Enhanced Care Management (ECM) Lead Care Manager - Santa Clara County
3 days ago
San Jose
Job DescriptionJoin Our Mission to Transform Lives: Enhanced Care Management 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., • 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., • 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: $29.00 - $32.00 per hour Schedule • 8-Hour Shift 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 a background check. Please DO NOT contact employer regarding your application status, thank you! 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. Requirements • Residency: Must reside in Santa Clara 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, • Competitive salary and benefits package, • 401(k), dental, vision, health, and life insurance, • Flexible schedule, paid time off, and employee assistance program, • Professional development opportunities, • Meaningful work impacting vulnerable community members, • Supportive team environment