Pacific Health Group

Pacific Health Group

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Pacific Health Group

Community Support Lead Care Manager - Remote CALIFORNIA

Pacific Health GroupAnywhereFull-time
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Compensation$70K - 90K a year

Coordinate and support community health members through personalized care plans, resource linkage, and advocacy. | 3-5 years in case management or healthcare, familiarity with Medi-Cal and community programs, strong interpersonal and organizational skills. | I. Position Overview At Pacific Health Group (PHG), we are at the forefront of revolutionizing health and wellness, setting new benchmarks in healthcare services 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 is designed to help Medi-Cal members live more independently in the community by addressing their health-related social needs. As a Community Supports 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. II. Key Responsibilities1. Member Outreach Conduct comprehensive evaluations of members’ needs, preferences, and eligibility through detailed conversations and data review. Develop tailored care plans based on individual health and social circumstances. 2. Comprehensive Care Coordination Arrange all aspects of member care, including scheduling appointments, organizing follow-up services, and linking members to community resources. Ensure members receive consistent, end-to-end support for long-term stability and health improvement. 3. Case Management with a Heart Perform empathetic assessments that capture members’ lived experiences and goals, not just medical data. Maintain close communication with members via phone, video, or in-person visits to monitor progress and address emerging challenges. 4. Resource Management Serve as a bridge between members and available community resources, such as housing programs, workforce training, childcare, and food assistance. 5. Patient Advocacy Advocate for timely treatments, fair insurance authorizations, and equitable access to care. 6. Communication & Collaboration Act as the central communication hub among members, their families, healthcare providers, and community partners. 7. Documentation Maintain accurate, up-to-date documentation of assessments, care plans, progress notes, and outcomes. Ensure all records comply with legal, ethical, and organizational standards for quality and accountability. 8. Continuous Improvement Collect and analyze feedback to identify gaps in care coordination and advocate for new resources or partnerships. 9. Regulatory Compliance Remain current on Medi-Cal, CalAIM, and community support policies to ensure all activities meet compliance and quality-of-care standards. 10. Professional Development Participate in workshops, training, and certifications on cultural competence, trauma-informed care, and motivational interviewing. Encourage peer learning and continuous growth within the care team. 11. Leadership & Team Support Provide mentorship, guidance, and day-to-day support to other Care Managers within the Community Supports Program. Assist in onboarding new team members and promoting a collaborative, compassionate care environment. 12. Other Duties Support program initiatives and special projects as assigned. Demonstrate flexibility and teamwork to ensure departmental success. III. Work Environment Setting: Fully remote within California, with potential in-person visits or community engagement as needed. Schedule: Standard 8-hour shift, Monday through Friday, 8:30 AM – 5:00 PM. Culture: Inclusive, mission-driven, and compassionate, focused on equity, dignity, and empowerment. Pace: Dynamic and people-focused, requiring flexibility, emotional intelligence, and proactive communication. IV. Key Internal & External RelationshipsInternal Care Management Team: Mentor and collaborate with case managers to coordinate care and maintain consistency in service delivery. Program Leadership: Work with management to align care strategies with organizational goals. Interdisciplinary Teams: Partner with social workers, behavioral health specialists, and outreach teams to support holistic member care. External Members & Families: Build trusting relationships, ensuring members feel supported throughout their care journey. Community Organizations: Coordinate services for housing, employment, food security, and other essential needs. Healthcare Providers & Payers: Maintain communication for seamless coordination and access to care. Experience: 3–5 years in case management, social services, or healthcare. Expertise: Familiarity with Medi-Cal, CalAIM, and Community Supports programs. Healthcare Insight: Knowledge of healthcare systems, managed care operations, and local community resources. Interpersonal Skills: Strong communication, empathy, cultural competence, and teamwork. Organizational Skills: Proven time management and attention to detail. Technical Proficiency: Competence in using case management software, EHR systems, and related tools.

Empathy
Communication
Care Coordination
Community Resources
Direct Apply
Posted 7 days ago
Pacific Health Group

Community Support Lead Care Manager - Remote

Pacific Health GroupAnywhereFull-time
View Job
Compensation$70K - 90K a year

Coordinate and manage community-based health and social services for Medi-Cal members, ensuring comprehensive, empathetic support and resource linkage. | 3-5 years in case management or healthcare, familiarity with Medi-Cal and CalAIM, strong interpersonal and organizational skills, proficiency with case management software. | I. Position Overview At Pacific Health Group (PHG), we are at the forefront of revolutionizing health and wellness, setting new benchmarks in healthcare services 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 is designed to help Medi-Cal members live more independently in the community by addressing their health-related social needs. As a Community Supports 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. II. Key Responsibilities1. Member Outreach Conduct comprehensive evaluations of members’ needs, preferences, and eligibility through detailed conversations and data review. Develop tailored care plans based on individual health and social circumstances. 2. Comprehensive Care Coordination Arrange all aspects of member care, including scheduling appointments, organizing follow-up services, and linking members to community resources. Ensure members receive consistent, end-to-end support for long-term stability and health improvement. 3. Case Management with a Heart Perform empathetic assessments that capture members’ lived experiences and goals, not just medical data. Maintain close communication with members via phone, video, or in-person visits to monitor progress and address emerging challenges. 4. Resource Management Serve as a bridge between members and available community resources, such as housing programs, workforce training, childcare, and food assistance. 5. Patient Advocacy Advocate for timely treatments, fair insurance authorizations, and equitable access to care. 6. Communication & Collaboration Act as the central communication hub among members, their families, healthcare providers, and community partners. 7. Documentation Maintain accurate, up-to-date documentation of assessments, care plans, progress notes, and outcomes. Ensure all records comply with legal, ethical, and organizational standards for quality and accountability. 8. Continuous Improvement Collect and analyze feedback to identify gaps in care coordination and advocate for new resources or partnerships. 9. Regulatory Compliance Remain current on Medi-Cal, CalAIM, and community support policies to ensure all activities meet compliance and quality-of-care standards. 10. Professional Development Participate in workshops, training, and certifications on cultural competence, trauma-informed care, and motivational interviewing. Encourage peer learning and continuous growth within the care team. 11. Leadership & Team Support Provide mentorship, guidance, and day-to-day support to other Care Managers within the Community Supports Program. Assist in onboarding new team members and promoting a collaborative, compassionate care environment. 12. Other Duties Support program initiatives and special projects as assigned. Demonstrate flexibility and teamwork to ensure departmental success. III. Work Environment Setting: Fully remote within California, with potential in-person visits or community engagement as needed. Schedule: Standard 8-hour shift, Monday through Friday, 8:30 AM – 5:00 PM. Culture: Inclusive, mission-driven, and compassionate, focused on equity, dignity, and empowerment. Pace: Dynamic and people-focused, requiring flexibility, emotional intelligence, and proactive communication. IV. Key Internal & External RelationshipsInternal Care Management Team: Mentor and collaborate with case managers to coordinate care and maintain consistency in service delivery. Program Leadership: Work with management to align care strategies with organizational goals. Interdisciplinary Teams: Partner with social workers, behavioral health specialists, and outreach teams to support holistic member care. External Members & Families: Build trusting relationships, ensuring members feel supported throughout their care journey. Community Organizations: Coordinate services for housing, employment, food security, and other essential needs. Healthcare Providers & Payers: Maintain communication for seamless coordination and access to care. Experience: 3–5 years in case management, social services, or healthcare. Expertise: Familiarity with Medi-Cal, CalAIM, and Community Supports programs. Healthcare Insight: Knowledge of healthcare systems, managed care operations, and local community resources. Interpersonal Skills: Strong communication, empathy, cultural competence, and teamwork. Organizational Skills: Proven time management and attention to detail. Technical Proficiency: Competence in using case management software, EHR systems, and related tools.

Healthcare systems knowledge
Case management
Community resources coordination
Empathy and cultural competence
Communication and teamwork
Direct Apply
Posted 7 days ago
Pacific Health Group

Community Support Lead Care Manager

Pacific Health GroupAnywhereFull-time
View Job
Compensation$70K - 90K a year

Conduct member assessments, develop care plans, coordinate services, and advocate for members within a community healthcare setting. | 3-5 years in case management or social services, familiarity with healthcare programs like Medi-Cal, strong communication skills, and experience with case management software. | I. Position Overview At Pacific Health Group (PHG), we are at the forefront of revolutionizing health and wellness, setting new benchmarks in healthcare services 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 is designed to help Medi-Cal members live more independently in the community by addressing their health-related social needs. As a Community Supports 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. II. Key Responsibilities1. Member Outreach Conduct comprehensive evaluations of members’ needs, preferences, and eligibility through detailed conversations and data review. Develop tailored care plans based on individual health and social circumstances. 2. Comprehensive Care Coordination Arrange all aspects of member care, including scheduling appointments, organizing follow-up services, and linking members to community resources. Ensure members receive consistent, end-to-end support for long-term stability and health improvement. 3. Case Management with a Heart Perform empathetic assessments that capture members’ lived experiences and goals, not just medical data. Maintain close communication with members via phone, video, or in-person visits to monitor progress and address emerging challenges. 4. Resource Management Serve as a bridge between members and available community resources, such as housing programs, workforce training, childcare, and food assistance. 5. Patient Advocacy Advocate for timely treatments, fair insurance authorizations, and equitable access to care. 6. Communication & Collaboration Act as the central communication hub among members, their families, healthcare providers, and community partners. 7. Documentation Maintain accurate, up-to-date documentation of assessments, care plans, progress notes, and outcomes. Ensure all records comply with legal, ethical, and organizational standards for quality and accountability. 8. Continuous Improvement Collect and analyze feedback to identify gaps in care coordination and advocate for new resources or partnerships. 9. Regulatory Compliance Remain current on Medi-Cal, CalAIM, and community support policies to ensure all activities meet compliance and quality-of-care standards. 10. Professional Development Participate in workshops, training, and certifications on cultural competence, trauma-informed care, and motivational interviewing. Encourage peer learning and continuous growth within the care team. 11. Leadership & Team Support Provide mentorship, guidance, and day-to-day support to other Care Managers within the Community Supports Program. Assist in onboarding new team members and promoting a collaborative, compassionate care environment. 12. Other Duties Support program initiatives and special projects as assigned. Demonstrate flexibility and teamwork to ensure departmental success. 13. Work Environment Setting: Hybrid, 65% field based (Santa Clara County) remainder, remote work from home. Schedule: Standard 8-hour shift, Monday through Friday, 8:30 AM – 5:00 PM Culture: Inclusive, mission-driven, and compassionate, focused on equity, dignity, and empowerment. Pace: Dynamic and people-focused, requiring flexibility, emotional intelligence, and proactive communication. 14. Key Internal & External RelationshipsInternal Care Management Team: Mentor and collaborate with case managers to coordinate care and maintain consistency in service delivery. Program Leadership: Work with management to align care strategies with organizational goals. Interdisciplinary Teams: Partner with social workers, behavioral health specialists, and outreach teams to support holistic member care. External Members & Families: Build trusting relationships, ensuring members feel supported throughout their care journey. Community Organizations: Coordinate services for housing, employment, food security, and other essential needs. Healthcare Providers & Payers: Maintain communication for seamless coordination and access to care. Experience: 3–5 years in case management, social services, or healthcare. Expertise: Familiarity with Medi-Cal, CalAIM, and Community Supports programs. Healthcare Insight: Knowledge of healthcare systems, managed care operations, and local community resources. Interpersonal Skills: Strong communication, empathy, cultural competence, and teamwork. Organizational Skills: Proven time management and attention to detail. Technical Proficiency: Competence in using case management software, EHR systems, and related tools.

Empathy and interpersonal communication
Care coordination and case management
Knowledge of Medi-Cal, CalAIM, and community resources
Documentation and compliance in healthcare settings
Direct Apply
Posted 7 days ago
Pacific Health Group

ECM Program Manager - Northern California Region

Pacific Health GroupAnywhereFull-time
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Compensation$75K - 100K a year

Leading and supervising care management teams, ensuring program quality, and fostering cross-functional partnerships to improve healthcare outcomes. | Bachelor's or Master's in Healthcare or related field, 5+ years healthcare management experience, 2+ years in care management, knowledge of Medicaid/Medicare, data analysis skills. | ECM Program Manager Pacific Health Group | Transforming Care Through Connection At Pacific Health Group, we’re more than just a healthcare organization—we’re driving real change. As an ECM Program Manager, you’ll lead our Enhanced Care Management program, making sure vulnerable populations get the care, support, and advocacy they need to live healthier, more stable lives. You’ll guide regional teams to deliver compassionate, person-centered care that improves outcomes and supports our mission to close health equity gaps across California. Role Overview This position is all about leadership, program oversight, and innovation. You’ll supervise Lead Care Managers across Northern and Central California, ensuring the team has the support and resources needed to succeed. You’ll oversee program quality, member services, cross-functional partnerships, budgeting, and program growth initiatives. Your work will directly impact the lives of high-need populations while strengthening Pacific Health Group’s reputation for excellence in care. Key Responsibilities Team Leadership & Supervision Mentor and guide Lead Care Managers across multiple counties. Conduct weekly one-on-ones to address challenges, review caseloads, and provide coaching. Lead weekly team meetings to share updates, review cases, and encourage collaboration. Meet in-person with staff regularly to maintain strong leadership presence. Program Development & Quality Assurance Establish benchmarks and metrics to track program performance. Implement quality assurance protocols and standardized workflows. Monitor staff performance and use data to identify trends and improvement opportunities. Member Services Oversight Ensure members are receiving in-person visits and high-quality care. Monitor documentation and provide support for challenging cases. Implement strategies to improve member engagement and satisfaction. Cross-Functional Collaboration Serve as liaison between ECM program and hospitals, providers, and community organizations. Collaborate with data and compliance teams to track outcomes and maintain regulatory standards. Strengthen partnerships to improve care transitions and reduce hospital readmissions. Budget & Resource Management Develop and manage program budgets, allocate resources efficiently, and track expenditures. Adjust staffing and resources based on member needs and program priorities. Program Innovation & Growth Identify opportunities to enhance program effectiveness. Pilot new initiatives such as telehealth to expand access to care. Stay current on best practices and integrate improvements. Additional Examples Lead operational huddles and bi-weekly case conferences. Develop mentorship programs and regional trainings for staff. Prepare quarterly performance reports and maintain stakeholder relationships. Qualifications Education & Experience Bachelor’s or Master’s in Healthcare Administration, Public Health, Nursing, or related field. 5+ years in healthcare management, including 3+ years in care/case management. 2+ years managing Enhanced Care Management or intensive care management programs. Knowledge & Skills Understanding of care management principles and healthcare delivery systems. Experience with Medicaid/Medicare programs and ECM program requirements. Strong analytical skills and experience in data-driven program evaluation. Personal Attributes Strong leadership and communication skills. Ability to manage multiple priorities in a fast-paced environment. Commitment to person-centered care and health equity. Working Conditions Regular travel (50–60%) to county sites in California. Occasional evening or weekend availability for program initiatives. Must reside within/adjacent to the Northern/Central California counties assigned. Valid California Driver’s License (Class C minimum) and personal, operable vehicle. Employment contingent on successful background and Motor Vehicle Report (MVR) checks. 160 Hours of Paid Time Off (PTO) 12 Paid Holidays per year, including your birthday and one floating holiday granted after 1 year of employment 4 Paid Volunteer Hours per Month to support causes you care about Bereavement Leave, including Fur Baby Bereavement 90% Employer-paid Employee-Only Medical Benefits FSA | Dependent Care Account 401(k) with Company Match Monthly Stipend Short-Term & Long-Term Disability | AD&D Employee Assistance Program (EAP) Employee Discounts via Great Work Perks and Perks at Work Quarterly In-Person Events Fully remote work within California Opportunities for professional development and internal growth

Program Management
Stakeholder Engagement
Data-Driven Evaluation
Leadership & Mentoring
Direct Apply
Posted 11 days ago
Pacific Health Group

Graphic Designer

Pacific Health GroupAnywhereFull-time
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Compensation$67K - 74K a year

The Graphic Designer will maintain and evolve the visual brand identity of Pacific Health Group, ensuring consistent use across all platforms. This role involves conceptualizing and producing designs for various media, collaborating with teams to effectively communicate service offerings. | Candidates should have 5+ years of professional experience in graphic design and advanced proficiency in Adobe Creative Suite. A strong portfolio showcasing design work across multiple formats and an understanding of branding and accessibility are essential. | Location: Hybrid – Occasional in-office collaboration in San Diego Employment Type: Full-Time Pay Range: $66,850-$74,000 annually About Pacific Health Group At Pacific Health Group, we are at the forefront of revolutionizing healthcare. You will play a vital role in this mission. We are dedicated to improving health outcomes by addressing social determinants of health and coordinating comprehensive community-based services, particularly through our programs. If you are passionate about making a difference and have the skills to lead in this dynamic environment, we invite you to join our team. Overview The Experienced In-House Graphic Designer will be the creative force behind Pacific Health Group’s visual brand identity. This role combines strategic thinking with exceptional design skills to create impactful visual assets for print, digital, and multimedia channels. You will translate complex healthcare and community service concepts into compelling, accessible visuals that support our mission to connect vulnerable populations with life-changing healthcare services. Working closely with leadership, communications, and outreach teams, you will ensure every design touchpoint aligns with our brand voice, values, and goals. Key ResponsibilitiesBrand Stewardship & Visual Identity Maintain and evolve Pacific Health Group’s brand guidelines, ensuring consistent use across all platforms and materials. Develop design templates, asset libraries, and toolkits for internal teams. Oversee all visual aspects of campaigns, ensuring cohesion with our mission and messaging. Complete oversight of all output measures such as messaging, print, furthermore Creative Development & Production Conceptualize and produce designs for print (brochures, flyers, posters, banners) and digital (social media graphics, email templates, presentations, web elements). Collaborate with program teams to design outreach materials that effectively communicate service offerings. Manage multiple projects simultaneously from concept through production, meeting tight deadlines without compromising quality. Multimedia & Digital Engagement Create graphics and motion content for social media campaigns, videos, and presentations. Support website updates with high-quality imagery, infographics, and layout suggestions. Ensure all digital assets are optimized for accessibility and performance. Collaboration & Support Work closely with the departmental leaders, publicist and digital Marketing team to visually support media campaigns and press releases. Partner with outreach teams to create culturally sensitive, community-specific materials. Provide design guidance to internal teams for event signage, presentations, and branded apparel. Example Scenarios Scenario 1: Campaign Launch Materials You partner with the Publicist or other department managers to design a series of social graphics, event banners, and print flyers for a new mental health awareness campaign. Your designs use bold, engaging visuals that help increase event attendance and online engagement by 40%. Scenario 2: Annual Impact Report You take complex service data and transform it into an accessible, visually stunning annual report—complete with infographics, patient stories, and outcome charts—that secures renewed grant funding from major donors. Scenario 3: Event Branding You develop a full visual identity for Pacific Health Group’s quarterly community health fair, including posters, directional signage, and volunteer t-shirts, creating a cohesive experience that attendees recognize instantly. Success Measures Consistent, high-quality visual assets that align with brand standards. Positive internal feedback on design support for campaigns and projects. Increased engagement with visual content across platforms. Efficient project turnaround without sacrificing quality. 5+ years professional experience as a graphic designer (in-house or agency). Advanced proficiency in Adobe Creative Suite (Illustrator, Photoshop, InDesign, Premiere, After Effects) and Canva (preferred). Strong attention to detail manner and efficient Background in communications and english Strong portfolio showcasing design work across print, digital, and multimedia formats. Understanding of branding, typography, and color theory. Experience designing for accessibility and cultural sensitivity. Ability to manage multiple priorities and deadlines. Photography and video editing skills (preferred). Experience in healthcare, nonprofit, or community service sectors (preferred). Time Off & Leave 160 Hours of Paid Time Off (PTO) 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment 4 Paid Volunteer Hours per Month to support causes you care about Bereavement Leave, including Fur Baby Bereavement Health & Wellness 90% Employer-paid Employee-Only Medical Benefits Flexible Spending Account (FSA) Short-Term & Long-Term Disability | AD&D Employee Assistance Program (EAP) Financial & Professional 401(k) with Company Match Monthly Stipend Opportunities for professional development and internal growth Culture & Perks Employee Discounts via Great Work Perks and Perks at Work Quarterly In-Person Events 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. Job Application & Offer Disclaimer Pacific Health Group is committed to maintaining a transparent, lawful, and secure hiring process in compliance with California labor laws and employment standards. No candidate will be offered employment without meeting the required qualifications and skillset for the position and successfully completing all steps of our recruitment process, which include: • Submission of a completed internal application via our HRIS system • A formal pre-screen with our recruiting team • Completion of a skills assessment (if applicable to the position) • Participation in a final interview with hiring leadership • Receipt of a formal verbal offer from our authorized hiring team 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.

Graphic Design
Adobe Creative Suite
Canva
Branding
Typography
Color Theory
Accessibility
Cultural Sensitivity
Photography
Video Editing
Project Management
Communication
Community Service
Print Design
Digital Design
Multimedia
Direct Apply
Posted 2 months ago
PH

Street Outreach Regional Manager Northern California Only

Pacific Health GroupAnywhereFull-time
View Job
Compensation$85K - 95K a year

Lead and scale the Street Outreach program by managing teams, partnerships, budgets, and ensuring measurable impact across communities. | Bachelor’s or Master’s degree, 5+ years leadership in community outreach or related fields, expertise in grant and budget management, data analytics, stakeholder engagement, and knowledge of CALAIM services. | Street Outreach Regional Manager Job Description Position Overview The Street Outreach Manager leads and scales our entire Street Outreach program—overseeing Street Outreach Liaisons and Advocates to deliver CALAIM services (Enhanced Care Management, Community Supports, Behavioral Health, Community Health Worker services, and Street Medicine). You will drive strategic direction, manage program resources and budgets, deepen partnerships, and ensure measurable impact across communities. Key Responsibilities Strategic Leadership & Program Growth You’ll define program goals, annual budgets, and staffing plans. You translate organizational priorities into outreach targets, manage resource allocation, and champion continuous improvement to expand service reach. Team Management & Development Supervise and mentor Street Outreach Liaisons, setting clear performance expectations, conducting quarterly reviews, and facilitating professional development. You ensure staffing levels, recruitment, and training plans align with program needs. Partnership Strategy & Advocacy Develop high-level alliances with CBO executives, healthcare systems, and government agencies. Negotiate multi-year MOUs, secure grant funding, and represent the program in coalitions—advocating for policies that strengthen street-level service delivery. Operational Oversight & Quality Assurance Establish standardized outreach protocols, data-collection workflows, and quality benchmarks. You lead monthly data reviews, oversee compliance with documentation standards, and coordinate with IT to optimize CRM and field-data tools. Performance Measurement & Reporting Design and manage dashboards tracking key metrics—overall contacts, enrollment volumes, service utilization, and cost-per-participant. You deliver quarterly impact reports to senior leadership and adjust strategies based on data-driven insights. Crisis Response & Program Adaptation When outbreaks, natural disasters, or policy shifts occur, you rapidly reallocate teams, update outreach protocols, and convene agency partners to maintain uninterrupted service access for vulnerable populations. Example Scenarios Scenario 1: Scaling a New Partnership You identify a regional hospital network interested in on-site discharge planning support. You draft a joint-venture proposal, secure a three-year grant for Community Supports stipends, and oversee pilot launch—resulting in a 25% increase in warm referrals within two months. Scenario 2: Emergency Outreach Activation During a heat-wave alert, you coordinate with the county public health emergency operations center to embed Street Medicine clinicians and Advocates at cooling centers. You reassign team members, mobilize mobile vans, and ensure behavioral health support is available to high-risk individuals on the streets. Scenario 3: Emergency Response Coordination An unexpected heat-wave alert triggers a public health emergency. You rapidly assemble your Street Outreach Liaisons and Advocates, re-routing them to cooling centers and known encampments. You liaise with the city’s Emergency Operations Center to embed street medicine clinicians in mobile units, authorize rapid Community Supports disbursement for motel vouchers, and brief your CHW leads on distributing hydration kits. Throughout the day, you monitor a live dashboard, redeploy teams as new hotspots emerge, and send real-time status updates to agency partners. Scenario 4: Program Performance Review & Coaching You gather your Outreach Liaisons for a monthly performance review. Together, you analyze key metrics—enrollment conversion rates, outreach volume, and referral turnaround times—and identify that behavioral health referrals are lagging. You coach each Liaison on targeted strategies to strengthen warm hand-offs with your Behavioral Health team, introduce a new “rapid-response” workflow, and set clear improvement goals. You follow up with one-on-one coaching sessions to ensure every Outreach Advocate has the tools and knowledge to hit the revised targets. Scenario 5: Staff Training & Capacity Building You design and lead a half-day training workshop for all Street Outreach staff on trauma-informed engagement and CALAIM eligibility nuances. Through role-play exercises, you model difficult conversations—such as handling distrust of government services—and introduce new mobile-data entry best practices. You close the session by soliciting feedback and adding a quarterly refresher to your team’s development calendar. Qualifications • Bachelor’s or Master’s in Public Health, Social Work, Healthcare Administration, or related field • 5+ years of leadership experience in community outreach, program management, or population health • Proven track record securing and managing multi-sector partnerships and grant portfolios • Strong financial acumen: budget development, forecasting, and cost-control • Expertise in data analytics and performance management (CRM, dashboards, KPI reporting) • Exceptional communication and stakeholder engagement skills—public speaking and negotiation • Deep knowledge of CALAIM services and regulatory requirements • Cultural humility and ability to lead teams serving diverse, underserved populations • Valid driver’s license and readiness for occasional field deployments Examples of Effective Communication Skills Vision Casting & Alignment When presenting annual goals, you articulate how expanding Enhanced Care Management will reduce ER admissions by “x%” and improve behavioral health outcomes—garnering buy-in from funders and agency partners. Cross-Sector Negotiation Faced with a shelter’s capacity constraints, you acknowledge their operational challenges and propose a shared staffing model—embedding your CHWs at their site, which streamlines referrals and alleviates their workload. Success Measures • 100% of program budget deployed efficiently, with ≤5% variance • 4 new strategic partnerships secured annually, each driving ≥50 referrals • Annual enrollment growth of 20% across all CALAIM services • 90% on-time reporting and 95% data-accuracy in dashboards Benefits Competitive salary plus performance bonus; comprehensive health/dental/vision coverage; 401(k) match; professional development funds; paid time off; mileage and field-equipment stipend. Real Impact Example “Under your management, the Street Outreach program doubled its reach—connecting 1,200 additional clients to Enhanced Care Management and reducing community ER visits by 35% in one year.” Job Type: Full-time Pay: $85,000–$95,000 per year Compensation Package: Annual performance bonus, leadership incentives Schedule: Monday–Friday with flexible hours for event oversight and emergency deployments Work Location: Remote-equipped regional office with frequent travel to field sites and partner meetings Benefits: • 401(k) • Dental insurance • Employee assistance program • Employee discount • Flexible schedule • Flexible spending account • Health insurance • Health savings account • Life insurance • Paid time off • Referral program • Vision insurance Compensation Package: • Bonus opportunities • Commission pay • Hourly pay • Performance bonus • Uncapped commission Schedule: • 10 hour shift • 12 hour shift • 8 hour shift • Evenings as needed • Monday to Friday • Weekends as needed Work Location: Remote

Program management
Leadership
Partnership development
Grant management
Budgeting and forecasting
Data analytics and KPI reporting
Public speaking and negotiation
CALAIM services knowledge
Cultural humility
Verified Source
Posted 4 months ago
Pacific Health Group

Street Outreach Regional Manager Northern California Only

Pacific Health GroupAnywhereFull-time
View Job
Compensation$85K - 95K a year

Lead and scale the Street Outreach program by managing teams, partnerships, budgets, and ensuring data-driven impact across communities. | Bachelor’s or Master’s in relevant field, 5+ years leadership in community outreach or population health, grant and partnership management experience, financial acumen, data analytics expertise, and knowledge of CALAIM services. | Position Overview Street Outreach Regional Manager Job Description The Street Outreach Manager leads and scales our entire Street Outreach program—overseeing Street Outreach Liaisons and Advocates to deliver CALAIM services (Enhanced Care Management, Community Supports, Behavioral Health, Community Health Worker services, and Street Medicine). You will drive strategic direction, manage program resources and budgets, deepen partnerships, and ensure measurable impact across communities. Key Responsibilities Strategic Leadership & Program Growth You’ll define program goals, annual budgets, and staffing plans. You translate organizational priorities into outreach targets, manage resource allocation, and champion continuous improvement to expand service reach. Team Management & Development Supervise and mentor Street Outreach Liaisons, setting clear performance expectations, conducting quarterly reviews, and facilitating professional development. You ensure staffing levels, recruitment, and training plans align with program needs. Partnership Strategy & Advocacy Develop high-level alliances with CBO executives, healthcare systems, and government agencies. Negotiate multi-year MOUs, secure grant funding, and represent the program in coalitions—advocating for policies that strengthen street-level service delivery. Operational Oversight & Quality Assurance Establish standardized outreach protocols, data-collection workflows, and quality benchmarks. You lead monthly data reviews, oversee compliance with documentation standards, and coordinate with IT to optimize CRM and field-data tools. Performance Measurement & Reporting Design and manage dashboards tracking key metrics—overall contacts, enrollment volumes, service utilization, and cost-per-participant. You deliver quarterly impact reports to senior leadership and adjust strategies based on data-driven insights. Crisis Response & Program Adaptation When outbreaks, natural disasters, or policy shifts occur, you rapidly reallocate teams, update outreach protocols, and convene agency partners to maintain uninterrupted service access for vulnerable populations. Example Scenarios Scenario 1: Scaling a New Partnership You identify a regional hospital network interested in on-site discharge planning support. You draft a joint-venture proposal, secure a three-year grant for Community Supports stipends, and oversee pilot launch—resulting in a 25% increase in warm referrals within two months. Scenario 2: Emergency Outreach Activation During a heat-wave alert, you coordinate with the county public health emergency operations center to embed Street Medicine clinicians and Advocates at cooling centers. You reassign team members, mobilize mobile vans, and ensure behavioral health support is available to high-risk individuals on the streets. Scenario 3: Emergency Response Coordination An unexpected heat-wave alert triggers a public health emergency. You rapidly assemble your Street Outreach Liaisons and Advocates, re-routing them to cooling centers and known encampments. You liaise with the city’s Emergency Operations Center to embed street medicine clinicians in mobile units, authorize rapid Community Supports disbursement for motel vouchers, and brief your CHW leads on distributing hydration kits. Throughout the day, you monitor a live dashboard, redeploy teams as new hotspots emerge, and send real-time status updates to agency partners. Scenario 4: Program Performance Review & Coaching You gather your Outreach Liaisons for a monthly performance review. Together, you analyze key metrics—enrollment conversion rates, outreach volume, and referral turnaround times—and identify that behavioral health referrals are lagging. You coach each Liaison on targeted strategies to strengthen warm hand-offs with your Behavioral Health team, introduce a new “rapid-response” workflow, and set clear improvement goals. You follow up with one-on-one coaching sessions to ensure every Outreach Advocate has the tools and knowledge to hit the revised targets. Scenario 5: Staff Training & Capacity Building You design and lead a half-day training workshop for all Street Outreach staff on trauma-informed engagement and CALAIM eligibility nuances. Through role-play exercises, you model difficult conversations—such as handling distrust of government services—and introduce new mobile-data entry best practices. You close the session by soliciting feedback and adding a quarterly refresher to your team’s development calendar. Qualifications • Bachelor’s or Master’s in Public Health, Social Work, Healthcare Administration, or related field • 5+ years of leadership experience in community outreach, program management, or population health • Proven track record securing and managing multi-sector partnerships and grant portfolios • Strong financial acumen: budget development, forecasting, and cost-control • Expertise in data analytics and performance management (CRM, dashboards, KPI reporting) • Exceptional communication and stakeholder engagement skills—public speaking and negotiation • Deep knowledge of CALAIM services and regulatory requirements • Cultural humility and ability to lead teams serving diverse, underserved populations • Valid driver’s license and readiness for occasional field deployments Examples Of Effective Communication Skills Vision Casting & Alignment When presenting annual goals, you articulate how expanding Enhanced Care Management will reduce ER admissions by “x%” and improve behavioral health outcomes—garnering buy-in from funders and agency partners. Cross-Sector Negotiation Faced with a shelter’s capacity constraints, you acknowledge their operational challenges and propose a shared staffing model—embedding your CHWs at their site, which streamlines referrals and alleviates their workload. Success Measures • 100% of program budget deployed efficiently, with ≤5% variance • 4 new strategic partnerships secured annually, each driving ≥50 referrals • Annual enrollment growth of 20% across all CALAIM services • 90% on-time reporting and 95% data-accuracy in dashboards Benefits Competitive salary plus performance bonus; comprehensive health/dental/vision coverage; 401(k) match; professional development funds; paid time off; mileage and field-equipment stipend. Real Impact Example “Under your management, the Street Outreach program doubled its reach—connecting 1,200 additional clients to Enhanced Care Management and reducing community ER visits by 35% in one year.” Job Type: Full-time Pay: $85,000–$95,000 per year Compensation Package: Annual performance bonus, leadership incentives Schedule: Monday–Friday with flexible hours for event oversight and emergency deployments Work Location: Remote-equipped regional office with frequent travel to field sites and partner meetings Benefits: • 401(k) • Dental insurance • Employee assistance program • Employee discount • Flexible schedule • Flexible spending account • Health insurance • Health savings account • Life insurance • Paid time off • Referral program • Vision insurance Compensation Package: • Bonus opportunities • Commission pay • Hourly pay • Performance bonus • Uncapped commission Schedule: • 10 hour shift • 12 hour shift • 8 hour shift • Evenings as needed • Monday to Friday • Weekends as needed Work Location: Remote

Leadership
Program management
Community outreach
Budget development
Grant management
Data analytics
CRM
Stakeholder engagement
Public speaking
Negotiation
CALAIM services knowledge
Cultural humility
Verified Source
Posted 4 months ago
PH

Member Coordinator PM Pacific Time Zone

Pacific Health GroupAnywhereFull-time
View Job
Compensation$21 - 24 hour

The Member Coordinator will conduct member assessments, manage referral processes, and lead care management for complex cases. Additionally, they will oversee call center operations and ensure quality assurance across department activities. | Candidates should have strong organizational skills and at least 2 years of experience in an office or administrative environment, preferably in healthcare. Excellent communication skills and the ability to multitask in a fast-paced environment are essential. | Job description Member CoordinationWe are excited to invite a dedicated and versatile Member Coordinator to join our dynamic team. As a key player in our member coordination department, this role is critical to ensuring the success and efficiency of our organization. You will be responsible for managing a wide range of member-focused activities that contribute directly to the quality of services we provide. This is an excellent opportunity for a highly organized individual with a passion for customer service, healthcare, and operational excellence. Responsibilities:Member Assessments: Conducting comprehensive evaluations of our members' needs, preferences, and eligibility. This involves in-depth conversations with members, reviewing their medical history, and collecting relevant data to determine the best course of action for their care.Referral Processes: Managing and optimizing our systems for directing members to appropriate services, healthcare providers, or specialists. This includes maintaining relationships with service providers and ensuring smooth information transfer.Lead Care Management: Taking the lead in coordinating care for high-priority or complex cases. This involves closely collaborating with healthcare providers, family members, and other involved parties to ensure that the member receives continuous care. You will monitor the progress of these cases, address any emerging challenges, and provide timely updates to stakeholders to ensure that each member’s health and wellbeing are effectively managed.Quality Assurance: Implementing and maintaining quality control measures across all department activities. This includes regular audits, performance reviews, and continuous improvement initiatives to ensure high standards of service. Additionally, quality assurance includes obtaining member feedback about their experience with our company thus far.Data Entry: Accurately inputting and updating member data in the organization's databases and management systems. This includes entering personal details, case information, service usage, and other relevant data, ensuring that all records are complete, accurate, and up-to-date. You will also be responsible for maintaining confidentiality and ensuring data integrity while handling sensitive information.Call Center Supervision: Overseeing the operations of the call center, including inbound calls, monitoring call quality, overseeing incoming and outgoing faxes, and implementing strategies to improve customer service and efficiency.Patient Verification: You will play a vital role in verifying the identity and eligibility of patients or members, ensuring that all provided information is accurate and up-to-date. This process may involve cross-referencing multiple databases, contacting other organizations, and liaising with team members to ensure that all necessary documentation is complete and correct.Resource Development: Creating, updating, and maintaining resources that support the team’s daily activities. This could include developing training materials, creating process documentation, or compiling informational resources for members. Your contributions will ensure that the team has access to up-to-date tools that streamline workflows and enhance overall efficiency.Mailing Distribution: Overseeing the distribution of physical materials such as flyers, brochures, and other printed information to members.Additional Responsibilities: In addition to the tasks outlined above, you will be expected to take on any additional duties as needed, which may include administrative support, system updates, or any other tasks that contribute to the overall success of the department and organization.Qualifications:Strong organizational skills with a keen eye for detailProven reliability and self-motivation to manage multiple tasks efficientlyAdaptability to occasional changes in the workplace environmentProactive attitude and strong work ethic with a desire to contribute to team successComfort with speaking on the phone for extended periods and handling sensitive informationAt least 2+ years in an office/administrative environment, ideally in a healthcare or member services settingKey Attributes:Excellent communication skills, both written and verbalAbility to multitask and prioritize effectively in a fast-paced environmentDetail-oriented with a focus on accuracy and high-quality service deliveryTeam player with a positive attitude and collaborative approachWorking Conditions:Fully remote, 40 hours per weekPay: $21 - $24 per hourHours: 1:30 PM - 10:00 PM, Monday through FridayJob Type: Full-time Benefits:401(k)Dental insuranceHealth insurancePaid time offVision insuranceShift:1:30pm-10pmWork Location: Remote

Organizational Skills
Customer Service
Data Entry
Quality Assurance
Communication Skills
Attention to Detail
Team Player
Adaptability
Proactive Attitude
Multitasking
Call Center Supervision
Care Management
Resource Development
Patient Verification
Direct Apply
Posted 4 months ago
PH

Billing Analyst - California Residents ONLY

Pacific Health GroupAnywhereFull-time
View Job
Compensation$22 - 24 hour

The Billing Analyst ensures accurate documentation, timely billing, and regulatory compliance across member and patient services. This role involves collaboration with various staff to manage claims and billing processes effectively. | Candidates should have 1-2 years of experience in medical billing, preferably in long-term care or Medicaid environments. A working knowledge of ICD-10 and strong attention to detail are essential for this position. | Job Title: Billing Analyst Location: Remote – Must reside in California Employment Type: Full-Time Reports To: Revenue Cycle Manager or Designee Hourly Pay Range: $22.00 – $24.00 per hour About Pacific Health Group Pacific Health Group is at the forefront of revolutionizing health and wellness. We are setting new benchmarks in healthcare services, leading with groundbreaking approaches and innovative solutions to empower our members, uplift families, and impact communities. Pacific Health Group's vibrant culture fuels passionate problem-solvers who thrive on collaboration to deliver unparalleled care. Joining us means being part of a progressive movement championing personal and professional growth through industry expertise, advanced tech, and an appreciative community. Position Summary The Billing Specialist plays a key role in ensuring accurate documentation, timely billing, and regulatory compliance across member and patient services. This role supports our long-term care coordination programs and works cross-functionally with case managers, patient coordinators, and finance staff to ensure accurate reimbursement, efficient claims management, and billing compliance with Medicaid and consolidated health plans. Key Responsibilities Collaborate with case managers, social workers, patient coordinators, and other staff to ensure complete documentation of patient care plans, services provided, and changes in condition or level of care. Assign accurate medical codes (e.g., ICD-10, other relevant codes) for diagnoses, treatments, and services in long-term care settings. Prepare and submit claims to Medicaid and other payers, ensuring proper documentation and compliance with guidelines. Create invoices and claims for member/patient interactions and outreach activities. Ensure compliance with consolidated billing requirements, confirming all services are billed by Pacific Health Group as the designated entity. Review, analyze, and appeal denied claims as needed; gather additional documentation or clarification from internal teams to support resubmission. Monitor and manage accounts receivable; follow up with payers and health plans to resolve delays or discrepancies and ensure timely reimbursement. Reconcile payer reimbursements with submitted claims to maintain accurate billing records. Stay current with changes in billing regulations, long-term care reimbursement policies, and coding guidelines to ensure ongoing compliance. Provide training or guidance to internal teams on documentation and billing procedures to support accurate and compliant submissions. Perform other related duties as assigned by management. Qualifications 1–2 years of experience in medical billing, preferably in long-term care, managed care, or Medicaid environments Working knowledge of ICD-10 and consolidated billing processes Familiarity with denial management, appeals, and accounts receivable follow-up Strong attention to detail and documentation accuracy Ability to work independently and manage multiple tasks and deadlines Excellent communication skills for working cross-functionally with internal staff and external payers Proficiency in medical billing software and standard office tools Associate’s degree or medical billing/coding certification preferred Benefits & Perks 160 Hours of Paid Time Off (PTO) 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment 4 Paid Volunteer Hours per Month to support causes you care about Bereavement Leave, including Fur Baby Bereavement 90% Employer-paid Employee-Only Medical Benefits Dental and Vision Insurance FSA | Dependent Care Account 401(k) with Company Match Monthly Stipend Short-Term & Long-Term Disability | AD&D Employee Assistance Program (EAP) Employee Discounts via Great Work Perks and Perks at Work Quarterly In-Person Events Fully remote work within California Opportunities for professional development and internal growth 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.

Medical Billing
ICD-10 Coding
Documentation Accuracy
Claims Management
Regulatory Compliance
Accounts Receivable
Denial Management
Communication Skills
Attention to Detail
Independent Work
Multi-tasking
Medical Billing Software Proficiency
Direct Apply
Posted 4 months ago
PH

Human Resources Coordinator - California Residents ONLY

Pacific Health GroupAnywhereFull-time
View Job
Compensation$23 - 27 hour

The Human Resources Coordinator supports various HR functions including employee onboarding, compliance, and recruitment coordination. This role acts as a key contact for employees and collaborates with the HR team to ensure efficient operations. | The position requires strong organizational skills and attention to detail. The candidate should be able to work effectively in a collaborative and fast-paced environment. | Job Title: Human Resources Coordinator Location: Remote – Must reside in California (San Diego County preferred) Employment Type: Full-Time Reports To: Human Resources Manager Hourly Pay Range: $23.00 – $27.00 per hour About Pacific Health Group At Pacific Health Group, we are at the forefront of revolutionizing healthcare. You will play a vital role in this mission. We are dedicated to improving health outcomes by addressing social determinants of health and coordinating comprehensive community-based services, particularly through our programs. If you are passionate about making a difference and have the skills to lead in this dynamic environment, we invite you to join our team. Position Summary The Human Resources Coordinator supports a wide range of HR functions, including employee onboarding, compliance, personnel file maintenance, recruitment coordination, and day-to-day administrative tasks. This role serves as a key point of contact for both new and existing employees and works closely with the HR Manager and HR Generalists to ensure efficient operations across the department. This position requires strong organizational skills, attention to detail, and the ability to work effectively in a collaborative and fast-paced environment. Key Responsibilities Coordinate job postings, resume reviews, and interview scheduling in partnership with hiring managers and the HR team. Maintain recruitment tracking logs and assist with updating records in our ATS (Paycom). Assist with onboarding and offboarding, including scheduling orientations, tracking completion of required documents, and maintaining employee files. Maintain accurate and confidential employee records, ensuring compliance with federal and California labor laws. Support benefits administration by coordinating enrollments, answering basic employee questions, and escalating complex issues to the HR Manager. Provide general administrative support for the HR team including scheduling, tracking training completion, and preparing reports. Help coordinate HR initiatives such as employee engagement events, trainings, and performance review cycles. Monitor the HR inbox and ensure timely and professional responses to employee inquiries. Benefits & Perks 160 Hours of Paid Time Off (PTO) 12 Paid Holidays per year, including your birthday and one floating holiday after 1 year of employment 4 Paid Volunteer Hours per Month to support causes you care about Bereavement Leave, including Fur Baby Bereavement 90% Employer-paid Employee-Only Medical Benefits FSA | Dependent Care Account 401(k) with Company Match Monthly Stipend Short-Term & Long-Term Disability | AD&D Employee Assistance Program (EAP) Employee Discounts via Great Work Perks and Perks at Work Quarterly In-Person Events Fully remote work within California Opportunities for professional development and internal growth 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. Work Location: Remote

Organizational Skills
Attention to Detail
Collaboration
Recruitment Coordination
Onboarding
Compliance
Employee Records Maintenance
Benefits Administration
Administrative Support
Event Coordination
Communication
Problem Solving
Direct Apply
Posted 4 months ago

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