Pacific Health Group
Enhanced Care Management (ECM) Lead Care Manager - Santa Cruz County
Pacific Health Group, Santa Cruz, California, us, 95061
Enhanced Care Management (ECM) Lead Care Manager - Santa Cruz County
5 days ago Be among the first 25 applicants
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.
Base pay range $27.00/yr - $30.00/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 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.
Responsibilities
Coordinate clinical visits and respond to real‑life challenges such as housing, food insecurity, and mental health.
Arrange all necessary services—medical appointments, transportation, safe housing, financial support—while ensuring no detail is overlooked.
Conduct frequent in‑person visits (multiple on‑site visits each month in members' homes, shelters, or community centers) to establish trust and gather first‑hand insights.
Use visits to provide tangible solutions (e.g., arrange durable medical equipment, home health visits, meal delivery).
Perform empathetic assessments, look beyond forms, and provide continuous support via phone, video, and in‑person visits.
Identify, coordinate, and optimize local resources such as housing assistance, job training, or childcare services.
Champion members' rights by pushing for timely treatments, insurance authorizations, and fair access while managing appeals processes.
Serve as the central point of contact to keep members, families, healthcare teams, and community organizations aligned.
Maintain meticulous records of assessments, care plans, and progress notes.
Use data and observations to refine care strategies and advocate for new partnerships or program changes.
Stay current with Medi‑Cal, CalAIM, and other regulations, ensuring all practices meet legal and quality‑of‑care standards.
Participate in ongoing learning—trainings, workshops, webinars—in areas such as cultural competence, motivational interviewing, and crisis intervention.
Support the team by taking on additional tasks and sharing best practices.
Qualifications
Willingness to travel to Santa Cruz County.
3–5 years of experience in case management, social services, or healthcare.
Familiarity with Medi‑Cal, CalAIM, and Enhanced Care Management.
Understanding of healthcare systems and local community resources.
Strong communication, empathy, and cultural competence.
Proven time‑management skills and attention to detail.
Competence using case management software and related tools.
Successful completion of a pre‑screen assessment.
Valid California driver’s license (Class C or higher), own vehicle, liability insurance, and clearance of an MVR background check.
Benefits
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.
Bereavement Leave, including Fur Baby Bereavement.
90% Employer‑paid Employee‑Only Medical Benefits.
Flexible Spending Account (FSA).
Short‑Term & Long‑Term Disability | AD&D.
Employee Assistance Program (EAP).
401(k) with Company Match.
Monthly Stipend.
Opportunities for professional development and internal growth.
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.
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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.
Base pay range $27.00/yr - $30.00/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 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.
Responsibilities
Coordinate clinical visits and respond to real‑life challenges such as housing, food insecurity, and mental health.
Arrange all necessary services—medical appointments, transportation, safe housing, financial support—while ensuring no detail is overlooked.
Conduct frequent in‑person visits (multiple on‑site visits each month in members' homes, shelters, or community centers) to establish trust and gather first‑hand insights.
Use visits to provide tangible solutions (e.g., arrange durable medical equipment, home health visits, meal delivery).
Perform empathetic assessments, look beyond forms, and provide continuous support via phone, video, and in‑person visits.
Identify, coordinate, and optimize local resources such as housing assistance, job training, or childcare services.
Champion members' rights by pushing for timely treatments, insurance authorizations, and fair access while managing appeals processes.
Serve as the central point of contact to keep members, families, healthcare teams, and community organizations aligned.
Maintain meticulous records of assessments, care plans, and progress notes.
Use data and observations to refine care strategies and advocate for new partnerships or program changes.
Stay current with Medi‑Cal, CalAIM, and other regulations, ensuring all practices meet legal and quality‑of‑care standards.
Participate in ongoing learning—trainings, workshops, webinars—in areas such as cultural competence, motivational interviewing, and crisis intervention.
Support the team by taking on additional tasks and sharing best practices.
Qualifications
Willingness to travel to Santa Cruz County.
3–5 years of experience in case management, social services, or healthcare.
Familiarity with Medi‑Cal, CalAIM, and Enhanced Care Management.
Understanding of healthcare systems and local community resources.
Strong communication, empathy, and cultural competence.
Proven time‑management skills and attention to detail.
Competence using case management software and related tools.
Successful completion of a pre‑screen assessment.
Valid California driver’s license (Class C or higher), own vehicle, liability insurance, and clearance of an MVR background check.
Benefits
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.
Bereavement Leave, including Fur Baby Bereavement.
90% Employer‑paid Employee‑Only Medical Benefits.
Flexible Spending Account (FSA).
Short‑Term & Long‑Term Disability | AD&D.
Employee Assistance Program (EAP).
401(k) with Company Match.
Monthly Stipend.
Opportunities for professional development and internal growth.
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.
#J-18808-Ljbffr