Jobs · OTHR · California

Enhanced Care Management Lead Care Coordinator Team Lead

Pacific Health Group · Merced, CA · 1 mo ago
HybridOTHR$70k/yrFull-time
We need to output HTML fragment with sections: About the role? Actually we have sections: About Pacific Health Group (maybe About the role?), Why This Role Matters, What You'll Do (with subsections?), Minimum Qualifications, Who Thrives In This Role, How Success Is Measured, Requirements, Benefits. Also we have Schedule and Compensation given at top: Schedule: Monday - Friday | 8:30 AM - 5:00 PM; Compensation: $70,304 annual salary. Also FLSA: Exempt, Location: Hybrid (Field-Based in Hiring County). This is not a people manager position. We need to include sections only when posting has real specific content. So we need Schedule and Compensation sections (Pay). Also Benefits section. We must not repeat job title as heading. Use

for section headings: e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to map content to these headings. Let's decide: - Schedule: use

Schedule

with

Monday - Friday | 8:30 AM - 5:00 PM

- Pay:

Pay

with

$70,304 annual salary

(maybe also FLSA Exempt? Could include but not required; but we can include as part of Pay section? Might be okay. However we should not invent. We can include FLSA Exempt as part of Pay? It's not pay but maybe we can include in a short paragraph. But we should not create extra sections unless content. Could add a

FLSA: Exempt

within Pay section or maybe a separate section? There's no heading for FLSA. Could add a short paragraph under Pay or maybe under About the role? Better to include within Pay section:

$70,304 annual salary. FLSA: Exempt.

- Location: Hybrid (Field-Based in Hiring County). Could be part of About the role? Not a heading. Could add a short paragraph under About the role? But we have no About the role heading content besides the description about Pacific Health Group. Could create an

About the role

with paragraphs describing the role, mission, etc. That seems appropriate. - Why This Role Matters could be part of About the role or separate? Could be its own section but we don't have a heading for that; we could use About the role to include that content. But we have headings list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need to map content to these. Responsibilities: likely the "What You'll Do" sections (Team Support & Operations, Training & Staff Development, Care Coordination & Member Support, Outreach Support, Documentation & Compliance). So we can put those under

Responsibilities

with
  • each bullet? But the content is grouped with headings inside. We could keep subheadings as or just keep as paragraphs. The instruction: Use
    • for any list of duties/requirements/benefits. So we need to turn duties into list items. Could flatten: each duty as a list item. But we have many duties; we could list them as separate
    • . Might be long but okay. Requirements: Minimum Qualifications + Who Thrives In This Role + How Success Is Measured? Actually Requirements heading likely for mandatory requirements (like driver's license, vehicle, background check, etc). Qualifications heading for minimum qualifications and preferred. Skills heading for skills. But we can adapt. We have Minimum Qualifications (3+ years experience, etc). Also Who Thrives In This Role (traits). How Success Is Measured (metrics). Could be under Qualifications or Skills. Let's decide: -

      Qualifications

      : Minimum Qualifications (3+ years experience, mentoring preferred, understanding of Medi-Cal/CalAIM/ECM, communication, leadership, organizational, problem-solving, balance member care, documentation proficiency, experience with vulnerable populations preferred). Could also include Who Thrives In This Role as traits but maybe better as Skills? Actually "Who Thrives In This Role" describes personal attributes; could be under Skills or Qualifications. We'll put under Qualifications as bullet list. -

      Skills

      : Could list specific skills: Excellent communication, leadership, organizational, problem-solving, documentation, technology proficiency, time management, etc. But we already have many overlapping. Might be thin. Better to follow the instruction: Prefer a few substantive sections over many thin ones. So we can combine. Let's propose sections: - About the role (h3) containing Pacific Health Group description, Why This Role Matters, maybe location and FLSA? But we already have Pay and Schedule separate. - Responsibilities (h3) containing all duties from What You'll Do (list items). - Qualifications (h3) containing Minimum Qualifications, Who Thrives In This Role, How Success Is Measured (maybe as bullet list). - Requirements (h3) containing the specific requirements: Valid CA Driver's License, reliable personal vehicle, background check, travel 60-70%, Testlify skills assessment, reliable laptop for first 21 days, effective time management, internet speed 300+ mbps down/25+ up, proficiency in technology, willingness to work occasional evenings/weekends. - Benefits (h3) containing benefits list. - Pay (h3) containing salary and FLSA. - Schedule (h3) containing schedule. We must not repeat job title as heading. Good. We must not include boilerplate like EEO, etc. Not present. We must not include application instructions. Not present. We must not include duplicated lines. We need to preserve all substantive information. So we need to include all details from the posting. Let's extract details: About Pacific Health Group paragraph: "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 delivering community-based services that meet each individual's unique needs. As an ECM Lead Care Manager (LCM) Team Lead, you will play a key role in supporting frontline operations, strengthening team performance, and reinforcing high-quality, person-centered care delivery across the department. This position is ideal for an experienced ECM professional who thrives in both field-based member support and team development." Why This Role Matters paragraph: "The ECM LCM Team Lead serves as a bridge between frontline staff and leadership, helping ensure operational consistency, accountability, and compassionate member care. In addition to managing a reduced caseload, this role provides hands-on support to fellow LCMs, assists with onboarding and coaching, and helps maintain department workflows and quality standards. This role combines direct member impact with operational leadership and is ideal for someone passionate about mentorship, problem-solving, and improving outcomes for vulnerable populations." What You'll Do sections: 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 - Assist in monitoring 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 (e.g., PTO coverage) - 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 - Assist with 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 - Assist with member follow-up, engagement, and continuity of care during staffing gaps, PTO coverage, or high-volume periods - Support Lead Care Managers with complex member coordination, barriers to engagement, and escalation needs - Coordinate medical, behavioral health, and community-based services to support member stability and care continuity - Assist with 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 - Assist with identifying, engaging, and enrolling eligible members into ECM, Community Supports (CS), and Behavioral Health (BH) programs - Support community partnership development and outreach efforts - Assist during coverage gaps, staffing shortages, or high-need operational periods Documentation & Compliance: - Maintain timely, accurate, and compliant documentation in accordance with Medi-Cal, CalAIM, and ECM requirements - Assist in reinforcing documentation quality standards across the team - Support quality improvement efforts and internal auditing processes - Ensure care coordination activities are properly documented within company systems Minimum 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 Who Thrives In This Role (list): - Naturally mentors and supports others - Leads through collaboration, accountability, and consistency - Thrives in fast-paced, community-based environments - Is proactive, adaptable, and solution-oriented - Balances compassion for members with strong operational awareness - Is comfortable stepping into both field-based and administrative responsibilities - Takes initiative and helps strengthen team culture and performance How Success Is Measured: - Consistent support and guidance provided to LCM team members - Timely and compliant documentation completion - Strong member engagement and care coordination outcomes - Positive collaboration with staff, leadership, providers, and community partners - Ability to assist with maintaining team productivity, accountability, and operational consistency - Effective onboarding and development support for new staff Requirements (the bullet list after "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 list: - Yearly salary: $70,304 (but we already have Pay) - 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&D - Employee Assistance Program (EAP) - 401(k) with company match - Professional development opportunities - Quarterly in-person events - Employee discount programs Note: The Benefits section also repeats yearly salary; we already have Pay. We should not duplicate

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