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Pacific Health Group

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

Pacific Health Group, San Marcos, California, us, 92079

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Enhanced Care Management (ECM) Lead Care Manager - San Diego County This range is provided by Pacific Health Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Overview Base pay range: $25.00/yr - $29.00/yr

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\'ll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way.

Responsibilities

Frequent In-Person Visits to Members: Regular face-to-face assessments conducted on-site in members\' homes, shelters, or community centers. Use these visits to establish trust, gather first-hand insights, and address concerns right away.

Comprehensive Care Coordination: End-to-End service arrangement—schedule doctor\'s appointments, organize follow-up care, link members to social services, and ensure resources for a full continuum of support.

Case Management with a Heart: Conduct empathetic assessments to understand members\' backgrounds, challenges, and aspirations; provide continuous support via phone, video, and in-person visits.

Resource Management: Identify, coordinate, and optimize local resources (housing assistance, job training, childcare) to support members\' overall wellbeing.

Patient Advocacy: Champion members\' rights by securing timely treatments, insurance authorizations, and fair access to services; resolve roadblocks that hinder progress.

Communication: Maintain alignment among members, families, healthcare teams, and community organizations; coordinate care conferences to ensure effective plans.

Documentation: Maintain detailed records of assessments, care plans, and progress notes; ensure transparency and accountability at every stage.

Continuous Improvement: Use data and firsthand observations to refine care strategies and keep ECM programs effective and compassionate.

Regulatory Compliance: Stay current with Medi-Cal, CalAIM, and other regulations to ensure practices meet legal and quality-of-care standards.

Professional Development: Attend trainings and workshops to sharpen skills in cultural competence, motivational interviewing, and crisis intervention.

Other Duties: Maintain a collaborative mindset and support the team, taking on additional tasks as needed to strengthen outcomes.

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: Proven time management skills and attention to detail

Technical Proficiency: Competence using case management software and related tools

Pre-screen: Successful completion of a pre-screen assessment required

Driver: Possess a valid California Driver\'s License (Class C minimum) and maintain a personal, operable vehicle for daily business use; carry current liability insurance meeting California requirements; pass a Motor Vehicle Report (MVR) background check prior to employment

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

Job Details

Job Type: Full-time

Pay: $25.00 - $29.00 per hour

Expected hours: 40 per week

8-Hour Shift; Monday to Friday, 8:30am PST - 5:00pm PST

Work Location: Hybrid remote in San Diego County, CA - On the road

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.

Pre-Employment Requirements : Employment is contingent upon the successful completion of a background check.

AI & Human Interaction (HI) in Recruitment : Pacific Health Group uses AI tools to help match candidate resumes against job descriptions, with HI reviewing all resumes that meet criteria. We uphold an Equal Employment Opportunity (EEO) statement and ensure fair and consistent consideration for every candidate.

Other

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We also post related ECM roles in San Diego County and nearby areas

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