Enhanced Care Management (ECM) Lead Care Manager - Lassen County
12 days ago
Westwood
Job Description 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., • 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., • Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs., • By sharing feedback on what members truly need, you’ll help refine the processes and resources we use to serve diverse populations., • Regular Face-to-Face Assessments: Conduct multiple on-site visits each month in members’ homes, shelters, or community centers., • Personal Connection: Use these visits to establish trust, gather first-hand insights, and address concerns right away., • End-to-End Service Arrangement: 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., • Empathetic Assessments: Look beyond forms and checkboxes to truly understand members’ backgrounds, personal challenges, and aspirations., • Continuous Support: Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers., • Bridge to Community Services: Identify, coordinate, and optimize local resources—such as housing assistance, job training programs, or childcare services—to ensure members’ overall wellbeing., • Champion for Members’ Rights: Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress., • Central Point of Contact: Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through., • Detailed Reporting: Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage., • Feedback and Adaptation: Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate., • Stay Current: Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards., • Ongoing Learning: Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention., • Collaborative Mindset: Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes. Skills That Set You Apart • Genuine Empathy & Compassion, • Needs Assessment & Care Planning, • Service Coordination & Navigation, • Client Advocacy, • Motivational Interviewing, • Problem-Solving & Decision-Making, • Teamwork & Collaboration Job Type: Full-time Pay: $25.00 - $29.00 per hour Expected hours: 40 per week • 8-Hour Shift Requirements • Must be willing to travel to Lassen County, • Experience: 3-5 years in case management, social services, or healthcare, • Expertise: Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management, • Healthcare Insight: Understanding of healthcare systems and local community resources, • Interpersonal Skills: Strong communication, empathy, and cultural competence, • Organizational Ability: Proven time management skills and attention to detail, • Technical Proficiency: Competence using case management software and related tools, • Successful completion of a pre-screen assessment required Time Off & Leave • 160 Hours of Paid Time Off (PTO), • 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment, • 4 Paid Volunteer Hours per Month to support causes you care about, • 90% Employer-paid Employee-Only Medical Benefits, • Flexible Spending Account (FSA), • Short-Term & Long-Term Disability | AD&D, • 401(k) with Company Match, • Monthly Stipend, • Employee Discounts via Great Work Perks and Perks at Work, • Quarterly In-Person Events Equal Opportunity Employer Pacific Health Group is an Equal Opportunity Employer. We are committed to creating an inclusive and equitable workplace where all individuals are treated with dignity and respect. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or gender expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking. We value diversity in all forms and encourage individuals from historically underrepresented communities to apply. Job Application & Offer Disclaimer Pacific Health Group is committed to maintaining a transparent, lawful, and secure hiring process in compliance with California labor laws and employment standards. No candidate will be offered employment without meeting the required qualifications and skillset for the position and successfully completing all steps of our recruitment process, which include: • Submission of a completed internal application via our HRIS system, • A formal pre-screen with our recruiting team, • Completion of a skills assessment (if applicable to the position), • Participation in a final interview with hiring leadership, • Receipt of a formal verbal offer from our authorized hiring team 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.