Talent.com
Enhanced Care Management (ECM) Lead Care Manager - San Joaquin County

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

Pacific Health GroupLodi, CA, US
6 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

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.

Why This Role Matters - Holistic Impact and Compassionate Care

  • You won’t just coordinate clinical visits. You’ll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members’ needs are addressed comprehensively.
  • By forming strong, personal connections through frequent in-person visits, you’ll become a pivotal support system—someone members can rely on for comfort, guidance, and advocacy.

Advocacy and Going the Extra Mile

  • Beyond paperwork and phone calls, you’ll arrange all necessary services—from setting up medical appointments and coordinating transportation to securing safe housing and financial support.
  • You’ll be a consistent presence in members’ lives, making sure no detail goes overlooked and no obstacle remains unaddressed.
  • Shaping the Future of Care

  • Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs.
  • By sharing feedback on what members truly need, you’ll help refine the processes and resources we use to serve diverse populations.
  • Your Responsibilities
  • Frequent In-Person Visits to Members

  • Regular Face-to-Face Assessments : Conduct multiple on-site visits each month in members’ homes, shelters, or community centers.
  • Personal Connection : Use these visits to establish trust, gather first-hand insights, and address concerns right away.
  • Example : While visiting a member recovering at home, you might discover that they lack mobility aids—prompting you to arrange for durable medical equipment and coordinate in-home physical therapy.
  • Comprehensive Care Coordination

  • End-to-End Service Arrangement : Schedule doctor’s appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support.
  • Example : If a member is discharged from the hospital, you’ll set up home health visits, fill prescriptions, secure rides for follow-up appointments, and even arrange meal delivery if needed.
  • Case Management with a Heart

  • Empathetic Assessments : Look beyond forms and checkboxes to truly understand members’ backgrounds, personal challenges, and aspirations.
  • Continuous Support : Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers.
  • Example : If a member feels overwhelmed by multiple therapies, you could simplify their schedule, coordinate telehealth sessions, and even offer emotional support through regular check-ins.
  • Resource Management

  • Bridge to Community Services : Identify, coordinate, and optimize local resources—such as housing assistance, job training programs, or childcare services—to ensure members’ overall wellbeing.
  • Example : A single parent needing childcare and employment support could be connected to subsidized daycare, workforce development courses, and a community mentor program—all organized by you.
  • Patient Advocacy

  • Champion for Members’ Rights : Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress.
  • Example : If a critical procedure is denied by insurance, you’ll take charge of the appeals process, gathering documents and evidence to secure approval.
  • Communication

  • Central Point of Contact : Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through.
  • Example : Coordinate a care conference among a primary care physician, social worker, and rehab specialist so everyone can align on the most effective plan for a member’s speedy recovery.
  • Documentation

  • Detailed Reporting : Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage.
  • Example : After each home visit, document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers.
  • Continuous Improvement

  • Feedback and Adaptation : Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate.
  • Example : If you notice a high number of members struggling with job access, you might advocate for creating a new partnership with a local job placement agency.
  • Regulatory Compliance

  • Stay Current : Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards.
  • Example : Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow.
  • Professional Development

  • Ongoing Learning : Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention.
  • Example : Enroll in a course on trauma-informed care to better support members who have experienced past hardships.
  • Other Duties :

  • Collaborative Mindset : Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes.
  • Skills That Set You Apart

  • Genuine Empathy & Compassion
  • Needs Assessment & Care Planning
  • Service Coordination & Navigation
  • Client Advocacy
  • Motivational Interviewing
  • Problem-Solving & Decision-Making
  • Teamwork & Collaboration
  • Job Type : Full-time

    Pay : $27.00 - $30.00 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 Joaquin, CA 95207 - 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.

    Please DO NOT contact employer regarding your application status, thank you!

    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.

    Requirements

  • Residency : Must reside in San Joaquin 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
  • Successful completion of a pre-screen assessment required
  • Possess a valid California Driver’s License (Class C minimum), maintain a personal, operable vehicle for daily business use, and carry current liability insurance that meets California's minimum legal requirements. All selected candidates will be required to 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
  • Create a job alert for this search

    Care Care Management • Lodi, CA, US

    Related jobs
    • Promoted
    Respiratory Care Practitioner (RCP)

    Respiratory Care Practitioner (RCP)

    Care CareerIone, CA, US
    Full-time
    Care Career is seeking a travel Correctional Respiratory Therapist for a travel job in Ione, California.Job Description & Requirements. RCP Respiratory Care Practitioner.Perform care consistent ...Show moreLast updated: 4 days ago
    • Promoted
    • New!
    Director of Compassionate Care

    Director of Compassionate Care

    VirtualVocationsModesto, California, United States
    Full-time
    A company is looking for a Director, Compassionate Care Program.Key Responsibilities Oversee proactive, high-quality, patient-centered care and advance care planning Develop and implement workfl...Show moreLast updated: 7 hours ago
    • Promoted
    Pennsylvania Licensed Care Manager Supervisor

    Pennsylvania Licensed Care Manager Supervisor

    VirtualVocationsModesto, California, United States
    Full-time
    A company is looking for a Professional Care Manager, Supervisor (RN).Key Responsibilities Oversee care coordination functions for clinical staff, including supervision, coaching, and counseling ...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Licensed Care Management Supervisor

    Licensed Care Management Supervisor

    VirtualVocationsStockton, California, United States
    Full-time
    A company is looking for a Supervisor, Care Management to oversee the care management team and coordinate care for behavioral health members. Key Responsibilities Supervises the care management te...Show moreLast updated: 15 hours ago
    • Promoted
    Care Coordinator

    Care Coordinator

    AkkodisFrench Camp, CA, United States
    Permanent +1
    Akkodis is seeking a compassionate and detail-oriented Care Coordinator for a temporary 4-month remote contract.In this role, you will work directly with members to educate, support, and guide them...Show moreLast updated: 11 days ago
    • Promoted
    • New!
    California Licensed Supervising Clinician

    California Licensed Supervising Clinician

    VirtualVocationsModesto, California, United States
    Part-time
    A company is looking for a CA Associate Supervisor - Remote Supervision, Part-Time, Flexible Schedule.Key Responsibilities Provide clinical supervision and guidance to associate-level therapists ...Show moreLast updated: 12 hours ago
    • Promoted
    • New!
    New Jersey Licensed Behavioral Health Manager

    New Jersey Licensed Behavioral Health Manager

    VirtualVocationsStockton, California, United States
    Full-time
    A company is looking for a Behavioral Health Care Manager.Key Responsibilities Makes timely intensity of services determinations or refers to higher-level review when indicated Provides linkage ...Show moreLast updated: 12 hours ago
    • Promoted
    • New!
    New Jersey Licensed Memory Care Coordinator

    New Jersey Licensed Memory Care Coordinator

    VirtualVocationsStockton, California, United States
    Full-time
    A company is looking for a Memory Care Coordinator (Hybrid).Key Responsibilities Coordinate care and support for caregivers, developing individualized care plans and connecting them to resources ...Show moreLast updated: 10 hours ago
    • Promoted
    • New!
    Missouri Licensed Behavioral Health Case Manager

    Missouri Licensed Behavioral Health Case Manager

    VirtualVocationsModesto, California, United States
    Full-time
    A company is looking for a Behavioral Health Case Manager to provide support and advocacy for members with mental health conditions. Key Responsibilities Facilitate member education and caregiver ...Show moreLast updated: 12 hours ago
    • Promoted
    Mississippi Licensed Care Manager

    Mississippi Licensed Care Manager

    VirtualVocationsModesto, California, United States
    Full-time
    A company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs. Key Responsibilities Evaluate member needs and recommend ...Show moreLast updated: 30+ days ago
    • New!
    Nursing Home Administrator NHA

    Nursing Home Administrator NHA

    Golden Modesto Care CenterModesto, California
    Full-time
    Quick Apply
    We are seeking an experienced Nursing Home Administrator for our beautiful 120 bed Skilled Nursing Facility in Modesto CA. We will offer a $10k Sign On Bonus for this position.Exercises ethical and ...Show moreLast updated: 14 hours ago
    • Promoted
    State Licensed Behavioral Health Director

    State Licensed Behavioral Health Director

    VirtualVocationsStockton, California, United States
    Full-time
    A company is looking for a Senior Director, Utilization Management - Behavioral Health.Key Responsibilities Lead and oversee behavioral health management within the utilization management organiz...Show moreLast updated: 1 day ago
    • Promoted
    Care / Staffing Coordinator

    Care / Staffing Coordinator

    HCAOALivermore, CA, US
    Part-time
    Client Care / Staffing Coordinator.GIMAG Home Care is a professional, supportive, and rewarding family-owned business.Together we can make a difference in people's lives. We will deliver one-on-one ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Oklahoma Licensed Care Manager

    Oklahoma Licensed Care Manager

    VirtualVocationsModesto, California, United States
    Full-time
    A company is looking for a Care Manager (RN) to develop and facilitate complex care management activities for members with physical needs. Key Responsibilities Evaluate member needs and barriers t...Show moreLast updated: 12 hours ago
    • Promoted
    • New!
    Pennsylvania Licensed Care Manager

    Pennsylvania Licensed Care Manager

    VirtualVocationsModesto, California, United States
    Full-time
    A company is looking for a Care Manager.Key Responsibilities Conduct telephone assessments to determine care coordination and management needs Develop care plans to help members achieve optimal ...Show moreLast updated: 12 hours ago
    • Promoted
    Healthcare Industry Success Leader

    Healthcare Industry Success Leader

    VirtualVocationsModesto, California, United States
    Full-time
    A company is looking for an Industry Success Leader (HCLS).Key Responsibilities Serve as a Consulting Leader, leveraging domain expertise to improve client business outcomes Own and develop a bo...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Florida Licensed Transitional Care Coordinator

    Florida Licensed Transitional Care Coordinator

    VirtualVocationsStockton, California, United States
    Full-time
    A company is looking for a Transitional Care Coordinator LPN.Key Responsibilities Oversee post-acute care utilization and monitor length of stay in skilled nursing facilities Coordinate discharg...Show moreLast updated: 5 hours ago
    • Promoted
    HIM Assistant Manager

    HIM Assistant Manager

    Robert HalfLivermore, CA, US
    Permanent
    HIM operations, ensuring accuracy, compliance, and productivity across the department.Health Information Coordinators and ensuring timely, accurate, and complete medical record processing in accord...Show moreLast updated: 17 days ago
    • Promoted
    • New!
    Washington State Care Coordination Supervisor

    Washington State Care Coordination Supervisor

    VirtualVocationsModesto, California, United States
    Full-time
    A company is looking for a Supervisor, Care Coordination.Key Responsibilities Supervises care coordination activities to ensure appropriate service delivery and continuity of care Monitors docum...Show moreLast updated: 15 hours ago
    • Promoted
    • New!
    Ohio Licensed Patient Care Manager

    Ohio Licensed Patient Care Manager

    VirtualVocationsStockton, California, United States
    Full-time
    A company is looking for a Patient Care Resource Manager - Retrospective Review.Key Responsibilities Conduct retrospective reviews of medical services to assess medical necessity and compliance w...Show moreLast updated: 5 hours ago