Enhanced Care Management; ECM Lead Care Manager - San Diego

Enhanced Care Management (ECM) Lead Care Manager - San Diego County

Pacific Health Group is seeking a dedicated Lead Care Manager to guide members through comprehensive care plans. This role focuses on addressing social determinants of health, coordinating services, building trusting relationships, and improving overall quality of life.

$25–$29 per hour

Job type: Full-time
Hours: 40 per week (8‑hour shift, Monday–Friday, 8:30am–5:00pm PST)
Location: Hybrid remote in San Diego County, CA – on the road

• Conduct frequent in‑person visits to members at home or community centers, establishing trust and gathering first‑hand insights.
• Coordinate all services (medical appointments, transportation, housing, financial support) to ensure continuity of care.
• Act as a case manager with empathy: maintain close contact via phone, video, and in‑person meetings, monitor progress, and address new barriers.
• Build relationships with community resources (housing assistance, job training, childcare) and link members to those services.
• Advocate for members’ rights—secure timely treatments, insurance authorizations, and fair access to services.
• Serve as the central point of contact among members, families, healthcare teams, and community organizations; facilitate care conferences.
• Document assessments, care plans, and progress notes accurately and timely.
• Use data and observations to refine care strategies and improve program effectiveness.
• Maintain regulatory compliance with Medi‑Cal, CalAIM, and other relevant regulations.
• Pursue professional development through trainings and workshops to enhance skills (cultural competence, motivational interviewing, crisis intervention).
• Additional duties: remain flexible, share best practices, and support team needs.

• Residency:
  Must reside in San Diego County.
• Experience:
  
  3–5 years in case management, social services, or healthcare.
• Expertise:
  Familiarity with Medi‑Cal, CalAIM, and Enhanced Care Management.
• Knowledge of healthcare systems and local community resources.
• Strong communication, empathy, and cultural competence.
• Time‑management skills and attention to detail.
• Proficient with case‑management software and related tools.
• Valid California Driver’s License (Class C minimum); personal, operable vehicle with liability insurance; MVR background check required.
• Successful completion of a pre‑screen assessment.

Background check is required.

• Competitive salary and benefits package
• 401(k), dental, vision, health, and life insurance
• Flexible schedule, paid time off, and employee assistance program
• Professional development opportunities
• Meaningful work impacting vulnerable community members
• Supportive team environment

Pacific Health Group is an Equal Opportunity Employer. We are committed to creating an inclusive and equitable workplace where all individuals are treated with dignity and respect. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy, childbirth, breastfeeding, and related medical conditions), gender, gender identity or gender expression, sexual orientation, national origin or ancestry, citizenship status, physical or mental disability, medical condition (including cancer and genetic characteristics), age (40 and over), marital status, military or veteran status, genetic information, or status as a victim of domestic violence, assault, or stalking.