Schedule : Monday – Friday | 8:30 AM – 5:00 PM
Compensation : $30.00 – $35.00 per hour
Location : Hybrid (San Benito County)
FLSA Status : Non-Exempt
This position is an individual contributor, not a People Manager.

About Pacific Health Group
At Pacific Health Group, we are at the forefront of revolutionizing health and wellness through innovation, compassion, and community-driven care. Our mission is to empower members, uplift families, and positively impact the communities we serve.
Our Community Supports (CS) Program helps Medi-Cal members live more independently by addressing health-related social needs. In this role, you won’t just create care plans—you’ll guide members through every step of their journey, ensuring they receive the support and services needed to thrive.

What This Role Looks Like (Day-to-Day Reality)
This is a highly field-based role supporting members directly in the community.

Support members participating in CalAIM Community Supports Housing programs, including Housing Transition Navigation Services, Housing Tenancy & Sustaining Services, and Housing Deposit assistance.

Conduct outreach and complete intake assessments for members in need of housing

Build strong partnerships with housing providers, shelters, landlords, and community organizations to improve housing access and long-term stability.

Provide comprehensive, person-centered housing care management to a diverse panel of high-needs members (including individuals experiencing severe mental health conditions and substance dependencies).

Spend approximately 65% of your time in the field (home inpections, shelters, community settings)

Conduct in-person visits, assessments, and follow-ups

Travel locally within county and surrounding counties

Manage and coordinate the application pipeline for housing resources, including processing critical documents like Housing Deposit Services (HDS) packages and coordinating landlord allocations.

Participate in community outreach efforts including events, partnerships, and local engagement to build referral routes.

Navigate seamlessly and concurrently across multiple primary platforms.

Complete high-fidelity chart notes and clinical documentation in real-time following state guidelines.

This role requires independence, strong time management, leadership capability, and comfort working in fast-paced, community-based environments.

What You’ll Do
Housing Stability Services

Support members experiencing homelessness or at risk of homelessness by providing Housing Transition Navigation Services, helping them successfully transition into long-term stable housing while coordinating healthcare and community-based services that address housing as a key social driver of health.

Coordinate Housing Tenancy & Sustaining Services by helping members keep a stable housing through ongoing case management, advocacy, landlord engagement, and connections to healthcare, behavioral health, and community resources.

Assist members with Housing Deposits, coordinating required documentation and facilitating access to deposit assistance that removes financial barriers to securing permanent housing.

Collaborate with housing authorities, landlords, shelters, property managers, healthcare providers, and community-based organizations to ensure successful housing placement and long-term tenancy.

Monitor members' housing stability and proactively address barriers that could place housing or health outcomes at risk.

Care Coordination & Case Management

Conduct comprehensive member assessments to identify health and social needs.

Develop and manage housing individualized care plans

Coordinate appointments, services, and long-term housing support systems

Ensure continuity of care and consistent follow-through

Member Engagement & Advocacy

Build strong, trusting relationships with members and their families

Provide ongoing support through phone, video, and in-person visits

Advocate for timely care, services,



and equitable access to resources

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 service providers

Identify opportunities to expand community presence and improve access to services

Support outreach efforts that drive member engagement and program awareness

Community Resource Navigation

Connect members to housing resources and assist providing long term housing

Strengthen partnerships with community-based organizations

Identify gaps in resources and elevate needs for program improvement

Team Support

Actively participate as a collaborative team player by maintaining an engaging, "camera-on" presence in all departmental huddles, sharing valuable housing resources in the team channels, and offering cross-coverage support to peers.

Assist with new Lead Care Managers shadowing sessions

Promote consistency, collaboration, and best practices across the team

Documentation & Compliance

Maintain accurate and timely documentation of all member interactions

Ensure compliance with Medi-Cal, CalAIM, and Community Supports program requirements

Track progress, outcomes, and service delivery

Team Collaboration

Partner with interdisciplinary teams including behavioral health, outreach, and social services

Coordinate with healthcare providers and payers to ensure seamless care delivery

Continuous Improvement

Identify trends and gaps in services

Demonstrate a high level of professionalism by actively collaborating with leadership during 1:1 coaching syncs to integrate feedback and refine daily workflows.

How Success Is Measured

Successful housing placements and housing retention for eligible members.

Demonstrated continuous progression of member care through the care pipeline. This includes maintaining strong engagement with high-needs individuals, avoiding gaps in care, and successfully helping members meet their housing stabilization milestones.

Timely coordination of Housing Transition Navigation Services, Housing Tenancy & Sustaining Services, and Housing Deposit assistance.

Improved member health outcomes through housing stabilization and reduced barriers to care.

Member engagement and successful care coordination outcomes

Timely and accurate documentation

Ability to manage caseload independently and effectively, and keeping your caseload active and continuously growing through effective outreach and timely enrollment strategies.

Quality team support provided

Strength of community partnerships and outreach engagement

Compliance with program and regulatory requirements

Who Thrives in This Role

Is comfortable working independently in the field and remote environments

Can manage complex caseloads and competing priorities

Is a strong leader and team collaborator

Is proactive, resourceful, and solution-oriented

Thrives in fast-paced, community-based environments

Enjoys engaging with the community and building relationships

Is passionate about supporting high-acuity, underserved populations

Detail-Oriented and enjoys multi tasking

Embraces constructive feedback

Proficient with high-volume documentation and enjoys keeping meticulous, complete records of every member touchpoint.

Comfortable and compassionate when working with complex individuals facing severe mental health challenges, and demonstrates strong emotional intelligence and proven de-escalation techniques during crisis situations.





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.

Requirements
Minimum Qualifications

Strong understanding of the housing system and demonstrated working knowledge of local housing resources, housing navigation, community-based support programs, or transitional housing support workflows (such as Medi-Cal, CalAim, Community Supports, or HUD programs).

Experience: 3–5 years in case management, social services, or healthcare

Experience with: Medi-Cal, CalAIM, and Community Supports programs (preferred)

Strong understanding of healthcare systems, managed care, and community resources

Excellent communication, empathy, and cultural competence

Strong organizational and time management skills

Must be proficient in technology, including case management systems, EHR platforms, and documentation tools

Ability to document in real-time and manage member data accurately

Comfortable navigating multiple systems and communication platforms

Work Requirements

Ability to travel locally within hiring county

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 issued 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

Benefits
Compensation & Benefits

Hourly Range:$30.00 - $35.00, depending on experience, qualifications, and internal equity

Monthly stipend

160 hours PTO + paid sick time

11 paid holidays (including birthday and floating holiday)

4 paid volunteer hours per month

90% employer-paid employee-only medical benefits

Versátil Spending Account (FSA)

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

Employee Assistance Program (EAP)

401(k) with company match

Professional development opportunities

Quarterly in-person events

Employee discount programs

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📌 Community Supports Lead Care Coordinator (Housing) - San Benito County (Tuxtla)
🏢 Pacific Health Group
📍 Tuxtla