Pacific Health Group·Humboldt County, California
Manage a caseload of 60-70 members by developing individualized care plans and coordinating services across medical and community providers. Conduct frequent in-person visits to address social determinants of health such as housing, food insecurity, and mental health needs.
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
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 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 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 our pre-employment process, which includes a background check and the submission of all required documentation and new hire paperwork. 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.
Compensation & Benefits $29.00 – $32.00/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
Market context
In California, Enhanced Care Management roles are commonly tied to ongoing demand for coordinated support across healthcare and social services, especially in field-based settings. This position is competitive because it requires Santa Clara County residency, 3-5 years of relevant experience, a valid California driver’s license, reliable personal transportation, and strong documentation skills. Review the AI-summarized requirements and benefits here to save research time, then confirm your case management examples and local travel readiness before applying.
