Community Support Lead Care Manager - Mariposa County

About the role

This is a highly field-based role supporting members directly in the community. The position involves managing a caseload of members with complex health and social needs, conducting in-person visits, assessments, and follow-ups, and coordinating services across healthcare, behavioral health, and community resources.

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
• Coordinate services across healthcare, behavioral health, and community resources
• Ensure continuity of care and consistent follow-through
• Document in real-time or by end of day using internal systems
• 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
• Provide mentorship and support to other care managers
• 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

Qualifications

• 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
• Proficient in technology, including case management systems, EHR platforms, and documentation tools
• Able to document in real-time and manage member data accurately
• Comfortable navigating multiple systems and communication platforms