Talent.com
Enhanced Care Management (ECM) Lead Care Manager - San Diego County
Enhanced Care Management (ECM) Lead Care Manager - San Diego CountyPacific Health Group • San Marcos, CA, US
serp_jobs.error_messages.no_longer_accepting
Enhanced Care Management (ECM) Lead Care Manager - San Diego County

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

Pacific Health Group • San Marcos, CA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters_job_card.quick_apply
job_description.job_card.job_description

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 : $25.00 - $29.00 per hour

    Expected hours : 40 per week

  • 8-Hour Shift
  • Monday to Friday, 8 : 30am PST - 5 : 00pm PST
  • Work Location : Hybrid remote in San Diego County, CA - On the road

    Equal Opportunity Employer

    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. We value diversity in all forms and encourage individuals from historically underrepresented communities to apply.

    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 San Diego County
  • 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
  • serp_jobs.job_alerts.create_a_job

    Care Care Management • San Marcos, CA, US

    Job_description.internal_linking.related_jobs
    Regional Manager - San Diego

    Regional Manager - San Diego

    Sares-Regis Group Careers • San Diego, California, US
    serp_jobs.job_card.full_time
    Considering applying for this job Do not delay, scroll down and make your application as soon as possible to avoid missing out. Our portfolio is growing! Come join our team! .Sares Regis Group of N...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    San Diego Regional Program Manager

    San Diego Regional Program Manager

    HealthCorps • San Diego, CA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Are you passionate about serving your community and empowering the next generation of healthy leaders? At HealthCorps, our mission is to improve the lives of youth—both mentally and physically—by p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days
    NP Perm for Primary Care Satellite facilities in San Diego, CA

    NP Perm for Primary Care Satellite facilities in San Diego, CA

    Sumo Staffing • San Diego, CA, US
    serp_jobs.job_card.full_time
    Procedures - suturing and casting.CA state license; active, unrestricted.Competitive Market Rate (rate based on availability, experience, certifications, housing, and transportation needs, etc.If y...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Program Manager (San Diego)

    Program Manager (San Diego)

    Pacer Group • San Diego, CA, US
    serp_jobs.job_card.part_time
    Strong Technical Program Management (810+ years).Hands-On Experience in Software Development Programs (AI / ML, Cloud, SaaS, Platform). Experience Delivering High-Complexity, High-Impact Tech Initiati...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_less • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Regional Manager - San Diego

    Regional Manager - San Diego

    Sares Regis Group • San Diego, CA, US
    serp_jobs.job_card.full_time
    Our portfolio is growing! Come join our team!.Sares Regis Group of Newport Beach, California, is a privately held real estate development, investment and management firm that focuses on commercial ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    (RN) Care Manager - La Jolla

    (RN) Care Manager - La Jolla

    University of California • San Diego, CA, United States
    serp_jobs.job_card.full_time
    UCSD Layoff from Career Appointment.Apply by 08 / 12 / 2025 for consideration with preference for rehire.All layoff applicants should contact their Employment Advisor. Eligible Special Selection clients...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Program Director (San Diego)

    Program Director (San Diego)

    ActOne Group • San Diego, CA, US
    serp_jobs.job_card.full_time +1
    We are hiring a Program Director to lead and oversee family services programs in San Diego.This role is responsible for planning, directing, and coordinating the work of staff, consultants, and par...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Regional Manager - San Diego

    Regional Manager - San Diego

    ZOLL Medical Corporation • San Diego, CA, US
    serp_jobs.job_card.full_time
    At ZOLL, we're passionate about improving patient outcomes and helping save lives.We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, softwar...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Occupational Medicine in San Diego, CA | Nationally Ranked Health System

    Occupational Medicine in San Diego, CA | Nationally Ranked Health System

    Jackson Physician Search • San Diego, US
    serp_jobs.job_card.full_time
    A nationally recognized health system located in the heart of San Diego, CA is seeking BE / BC Occupational Medicine Physician to join their staff as an outpatient clinician.The practice is looking t...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    (RN) Care Manager - La Jolla

    (RN) Care Manager - La Jolla

    UC San Diego • San Diego, CA, United States
    serp_jobs.job_card.full_time
    Campus Point Drive, San Diego, CA 92037, United States.Extended Review Date : Mon 11 / 3 / 2025.UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our te...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    UltraCare Liaison, Rare Disease Field Sales, Bone (San Diego)

    UltraCare Liaison, Rare Disease Field Sales, Bone (San Diego)

    Ultragenyx Pharmaceutical • San Diego, California, USA
    serp_jobs.job_card.full_time
    Be a hero for our rare disease patients.At Ultragenyx we fundamentally believe that taking real impactful action to care for the needs of patients and our people is always the right thing to achie...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Area Director, San Diego

    Area Director, San Diego

    American Foundation Suicide Prevention group • San Diego, CA, United States
    serp_jobs.job_card.full_time
    If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Full Time Management San Diego, CA, US.Re...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Managed Care Specialist

    Managed Care Specialist

    Workforce Connections • San Diego, CA, US
    serp_jobs.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...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Territory Manager San Diego

    Territory Manager San Diego

    Ceribell • San Diego, California, USA
    serp_jobs.job_card.full_time
    Ceribell is a medical technology company focused on transforming the diagnosis and management of patients with serious neurological conditions. Our entire team is driven by a shared commitment to tr...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Care Manager

    Care Manager

    Western Youth Services • San Diego, CA, US
    serp_jobs.job_card.full_time
    Western Youth Services is a leading expert in children's mental health and wellness solutions.As a hub of children's mental health in Orange County, we've been providing services and programs for o...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Housing Navigator (CalAIM Program)

    Housing Navigator (CalAIM Program)

    NAMI San Diego • San Diego, California, USA
    serp_jobs.job_card.full_time
    Position Title : Housing Navigator (San Diego County).NAMI San Diego & Imperial Counties (National Alliance on Mental Illness) is a nonprofit organization that provides free education support se...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Value-Based Care Program Manager

    Value-Based Care Program Manager

    MASC Medical • San Diego, CA, us
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Value-Based Care Program Manager.The Value-Based Care Program Manager is a key member of the leadership team.This role leads operational and strategic initiatives across our value-based care ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Travel Nurse RN - Care Manager - $3,635 per week

    Travel Nurse RN - Care Manager - $3,635 per week

    LanceSoft • San Diego, CA, US
    serp_jobs.job_card.permanent
    LanceSoft is seeking a travel nurse RN Care Manager for a travel nursing job in San Diego, California.Job Description & Requirements. Zion Medical Center, 4647 Zion Ave, San Diego, CA 92120.Esta...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted