Senior Field Care Coordinator - Enhanced Care Management

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

Compensation

$25. 00 - $29. 00 per hour (based on experience)

FLSA: Non-Exempt

Location: Hybrid (Field-Based in Hiring County - San Diego County, Imperial County)

This position is an individual contributor, not a People Manager

About Pacific Health Group

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 Care Coordinator, 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

Minimum Qualifications

Residency: Must reside in hiring county

Experience: 3-5 years in case management, social services, or healthcare (preferred)

Experience with: Medi-Cal, CalAIM, or Enhanced Care Management (preferred)

Working experience of healthcare systems and community resources is a plus

Excellent communication, organization, and time management skills

Proficiency with documentation systems and technology

Ability to effectively communicate both written and verbally

Requirements

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 issues 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

Preferred

Bilingual proficiency in Spanish

What This Role Looks Like (Day-to-Day Reality)

This is a high-impact, field-based role supporting members in the community.

Manage a caseload of approximately 60-70 members

Conduct 3-5 in-person visits per day (homes, shelters, community settings)

Spend 60-70% of your time in the field

Travel locally within hiring county (mileage reimbursed)

Coordinate care across medical, behavioral health, and community services

Document in real-time or by end of day using internal systems

What You'll Do

Care Coordination & Case Management

Develop and manage individualized care plans

Coordinate appointments, services, and follow-ups across providers

Support transitions of care (hospital discharge, referrals, etc. )

Member Engagement & Advocacy

Build trust through consistent, in-person engagement

Advocate for timely access to care, services, and resources

Support members navigating housing, food access, transportation, and behavioral health needs

Community Outreach & Engagement

Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives

Build and maintain relationships with community-based organizations, shelters, and local resource partners

Identify opportunities to expand community presence and improve member access to services

Community Resource Navigation

Connect members to local programs and services

Build relationships with community-based organizations

Identify gaps in resources and escalate when needed

Documentation & Compliance

Complete timely and accurate documentation

Maintain compliance with Medi-Cal, CalAIM, and ECM program requirements

Team Collaboration

Partner with internal teams, providers, and community stakeholders

Participate in case conferences and care coordination meetings

How Success Is Measured

Consistent member engagement and visit completion

Timely and accurate documentation

Effective care coordination and follow-through

Ability to manage caseload independently

Positive collaboration with internal and external partners

Ability to effectively communicate with internal and external stakeholders

Who Thrives In This Role

This role is a strong fit for someone who

Is comfortable working independently in the field

Can manage a high caseload independently with minimal supervision

Is resourceful, proactive, and solution-oriented

Thrives in fast-paced, community-based environments

Is passionate about supporting underserved populations

Cares about their community and its people

Independently navigate new software and company issued equipment

Benefits

Compensation & Benefits

$25. 00 - $29. 00/hour (based on experience)

Monthly stipend + mileage reimbursement

PTO + paid sick time

11 paid holidays (including birthday + floating holiday)

4 paid volunteer hours per month

90% employer-paid employee-only medical benefits

FSA

Short-term & long-term disability, AD&D

Employee Assistance Program (EAP)

401(k) with company match

Quarterly in-person team events

Equal Employment Opportunity

Pacific Health Group, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees.

Our commitment is to ensure equal employment opportunities for every qualified candidate, irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by federal, state, or l.