ljbffr
At Pacific Health Group, we are at the forefront of revolutionizing health and wellness 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 helps Medi-Cal members live more independently by addressing health-related social needs. In this role, you won’t just create care plans—you’ll guide members through every step of their journey, ensuring they receive the support and services needed to thrive.
Minimum Qualifications
Experience: 3–5 years in case management, social services, or healthcare
Experience with: Medi-Cal, CalAIM, and Community Supports programs (preferred)
Strong understanding of healthcare systems, managed care, and community resources
Excellent communication, empathy, and cultural competence
Strong organizational and time management skills
Must be proficient in technology, including case management systems, EHR platforms, and documentation tools
Ability to document in real-time and manage member data accurately
Comfortable navigating multiple systems and communication platforms
What This Role Looks Like (Day-to-Day Reality)
This is a highly field-based role supporting members directly in the community.
Manage a caseload of members with complex health and social needs
Spend approximately 65% of your time in the field (homes, shelters, community settings)
Conduct in-person visits, assessments, and follow-ups
Travel locally within Santa Clara County
Coordinate services across healthcare, behavioral health, and community resources
Participate in community outreach efforts including events, partnerships, and local engagement
Provide mentorship and support to other care managers
Document in real-time or by end of day using internal systems
This role requires independence, strong time management, leadership capability, and comfort working in fast-paced, community-based environments
What You’ll Do
Care Coordination & Case Management
Conduct comprehensive member assessments to identify health and social needs
Develop and manage individualized care plans
Coordinate appointments, services, and long-term support systems
Ensure continuity of care and consistent follow-through
Member Engagement & Advocacy
Build strong, trusting relationships with members and their families
Provide ongoing support through phone, video, and in-person visits
Advocate for timely care, services, and equitable access to resources
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 service providers
Identify opportunities to expand community presence and improve access to services
Support outreach efforts that drive member engagement and program awareness
Community Resource Navigation
Connect members to housing, food access, workforce programs, childcare, and other services
Strengthen partnerships with community-based organizations
Identify gaps in resources and elevate needs for program improvement
Leadership & Team Support
Provide guidance, mentorship, and support to care managers within the program
Assist with onboarding and training of new team members
Promote consistency, collaboration, and best practices across the team
Documentation & Compliance
Maintain accurate and timely documentation of all member interactions
Ensure compliance with Medi-Cal, CalAIM, and Community Supports program requirements
Track progress, outcomes, and service delivery
Team Collaboration
Partner with interdisciplinary teams including behavioral health, outreach, and social services
Coordinate with healthcare providers and payers to ensure seamless care delivery
Continuous Improvement
Identify trends and gaps in services
Provide feedback to leadership to improve care coordination strategies and partnerships
How Success Is Measured
Member engagement and successful care coordination outcomes
Timely and accurate documentation
Ability to manage caseload independently and effectively
Quality of mentorship and team support provided
Strength of community partnerships and outreach engagement
Compliance with program and regulatory requirements
Who Thrives in This Role
Is comfortable working independently in the field
Can manage complex caseloads and competing priorities
Is a strong leader and team collaborator
Is proactive, resourceful, and solution-oriented
Thrives in fast-paced, community-based environments
Enjoys engaging with the community and building relationships
Is passionate about supporting high-acuity, underserved populations
Growth Opportunities
Pathways into Program Management, Quality, and Leadership roles
Opportunities to support program development and expansion
Exposure to CalAIM and community-based healthcare innovation
Schedule
Monday – Friday | 8:30 AM – 5:00 PM
Compensation
$30.00 – $35.00 per 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
Location
Santa Clara
San Jose
Milpitas
Gilroy
Sunnyvale
Cupertino
Work Requirements
Ability to travel locally within Santa Clara County
Valid California Driver’s License and reliable transportation
Ability to work in a hybrid, field-based environment
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.
#J-18808-Ljbffr