Community Support Lead Care Coordinator

Responsibilities Manage a caseload of members with complex health and social needs Spend approximately 65% of your time in the field (homes, shelters, community settings) Conduct in-person visits, assessments, and follow-ups Travel locally within hiring county Coordinate services across healthcare, behavioral health, and community resources Participate in community outreach efforts including events, partnerships, and local engagement Provide mentorship and support to other care managers Document in real-time or by end of day using internal systems Conduct comprehensive member assessments to identify health and social needs Develop and manage individualized care plans Coordinate appointments, services, and long-term support systems Ensure continuity of care and consistent follow-through Build strong, trusting relationships with members and their families Provide ongoing support through phone, video, and in-person visits Advocate for timely care, services, and equitable access to resources Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives Build and maintain relationships with community-based organizations, shelters, and service providers Identify opportunities to expand community presence and improve access to services Support outreach efforts that drive member engagement and program awareness Connect members to housing, food access, workforce programs, childcare, and other services Strengthen partnerships with community-based organizations Identify gaps in resources and elevate needs for program improvement Provide guidance, mentorship, and support to care managers within the program Assist with onboarding and training of new team members Promote consistency, collaboration, and best practices across the team Maintain accurate and timely documentation of all member interactions Ensure compliance with Medi-Cal, CalAIM, and Community Supports program requirements Track progress, outcomes, and service delivery Partner with interdisciplinary teams including behavioral health, outreach, and social services Coordinate with healthcare providers and payers to ensure seamless care delivery Identify trends and gaps in services Provide feedback to leadership to improve care coordination strategies and partnerships Requirements Experience: 3–5 years in case management, social services, or healthcare Experience with Medi-Cal, CalAIM, and Community Supports programs (preferred) Strong understanding of healthcare systems, managed care, and community resources Excellent communication, empathy, and cultural competence Strong organizational and time management skills Proficiency in technology, including case management systems, EHR platforms, and documentation tools Ability to document in real-time and manage member data accurately Comfortable navigating multiple systems and communication platforms Must be able to travel locally within hiring county Valid California Driver's License and active auto insurance meeting CA requirements Reliable personal vehicle for daily work use Successful completion of background check (including MVR) Must be able to travel up to 60-70% within the county to conduct in-person visits Must successfully complete a Testlify skills assessment Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issued laptop is received Must have effective time management skills Must have internet speed of 300+ Mbps download and 25+ Mbps upload #J-18808-Ljbffr