Virtual Caregivers

At Pacific Health Group (PHG), we are at the forefront of revolutionizing health and wellness, setting new benchmarks in healthcare services through innovation, compassion, and community‑driven care. Our mission is to empower members, uplift families, and positively impact the communities we serve.

Our Community Supports (CS) Program is designed to help Medi‑Cal members live more independently in the community by addressing their health‑related social needs. As a Community Supports 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.

Comprehensive Care Coordination

Case Management with a Heart

Regulatory Compliance

Member Outreach

Conduct comprehensive evaluations of members' needs, preferences, and eligibility through detailed conversations and data review

Develop tailored care plans based on individual health and social circumstances

Arrange all aspects of member care, including scheduling appointments, organizing follow‑up services, and linking members to community resources

Ensure members receive consistent, end‑to‑end support for long‑term stability and health improvement

Perform empathetic assessments that capture members' lived experiences and goals, not just medical data

Maintain close communication with members via phone, video, or in‑person visits to monitor progress and address emerging challenges

Serve as a bridge between members and available community resources, such as housing programs, workforce training, childcare, and food assistance

Advocate for timely treatments, fair insurance authorizations, and equitable access to care

Act as the central communication hub among members, their families, healthcare providers, and community partners

Maintain accurate, up‑to‑date documentation of assessments, care plans, progress notes, and outcomes

Ensure all records comply with legal, ethical, and organizational standards for quality and accountability

Collect and analyze feedback to identify gaps in care coordination and advocate for new resources or partnerships

Remain current on Medi‑Cal, CalAIM, and community support policies to ensure all activities meet compliance and quality‑of‑care standards

Participate in workshops, training, and certifications on cultural competence, trauma‑informed care, and motivational interviewing

Encourage peer learning and continuous growth within the care team

Provide mentorship, guidance, and day‑to‑day support to other Care Managers within the Community Supports Program

Assist in onboarding new team members and promoting a collaborative, compassionate care environment

Support program initiatives and special projects as assigned

Hybrid, 65% field based (Santa Clara County) remainder, remote work from home.

Standard 8‑hour shift, Monday through Friday, 8:30 AM – 5:00 PM

Inclusive, mission‑driven, and compassionate, focused on equity, dignity, and empowerment

Pace: Dynamic and people‑focused, requiring flexibility, emotional intelligence, and proactive communication

Care Management Team: Mentor and collaborate with case managers to coordinate care and maintain consistency in service delivery

Program Leadership: Work with management to align care strategies with organizational goals

Interdisciplinary Teams: Partner with social workers, behavioral health specialists, and outreach teams to support holistic member care

Build trusting relationships, ensuring members feel supported throughout their care journey

Community Organizations: Coordinate services for housing, employment, food security, and other essential needs

Healthcare Providers & Payers: Maintain communication for seamless coordination and access to care.

Pay: $27.00 - $32.00 per hour

Experience: 3-5 years in case management, social services, or healthcare

Expertise: Familiarity with Medi‑Cal, CalAIM, and Community Supports programs

Healthcare Insight: Knowledge of healthcare systems, managed care operations, and local community resources

Competence in using case management software, EHR systems, and related tools

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