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Pacific Health Group

Enhanced Care Management (ECM) Lead Care Manager - San Diego County

Pacific Health Group, Poway, California, us, 92074

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Overview

Enhanced Care Management (ECM) Lead Care Manager - San Diego County. Base pay range: $25.00/yr - $29.00/yr. Location: Hybrid remote in San Diego County, CA - On the road. This role focuses on addressing social determinants of health and providing community-based services. As a Lead Case Manager, you'll guide members at every step, arranging all necessary services and building authentic, trusting relationships. Responsibilities

Frequent in-person visits to members in homes, shelters, or community centers to conduct assessments and establish trust Comprehensive care coordination: schedule medical appointments, organize follow-up care, link to social services, arrange transportation, and secure housing or financial support as needed Case management with a focus on empathy: assess backgrounds and challenges, maintain ongoing contact via phone, video, and in-person visits Resource management: identify and coordinate local resources (housing assistance, job training, childcare) to support overall wellbeing Patient advocacy: pursue timely treatments, insurance authorizations, and fair access to services; assist with appeals when necessary Communication: coordinate care conferences among primary care, social work, and rehabilitation teams to align on care plans Documentation: maintain detailed records of assessments, care plans, and progress notes Continuous improvement: use data and observations to refine care strategies and ECM program processes Regulatory compliance: stay current with Medi-Cal, CalAIM, and related regulations Qualifications

Residency: Must reside in San Diego 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: Time management and attention to detail Technical proficiency: Experience with case management software Pre-employment: Successful completion of a pre-screen assessment Driver requirements: Valid California Driver's License (Class C), a personal vehicle, current liability insurance; may require Motor Vehicle Report (MVR) background check Benefits

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 Employment details

Job Type: Full-time Hours: 40 per week, 8-hour shift, Monday to Friday, 8:30am–5:00pm PST Work location: Hybrid remote in San Diego County, CA Equal Opportunity Employer

Pacific Health Group is an Equal Opportunity Employer. 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, disability, medical condition, age, marital status, military or veteran status, genetic information, or status as a victim of domestic violence or assault. We value diversity in all forms and encourage individuals from historically underrepresented communities to apply.

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