ECM - Lead Care Manager - San Benito at Pacific Health Group

United States

$50k - $58k

<h4>Job Details</h4><strong>Job Location</strong>: Hybrid, CA 95206-1234<strong>Position Type</strong>: Full Time<strong>Salary Range</strong>: $25.00 - $29.00 Hourly<strong>Job Shift</strong>: Day<h2>Job description</h2> <p><strong>ECM Lead Care Manager - Santa Clara AM Shift at Pacific Health Group</strong></p> <p><strong>Join Our Mission to Transform Lives: Enhanced Care Management</strong></p> <p>At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities. Our <strong>Enhanced Care Management (ECM) programs</strong> focus on addressing social determinants of health and providing community-based services that truly meet each individual’s needs. As a <strong>Lead Case Manager</strong>, 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.</p> <p><strong>Why This Role Matters - Holistic Impact and Compassionate Care</strong></p> <ul> <li>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.</li> <li>By forming strong, personal connections through <strong>frequent in-person visits</strong>, you’ll become a pivotal support system—someone members can rely on for comfort, guidance, and advocacy.</li> </ul> <p><strong>Advocacy and Going the Extra Mile</strong></p> <ul> <li>Beyond paperwork and phone calls, you’ll arrange all necessary services—from setting up medical appointments and coordinating transportation to securing safe housing and financial support.</li> <li>You’ll be a consistent presence in members’ lives, making sure no detail goes overlooked and no obstacle remains unaddressed.</li> </ul> <p><strong>Shaping the Future of Care</strong></p> <ul> <li>Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs.</li> <li>By sharing feedback on what members truly need, you’ll help refine the processes and resources we use to serve diverse populations.</li> </ul> <p><strong>Your Responsibilities</strong></p> <ul> <li><strong>Frequent In-Person Visits to Members</strong></li> <li><strong>Regular Face-to-Face Assessments</strong>: Conduct multiple on-site visits each month in members’ homes, shelters, or community centers.</li> <li><strong>Personal Connection</strong>: Use these visits to establish trust, gather first-hand insights, and address concerns right away.</li> <li><strong>Example</strong>: While visiting a member recovering at home, you might discover that they lack mobility aids—prompting you to arrange for durable medical equipment and coordinate in-home physical therapy.</li> <li><strong>Comprehensive Care Coordination</strong></li> <li><strong>End-to-End Service Arrangement</strong>: Schedule doctor’s appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support.</li> <li><strong>Example</strong>: If a member is discharged from the hospital, you’ll set up home health visits, fill prescriptions, secure rides for follow-up appointments, and even arrange meal delivery if needed.</li> <li><strong>Case Management with a Heart</strong></li> <li><strong>Empathetic Assessments</strong>: Look beyond forms and checkboxes to truly understand members’ backgrounds, personal challenges, and aspirations.</li> <li><strong>Continuous Support</strong>: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers.</li> <li><strong>Example</strong>: If a member feels overwhelmed by multiple therapies, you could simplify their schedule, coordinate telehealth sessions, and even offer emotional support through regular check-ins.</li> <li><strong>Resource Management</strong></li> <li><strong>Bridge to Community Services</strong>: Identify, coordinate, and optimize local resources—such as housing assistance, job training programs, or childcare services—to ensure members’ overall wellbeing.</li> <li><strong>Example</strong>: A single parent needing childcare and employment support could be connected to subsidized daycare, workforce development courses, and a community mentor program—all organized by you.</li> <li><strong>Patient Advocacy</strong></li> <li><strong>Champion for Members’ Rights</strong>: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress.</li> <li><strong>Example</strong>: If a critical procedure is denied by insurance, you’ll take charge of the appeals process, gathering documents and evidence to secure approval.</li> <li><strong>Communication</strong></li> <li><strong>Central Point of Contact</strong>: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through.</li> <li><strong>Example</strong>: Coordinate a care conference among a primary care physician, social worker, and rehab specialist so everyone can align on the most effective plan for a member’s speedy recovery.</li> <li><strong>Documentation</strong></li> <li><strong>Detailed Reporting</strong>: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage.</li> <li><strong>Example</strong>: After each home visit, document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers.</li> <li><strong>Continuous Improvement</strong></li> <li><strong>Feedback and Adaptation</strong>: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate.</li> <li><strong>Example</strong>: If you notice a high number of members struggling with job access, you might advocate for creating a new partnership with a local job placement agency.</li> <li><strong>Regulatory Compliance</strong></li> <li><strong>Stay Current</strong>: Keep informed about <strong>Medi-Cal</strong>, <strong>CalAIM</strong>, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards.</li> <li><strong>Example</strong>: Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow.</li> <li><strong>Professional Development</strong></li> <li><strong>Ongoing Learning</strong>: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention.</li> <li><strong>Example</strong>: Enroll in a course on trauma-informed care to better support members who have experienced past hardships.</li> <li><strong>Other Duties</strong></li> <li><strong>Collaborative Mindset</strong>: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes.</li> </ul> <p><strong>Skills That Set You Apart</strong></p> <ul> <li><strong>Genuine Empathy &amp; Compassion</strong></li> <li><strong>Needs Assessment &amp; Care Planning</strong></li> <li><strong>Service Coordination &amp; Navigation</strong></li> <li><strong>Client Advocacy</strong></li> <li><strong>Motivational Interviewing</strong></li> <li><strong>Problem-Solving &amp; Decision-Making</strong></li> <li><strong>Teamwork &amp; Collaboration</strong></li> </ul> <p><strong>What We’re Looking For</strong></p> <ul> <li><strong>Residency</strong>: Must reside in <strong>Santa Clara County</strong></li> <li><strong>Experience</strong>: 3-5 years in case management, social services, or healthcare</li> <li><strong>Expertise</strong>: Familiarity with <strong>Medi-Cal</strong>, <strong>CalAIM</strong>, and <strong>Enhanced Care Management</strong></li> <li><strong>Healthcare Insight</strong>: Understanding of healthcare systems and local community resources</li> <li><strong>Interpersonal Skills</strong>: Strong communication, empathy, and cultural competence</li> <li><strong>Organizational Ability</strong>: Proven time management skills and attention to detail</li> <li><strong>Technical Proficiency</strong>: Competence using case management software and related tools</li> <li><em><strong>Successful completion of a pre-screen assessment required</strong></em></li> </ul> <p><strong>Why You’ll Love Working with Us</strong></p> <ul> <li><strong>Meaningful Impact</strong>: Every action you take—from scheduling a specialist appointment to arranging housing support—has the power to transform someone’s life.</li> <li><strong>Team Support</strong>: You’ll join a diverse, dedicated team that values collaboration, mentorship, and continuous learning.</li> <li><strong>Growth and Development</strong>: We encourage professional advancement through training, networking, and real-time feedback that fosters your growth as a care provider.</li> </ul> <p><strong>Comprehensive Benefits Package</strong></p> <ul> <li><strong>401(k)</strong></li> <li><strong>Dental Insurance</strong></li> <li><strong>Health Insurance</strong> (90% of Employee-Only benefits covered by the company)</li> <li><strong>Vision Insurance</strong></li> <li><strong>Short-term and Long-term Disability</strong> (Employer Paid), <strong>AD&amp;D</strong>, <strong>Employee Assistance Program (EAP)</strong></li> <li><strong>FSA</strong> | <strong>Dependent Care Account (DCA)</strong></li> <li><strong>Paid Time Off (PTO)</strong></li> <li><strong>12 Paid Holidays</strong> (including your birthday and one floating holiday after 1 year)</li> <li><strong>Paid Sick Time</strong></li> </ul> <p><strong>Schedule</strong></p> <ul> <li><strong>8-Hour Shift</strong></li> <li>Monday to Friday, <strong>8:30am - 5:00pm</strong></li> </ul> <p><strong>Join Us in Making a Difference</strong></p> <p>At Pacific Health Group, we believe in <strong>diversity</strong> and <strong>inclusion</strong> and are committed to <strong>equal opportunities for all</strong>. We strive to build a team that reflects the communities we serve. If you’re ready to <strong>arrange every detail of care</strong>, <strong>walk alongside members</strong> through their journey, and <strong>truly transform lives</strong>, <strong>apply today</strong> and become part of our mission to provide caring, comprehensive Enhanced Care Management for those who need it most.</p> <p>Job Type: Full-time</p><h4>Qualifications</h4><br/>