Medi-Cal Case Manager (San Diego)

Medi-Cal Case Manager

Summary of Medi-Cal Advisor Group, Inc:

Medi-Cal Advisor Group helps seniors and their families navigate the complexities of Medi-Cal benefits, healthcare options, long-term care planning and senior transitions. Through compassionate, personalized guidance and collaborative partnerships, we empower clients to make informed decisions and access the resources they need to achieve the best possible quality of life.

Our Core Values:

• Compassionate Care : Meeting every client with empathy, understanding, and respect.
• Collaboration : Working closely with clients, families, and community partners to achieve the best outcomes.
• Individualized Support : Providing flexible, personalized solutions that reflect each client’s unique needs.
• Excellence : Serving with purpose, dedication, and a commitment to making a meaningful difference.

About the Role:

The Medi-Cal Case Manager will help seniors and their families navigate Medi-Cal eligibility, applications, and care transitions through personalized case management, care planning, and resource coordination. We’re passionate and take pride in making a meaningful difference in people’s lives and celebrating every success along the way!

About You:

We’re looking for a compassionate, organized, and knowledgeable professional who is passionate about helping seniors and their families navigate care transitions with confidence. The ideal candidate combines empathy, resourcefulness, and strong problem-solving skills to build trusted relationships and provide personalized support.

Key Responsibilities:

• Medi-Cal Eligibility and Applications : Screen clients for Medi-Cal eligibility, assist with application preparation and processing, and help individuals and families understand the Medi-Cal benefit.
• Medi-Cal Program Implementation: In-Home Support Services, Adult Day Care/PACE (Program for All-Inclusive Care for the Elderly), Assisted Living Wavier Program/Residential Services, Long-Term Care/Nursing Services.
• Coaching and Counseling : Provide guidance, education, and ongoing support to seniors and their families as they navigate care transitions and make informed decisions that promote quality of life.
• Senior Transition Planning : Conduct in-home case management evaluations, assess current and anticipated care needs, and coordinate referrals to appropriate supportive services and community resources.
• Short and Long-Term Care Planning : Develop individualized care plans addressing immediate needs, long-term goals, preventative planning, and potential changes in care requirements.
• Resource Coordination and Follow-Up : Maintain communication with clients, families, and service providers to facilitate access to resources, monitor changing needs, and support continuity of care.

Role Qualifications:

• Minimum of five years of experience in case management, disability and/or senior care, care coordination, social services or a related field.
• Knowledge of Medi-Cal eligibility, long-term care planning, and/or senior services strongly preferred.
• Bachelor’s degree is strongly preferred.
• Active RN or LVN license is plus.
• Strong communication, interpersonal, organizational and problem-solving skills.
• Ability to work compassionately and professionally with seniors, families, and community partners.
• Ability to assess individual needs, coordinate resources and manage multiple cases effectively.
• Valid driver’s license and reliable transportation required for in-home visits and local travel, as applicable.

Compensation for this role starts at $30 per hour and the final offer will be determined based on a variety of factors, including relevant experience, skills, education and qualifications. In addition to base compensation, this position offers an annual bonus opportunity.

MediCal Advisor Group is an Equal Opportunity Employer