Field Care Coordinator / Field Case Management

At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care—clinical, behavioral, and social—by partnering with organizations deeply connected to the communities we serve. We're building a care model that empowers clinicians and care teams to provide compassionate, high-impact care. We leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.

Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients. We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.

About the Role

Pair Team is expanding its partnership with one of our largest health plan partners through a new field-based care management pilot focused on improving patient engagement and access to care. The Field Care Coordinator plays a critical role in bringing care directly to our members where they are, both at home and in the community. This role focuses on hands-on, relationship-based support through in-person visits, new patient onboardings, and field-based outreach. Field Care Coordinators help members overcome barriers to care by assisting with everything from care plan follow-up and blood pressure checks to grocery or care package drop-offs. The expectation for this role is to be in the field meeting patients three to five times per week. This is a full-time, field-based position requiring regular travel within your assigned region.

Responsibilities

• Serve as the primary point of contact for members with complex medical, behavioral, and social needs
• Meet members in person at their homes, in the community, or at partner organizations to complete new patient onboardings, deliver care packages, or collect health readings such as blood pressure
• Conduct in-person visits to assess member needs, provide ongoing support, and encourage adherence to care plans
• Coordinate services, appointments, and referrals across primary care, behavioral health, and social support resources
• Support care continuity by collaborating with internal care team members including Nurses and Behavioral Health Care Managers
• Identify and address barriers to care such as transportation, medication access, or health literacy challenges
• Develop and maintain individualized care plans and ensure follow-up on all interventions and goals
• Maintain accurate and timely documentation of all member interactions and care coordination activities
• Advocate for member needs within the healthcare and social support systems
• Participate in collaborative care meetings with other members of the care team to review patient panels, discuss progress, and align on care plans

Requirements

• 1+ years of professional experience, preferably in case management, care coordination, or community-based services
• Physical location in or near Orange County with familiarity of the local community and resources
• Reliable transportation for regular field visits, including patient homes, clinics, community-based organizations, and partner sites
• Valid driver's license and current auto liability insurance
• Strong understanding of cultural fluency and the ability to build trust with diverse populations
• High degree of empathy and ability to remain patient when faced with adversity
• Demonstrated ability to work collaboratively in a multidisciplinary care team
• Excellent organizational skills and attention to detail
• Strong technical skills and comfort learning new systems; experience with tools such as Google Suite, Slack, CRM databases, and basic Excel, Word, email, and video conferencing
• Reliable, HIPAA-compliant workspace with a stable internet connection for documentation and team communication

Benefits

• Comprehensive health, vision & dental insurance
• 401k
• Monthly $100 work from home expense stipend for your WFH days
• Gas reimbursements for your on-site engagement days
• Flexible vacation policy—take the time you need to recharge
• All equipment provided for the role
• Opportunity for rapid career progression with plenty of room for personal growth

Pay

$30/hr