Talent.com
Enhanced Care Management (ECM) Lead Care Manager - Santa Clara County (
Enhanced Care Management (ECM) Lead Care Manager - Santa Clara County (Pacific Health Group • Milpitas, CA, US
Enhanced Care Management (ECM) Lead Care Manager - Santa Clara County (

Enhanced Care Management (ECM) Lead Care Manager - Santa Clara County (

Pacific Health Group • Milpitas, CA, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [filters_job_card.quick_apply]
[job_card.job_description]

Join Our Mission to Transform Lives : Enhanced Care Management

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 Case Manager, 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.

Advocacy and Going the Extra Mile

  • Beyond paperwork and phone calls, you’ll arrange all necessary services—from setting up medical appointments and coordinating transportation to securing safe housing and financial support.
  • You’ll be a consistent presence in members’ lives, making sure no detail goes overlooked and no obstacle remains unaddressed.
  • Shaping the Future of Care

  • Your hands-on experience will generate insights that directly influence how our ECM programs evolve, ensuring we remain responsive to community needs.
  • By sharing feedback on what members truly need, you’ll help refine the processes and resources we use to serve diverse populations.
  • Your Responsibilities

    Frequent In-Person Visits to Members

  • Regular Face-to-Face Assessments : Conduct multiple on-site visits each month in members’ homes, shelters, or community centers.
  • Personal Connection : Use these visits to establish trust, gather first-hand insights, and address concerns right away.
  • Example : While visiting a member recovering at home, you might discover that they lack mobility aids—prompting you to arrange for durable medical equipment and coordinate in-home physical therapy.
  • Comprehensive Care Coordination

  • End-to-End Service Arrangement : Schedule doctor’s appointments, organize follow-up care, link members to social services, and ensure they have the resources for a full continuum of support.
  • Example : If a member is discharged from the hospital, you’ll set up home health visits, fill prescriptions, secure rides for follow-up appointments, and even arrange meal delivery if needed.
  • Case Management with a Heart

  • Empathetic Assessments : Look beyond forms and checkboxes to truly understand members’ backgrounds, personal challenges, and aspirations.
  • Continuous Support : Remain in close contact by phone, video, and in-person visits to monitor progress, celebrate milestones, and swiftly address any new barriers.
  • Example : If a member feels overwhelmed by multiple therapies, you could simplify their schedule, coordinate telehealth sessions, and even offer emotional support through regular check-ins.
  • Resource Management

  • Bridge to Community Services : Identify, coordinate, and optimize local resources—such as housing assistance, job training programs, or childcare services—to ensure members’ overall wellbeing.
  • Example : A single parent needing childcare and employment support could be connected to subsidized daycare, workforce development courses, and a community mentor program—all organized by you.
  • Patient Advocacy

  • Champion for Members’ Rights : Push for timely treatments, insurance authorizations, and fair access to services, resolving roadblocks that could hinder progress.
  • Example : If a critical procedure is denied by insurance, you’ll take charge of the appeals process, gathering documents and evidence to secure approval.
  • Communication

  • Central Point of Contact : Keep members, families, healthcare teams, and community organizations aligned on care objectives, ensuring seamless handoffs and follow-through.
  • Example : Coordinate a care conference among a primary care physician, social worker, and rehab specialist so everyone can align on the most effective plan for a member’s speedy recovery.
  • Documentation

  • Detailed Reporting : Maintain meticulous records of assessments, care plans, and progress notes, ensuring transparency and accountability at every stage.
  • Example : After each home visit, document any social, environmental, or health updates, enabling prompt collaboration with other team members and service providers.
  • Continuous Improvement

  • Feedback and Adaptation : Use data and first-hand observations to refine care strategies, ensuring our ECM programs stay effective and deeply compassionate.
  • Example : If you notice a high number of members struggling with job access, you might advocate for creating a new partnership with a local job placement agency.
  • Regulatory Compliance

  • Stay Current : Keep informed about Medi-Cal, CalAIM, and other regulations, ensuring that all care management practices meet legal and quality-of-care standards.
  • Example : Complete continuing education on the latest CalAIM guidelines and integrate these protocols into your daily workflow.
  • Professional Development

  • Ongoing Learning : Attend trainings, workshops, and webinars to sharpen your skills in cultural competence, motivational interviewing, and crisis intervention.
  • Example : Enroll in a course on trauma-informed care to better support members who have experienced past hardships.
  • Other Duties

  • Collaborative Mindset : Remain flexible in supporting the team, taking on additional tasks and sharing best practices to strengthen overall outcomes.
  • Skills That Set You Apart

  • Genuine Empathy & Compassion
  • Needs Assessment & Care Planning
  • Service Coordination & Navigation
  • Client Advocacy
  • Motivational Interviewing
  • Problem-Solving & Decision-Making
  • Teamwork & Collaboration
  • Job Type : Full-time

    Pay : $29.00 - $32.00 per hour

    Schedule

  • 8-Hour Shift
  • Monday to Friday 1 : 30pm - 10 : 00pm
  • Work Location : On the road

    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 local laws.

    At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected.

    Pre-Employment Requirements

    Employment is contingent upon the successful completion of a background check.

    Please DO NOT contact employer regarding your application status, thank you!

    AI & Human Interaction (HI) in Recruitment

    Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location.

    All resumes that meet these criteria are then reviewed by HI (Human Interaction) — our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement , ensuring that every candidate is given fair and consistent consideration.

    Requirements

  • Residency : Must reside in Santa Clara County
  • Bilingual in English and Spanish (Spoken and Written)
  • Experience : 3-5 years in case management, social services, or healthcare
  • Expertise : Familiarity with Medi-Cal, CalAIM, and Enhanced Care Management
  • Healthcare Insight : Understanding of healthcare systems and local community resources
  • Interpersonal Skills : Strong communication, empathy, and cultural competence
  • Organizational Ability : Proven time management skills and attention to detail
  • Technical Proficiency : Competence using case management software and related tools
  • Successful completion of a pre-screen assessment required
  • Possess a valid  California Driver’s License  (Class C minimum), maintain a personal,  operable vehicle  for daily business use, and carry  current liability insurance  that meets California's minimum legal requirements. All selected candidates will be required to pass a  Motor Vehicle Report (MVR)  background check prior to employment.
  • Benefits

  • 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
  • [job_alerts.create_a_job]

    Care Care Management • Milpitas, CA, US

    [internal_linking.similar_jobs]
    Travel Occupational Therapist (OT) - $1,822 to $2,037 per week in Santa Cruz, CA

    Travel Occupational Therapist (OT) - $1,822 to $2,037 per week in Santa Cruz, CA

    Prime Time Healthcare • Santa Cruz, CA, US
    [job_card.full_time]
    Now Hiring : Allied Healthcare Occupational Therapist - Santa Cruz, CA.Contact us for Pay Information.Actual amount dependent upon market adjustments. Are you a passionate Allied Healthcare professio...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Occupational Therapist (OT) - $2,520 per week in Santa Cruz, CA

    Travel Occupational Therapist (OT) - $2,520 per week in Santa Cruz, CA

    Cross Country Allied • Santa Cruz, CA, US
    [job_card.full_time]
    As a skilled nursing facility occupational therapist, you'll help individuals with the skills needed for life's daily activities. Working in a skilled nursing facility, you'll review medical histori...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Associate Director, Nonclinical Development

    Associate Director, Nonclinical Development

    Ardelyx • Newark, CA, United States
    [job_card.full_time]
    Ardelyx is a publicly traded commercial biopharmaceutical company founded with a mission to discover, develop and commercialize innovative first-in-class medicines that meet significant unmet medic...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Complex Case Manager - Pediatric (RN) Defined Term

    Senior Complex Case Manager - Pediatric (RN) Defined Term

    Central California Alliance for Health • Santa Cruz, CA, United States
    [job_card.full_time] +2
    This is a Defined Term position, which is designated by the Alliance and is a position of limited duration.Defined Term employees are usually hired to work in a specific department on specific long...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Primary Care – Internal or Family Medicine

    Primary Care – Internal or Family Medicine

    El Camino Health Medical Network • San Jose, US
    [job_card.full_time]
    Primary Care – Internal or Family Medicine.El Camino Health Medical Group is seeking 2 full time BC or BE Internal Medicine and Family Medicine providers to join our growing multi-specialty group i...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Occupational Therapist (OT) - $1,896 per week in Santa Cruz, CA

    Travel Occupational Therapist (OT) - $1,896 per week in Santa Cruz, CA

    Triage Staffing LLC • Santa Cruz, CA, US
    [job_card.full_time]
    Travel Rehab : Occupational Therapy Santa Cruz.Shift Details : 8H Days (8 : 00 AM-4 : 30 PM).Length : 13 WEEKS 13 weeks.Apply for specific facility details.[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Lead Care Manager

    Lead Care Manager

    Gardner Health Services • San Jose, CA, US
    [job_card.full_time]
    Gardner Health Services is currently recruiting to fill the following two (2).Full-time, 40 hours / week position based out of the Downtown Resources Center located in San Jose, California.Full-time,...[show_more]
    [last_updated.last_updated_30] • [promoted]
    LCM Lead Care Manager

    LCM Lead Care Manager

    Star Nursing • Santa Cruz, CA, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Bilingual Housing Navigator / Care Coordinator Santa Cruz & Mariposa Counties Pay Rate : $22.Position Type : 12...[show_more]
    [last_updated.last_updated_30]
    Cooperative Extension Area IPM Advisor - Commensal Rodents and Urban Wildlife - Serving Santa Clara County and the San Francisco Bay Area (25-27)

    Cooperative Extension Area IPM Advisor - Commensal Rodents and Urban Wildlife - Serving Santa Clara County and the San Francisco Bay Area (25-27)

    UofC • San Jose, CA, United States
    [job_card.full_time]
    Cooperative Extension Area IPM Advisor - Commensal Rodents and Urban Wildlife - Serving Santa Clara County and the San Francisco Bay Area (25-27). University of California Agriculture and Natural Re...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Occupational Therapist (OT) - $1,677 to $2,021 per week in Santa Cruz, CA

    Travel Occupational Therapist (OT) - $1,677 to $2,021 per week in Santa Cruz, CA

    Fusion Medical Staffing • Santa Cruz, CA, US
    [job_card.full_time]
    Travel Occupational Therapist (OT).Facility in Santa Cruz, California.Fusion Medical Staffing is seeking a skilled Occupational Therapist for a 13-week travel assignment in Santa Cruz, California.A...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $3,339 per week in San Leandro, CA

    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $3,339 per week in San Leandro, CA

    TravelNurseSource • San Leandro, CA, US
    [job_card.full_time] +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified ICU / Critical Care RN in San Leandro, California, 94577!. Two (2) years of recent ICU nursing experience required.Dialysis, SLED or...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Echo Tech - $2,668 to $2,958 per week in Santa Cruz, CA

    Travel Echo Tech - $2,668 to $2,958 per week in Santa Cruz, CA

    AlliedTravelNetwork • Santa Cruz, CA, US
    [job_card.full_time]
    AlliedTravelNetwork is working with LRS Healthcare to find a qualified Echo Tech in Santa Cruz, California, 95062!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits p...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel CT Tech - $3370 / Week

    Travel CT Tech - $3370 / Week

    Medpro Healthcare Staffing • Fremont, CA, US
    [job_card.full_time]
    Medpro Healthcare Staffing is seeking an experienced CT Tech for an exciting Travel Allied job in Fremont, CA.Shift : 3x12 hr nights Start Date : 12 / 29 / 2025 Duration : 13 weeks Pay : $3370 / Week.Joint...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Travel Occupational Therapist (OT) - $2,426 to $2,501 per week in Santa Cruz, CA

    Travel Occupational Therapist (OT) - $2,426 to $2,501 per week in Santa Cruz, CA

    AlliedTravelCareers • Santa Cruz, CA, US
    [job_card.full_time]
    AlliedTravelCareers is working with Pioneer Healthcare Services to find a qualified Occupational Therapist (OT) in Santa Cruz, California, 95062!. If you want to make a significant impact as an.Asse...[show_more]
    [last_updated.last_updated_30] • [promoted]
    NP or PA needed in Santa Cruz, CA

    NP or PA needed in Santa Cruz, CA

    Columbia Healthcare • Santa Cruz, CA, US
    [job_card.full_time]
    Spanish-speaking) Family Nurse Practitioner (FNP) or Physician Assistant (PA).Bicultural candidates are preferred.Advanced Practice Clinician (APC) role. Strong background in women's health proc...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Bay Area / Fremont, CA Family Medicine Job|100k loan, 80k sign-on| base+wrvu's

    Bay Area / Fremont, CA Family Medicine Job|100k loan, 80k sign-on| base+wrvu's

    Jackson Physician Search • Fremont, US
    [job_card.full_time]
    Premier multi-specialty medical provider in the local community looking for an additional Family Medicine Physician.Join an established, physician founded and led medical foundation with over 100 o...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Managed Care Specialist

    Managed Care Specialist

    Workforce Connections • San Jose, CA, US
    [job_card.full_time] +1
    Care Management Support Coordinator II.Remote (Pacific Time Zone) California.Monday–Friday, 8 : 00 AM – 5 : 00 PM PST (no overtime). The Care Management Support Coordinator provides administ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Enhanced Care Management (ECM) Lead Care Manager - Santa Clara County (

    Enhanced Care Management (ECM) Lead Care Manager - Santa Clara County (

    Pacific Health Group • San Jose, CA, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Join Our Mission to Transform Lives : Enhanced Care Management.At Pacific Health Group, we’re more than just a healthcare organization—we’re a catalyst for positive change in our communities.Our Enh...[show_more]
    [last_updated.last_updated_30]