Enhanced Care Management (ECM) Lead Care Manager - Santa Clara County
Pacific Health Group, Palo Alto, CA, United States
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.
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.
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 with 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 a laptop.
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.
What This Role Looks Like (Day‑to‑Day Reality)
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 elevate 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 navigates new software and company‑issued equipment.
Benefits
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 Opportunity Employer
Pacific Health Group is an Equal Opportunity Employer committed to building a diverse and inclusive workforce. We provide equal employment opportunities to all qualified applicants regardless of protected status and are dedicated to providing reasonable accommodations where needed.
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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.
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.
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 with 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 a laptop.
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.
What This Role Looks Like (Day‑to‑Day Reality)
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 elevate 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 navigates new software and company‑issued equipment.
Benefits
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 Opportunity Employer
Pacific Health Group is an Equal Opportunity Employer committed to building a diverse and inclusive workforce. We provide equal employment opportunities to all qualified applicants regardless of protected status and are dedicated to providing reasonable accommodations where needed.
#J-18808-Ljbffr