Jobs · Management · California

Enhanced Care Management Lead Care Coordinator Team Lead

Pacific Health Group · San Diego County, CA · 1 mo ago
HybridManagement$70k/yrFull-time

About the role

This is not a people manager position

Responsibilities

  • Team Support & Operations:
    • Provide day-to-day support and guidance to fellow Lead Care Managers (LCMs)
    • Serve as a resource for staff questions, workflows, and ECM best practices
    • Monitor team productivity, documentation completion, and operational consistency
    • Identify and escalate concerns, risks, workflow gaps, or trends to management as appropriate
    • Support coverage needs, including member follow-up when assigned LCMs are unavailable
    • Collaborate closely with leadership to maintain accountability, performance standards, and quality of care delivery
    • Reinforce company expectations, workflows, and compliance standards across the team
  • Training & Staff Development:
    • Support onboarding and ongoing development of new and existing LCMs
    • Provide shadowing opportunities during in-person visits and fieldwork
    • Demonstrate best practices for member engagement, documentation, outreach, and care coordination
    • Provide real-time coaching, guidance, and operational support to staff
    • Aid in reinforcing documentation standards, productivity expectations, and quality assurance initiatives
  • Care Coordination & Member Support:
    • Provide direct member support and care coordination assistance as assigned based on operational and coverage needs
    • Afford member follow-up, engagement, and continuity of care during staffing gaps, PTO coverage, or high-volume periods
    • Assist with member transitions of care, hospital discharges, referrals, and follow-up coordination as needed
    • Build strong, supportive relationships with members through compassionate, person-centered engagement
  • Outreach Support:
    • Provide support for community-based outreach initiatives as needed
    • Participate in occasional in-person outreach activities across multiple counties
    • Afford community partnership development and outreach efforts
    • Assist during coverage gaps, staffing shortages, or high-need operational periods

Qualifications

  • 3+ years of experience in Enhanced Care Management (ECM), case management, social services, or healthcare coordination
  • Previous experience mentoring, training, or supporting staff strongly preferred
  • Strong understanding of Medi-Cal, CalAIM, and ECM program requirements
  • Excellent communication, leadership, organizational, and problem-solving skills
  • Ability to effectively balance member care responsibilities with operational support duties
  • Strong documentation and technology proficiency
  • Experience working with vulnerable or high-acuity populations preferred

Requirements

  • 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
  • Must be proficient in technology, including documentation systems, case management platforms, and communication tools
  • Must be willing to work occasional evenings and weekends as needed

Benefits

  • Yearly salary: $70,304
  • Monthly stipend
  • 160 hours PTO + paid sick time
  • 11 paid holidays (including birthday and floating holiday)
  • 4 paid volunteer hours per month
  • 90% employer-paid employee-only medical benefits
  • Flexible Spending Account (FSA)
  • Short-term & long-term disability, AD&DEmployee Assistance Program (EAP)
  • 401(k) with company match
  • Professional development opportunities
  • Quarterly in-person events
  • Employee discount programs

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