Pacific Health Group

The Associate Therapist will deliver direct and telehealth therapy services, conduct mental health evaluations, and develop treatment plans. They will also maintain accurate clinical documentation and collaborate with case management and administrative teams. | Candidates must have a Master's degree in a relevant field and hold a current California license as an Associate Marriage and Family Therapist, Associate Clinical Social Worker, or Associate Professional Clinical Counselor. A minimum of 2 years of experience working with mental health clients is required. | Company: Pacific Health Reports To: Director of Behavioral Health or Behavioral Health Manager Location: Hybrid (Remote & In-Person; Minimum 2 Days In-Office) Section I: Job Purpose Pacific Health is seeking a highly skilled and compassionate hybrid, Remote and In-Person Therapist to join our growing team. The ideal therapist will be dedicated to providing both remote and direct, face-to-face psychotherapy services to clients in our office setting (minimum 2 days). This role involves conducting comprehensive assessments, developing individualized treatment plans, delivering evidence-based interventions, and maintaining accurate clinical documentation. The therapist will play a vital role in helping clients achieve their mental health goals and improve their overall well-being. The therapist is required to maintain the confidentiality of client information; write and interpret written clinical information accurately and effectively. Section II: Key Responsibilities Clinical Care & Intervention Deliver direct and telehealth therapy services to clients via phone, video, and in-person. Provide crisis intervention and short- and long-term psychotherapy. Conduct mental health evaluations and formulate treatment plans. Offer referrals and case management services. Documentation & Compliance Maintain up-to-date, accurate clinical records in compliance with HIPAA. Ensure all documentation is completed within established deadlines. Adhere to mandated reporting protocols. Collaboration & Communication Engage with case management, administrative, and leadership teams to ensure coordinated care. Maintain professional, timely communication via email, phone, and instant messaging. Participate in team meetings, trainings, and interdisciplinary planning. Work Ethic & Professionalism Work independently with minimal supervision. Demonstrate punctuality, reliability, and responsiveness. Uphold a high standard of customer service and empathy. Section III: Knowledge & Skills Education Master’s degree in Psychology, Marriage and Family Therapy, Social Work, or Counseling from an accredited institution. Licensure Must hold a current California license as one of the following: Associate Marriage and Family Therapist (AMFT) Associate Clinical Social Worker (ACSW) Associate Professional Clinical Counselor (APCC) Experience Minimum 2 years of experience working with mental health clients. Case management experience is preferred. Language Proficiency English fluency required. Bilingual in Spanish is strongly preferred. Technical Skills Proficient in Google Suite (Docs, Sheets, Slides) and Gmail. Strong written and verbal communication. Analytical and multitasking abilities. Interpersonal Traits Compassionate and empathetic approach to patient care. Collaborative spirit and professional demeanor. Section IV: Key Interactions Internal Contacts Patients – Direct care and communication. Director of Behavioral Health, Chief Clinical Officer, Administrative Staff, Patient Coordinators – Collaboration and care coordination. Required: Must maintain a current license with the California Board of Behavioral Sciences as an Associate Marriage and Family Therapist (AMFT), Associate Clinical Social Worker (ACSW), OR Associate Professional Clinical Counselor (APCC) Computer skills and proficiency in office suites (Google), Spreadsheets (Google Spreadsheets), operating system (Windows/ MAC), communication and collaboration (Gmail). Strong analytical thinking and ability to handle multiple tasks concurrently. Excellent customer service with patients & co-workers. Excellent communication and listening skills. Ability to build rapport quickly. Detail oriented. Ability to communicate with compassion and empathy. Core Responsibilities: Establishes positive, trusting rapport with patients. Interviews and conducts diagnostic assessments of patients to develop treatment and recovery plans for patients and/or their family members. Participates in the intake process by interviewing patients and/or their family members to obtain family, psychosocial, employment, medical, and mental health treatment history. Provides crisis intervention, treatment, case management, referrals, and other related mental health care services to patients and their family members. Participates in the development of treatment plans designed to address mental, emotional, and family disorders and dysfunction. Provides ongoing clinical assessment, treatment planning, and clinical treatment for patients and families. Prepares and maintains clinical documentation, in addition to adhering to HIPAA regulations. Completes administrative requirements including but not limited to timely completion of documentation by set deadlines. Collaborative work with case management team, administrative team, and management team. Participates in clinical supervision and maintains supervision log. Prompt responsiveness over email, phone, instant messaging, punctuality, and professionalism. Willingness to provide mental health services via telehealth to include phone and/or videocalls while following mandated reporter protocols. Must be able to demonstrate independent work with minimal supervision. Language Skills: Fluent in written and spoken English; Bilingual in Spanish preferable. We encourage candidates who are passionate about mental health and committed to making a difference in the lives of others to apply for this rewarding position. Minimum Qualifications: A Master's degree from an accredited college or university in psychology, marriage and family therapy, social work, or counseling. Possession of an active, current, and clear registration with the California Board of Registration with the Board of Behavioral Health Sciences (BBS) REQUIRED Must be a mental health professional as a Associate Clinical Social Worker (ACSW), Associate Professional Clinical Counselor (APCC), Associate Marriage and Family Therapist (AMFT) Schedule: 8 hour shift Monday to Friday (9am-6pm) Work Location: Hybrid; in person location in Downtown Stockton, CA

Lead and supervise care management teams across multiple counties, develop and monitor program quality and metrics, manage budgets and resources, and collaborate with healthcare partners to improve member outcomes. | Bachelor's or Master's in healthcare-related field, 5+ years healthcare management with 3+ years in care management, 2+ years in ECM programs, supervisory experience, and strong knowledge of Medicaid/Medicare and ECM policies. | Job description ECM Program Manager at Pacific Health Group Key Responsibilities Team Leadership & Supervision Directly supervise and mentor Lead Care Managers across multiple counties in Southern California Conduct weekly one-on-one meetings with each staff member to provide individualized guidance, address challenges, and ensure alignment with program goals Facilitate weekly team meetings to promote collaboration, ensure consistent communication, address program updates, and foster team cohesion Conduct regular performance evaluations and provide constructive feedback to optimize team performance Example: Develop individualized professional development plans for each Lead Care Manager based on their strengths and growth areas, with quarterly check-ins to assess progress Example: Use weekly one-on-one meetings to review Lead Care Managers' caseloads, discuss challenging members, and provide coaching on complex care management scenarios Example: Structure weekly team meetings to include program updates, case reviews, success story sharing, and collaborative problem-solving for challenging situations Program Development & Quality Assurance Establish comprehensive benchmarks and performance metrics for the ECM program Design and implement quality assurance protocols to monitor service delivery and member outcomes Develop standardized workflows and procedures to ensure consistency across counties Example: Create a dashboard tracking key performance indicators such as member engagement rates, hospital readmission reductions, and health outcome improvements with monthly reporting to stakeholders Example: Review staff performance metrics during weekly one-on-ones, identifying trends and providing real-time guidance for improvement opportunities Example: Use weekly team meetings to review program-wide performance data and collaboratively develop improvement strategies Member Services Oversight Ensure Lead Care Managers conduct regular in-person visits with ECM members Monitor frequency and quality of member interactions through documentation reviews and ride-alongs Implement strategies to improve member engagement and satisfaction Example: Institute a monthly audit process reviewing 10% of member files to verify appropriate in-person visit frequency, comprehensive assessment completion, and personalized care planning Example: Utilize weekly one-on-one meetings to review challenging member cases and collaboratively develop intervention strategies with Lead Care Managers Example: Dedicate time during weekly team meetings for case presentations of complex members, allowing for multi-perspective problem-solving and shared learning Cross-Functional Collaboration Serve as liaison between the ECM program and healthcare partners, including hospitals, primary care providers, and community organizations Collaborate with data analytics team to track program outcomes and identify improvement opportunities Partner with compliance department to ensure adherence to regulatory requirements Example: Establish quarterly collaborative meetings with hospital discharge planners to improve care transitions and reduce readmission rates for high-risk members Example: Provide updates during weekly team meetings on cross-departmental initiatives and partnership opportunities Budget & Resource Management Develop and manage program budget, including staffing, operational costs, and member support resources Allocate resources efficiently across counties based on member needs and program priorities Track and report on program expenditures and return on investment Example: Create a resource allocation model that adjusts staffing levels based on member acuity and geographic considerations while maintaining cost-effectiveness Program Innovation & Growth Identify opportunities to enhance program effectiveness through innovative approaches Develop proposals for program expansion or new service offerings Stay current on industry best practices and integrate relevant approaches Example: Pilot a telehealth component to supplement in-person visits for rural members, evaluating impact on engagement and outcomes before regional implementation Additional Examples of ECM Program Manager Role Weekly Meeting Management Design an effective weekly team meeting structure that balances operational updates, case reviews, professional development, and team building Rotate meeting facilitation responsibilities among Lead Care Managers to develop leadership skills across the team Implement a "bright spots" segment in weekly team meetings where staff share success stories and effective intervention strategies Use weekly team meetings as an opportunity to recognize staff achievements and celebrate program milestones One-on-One Meeting Management Maintain a structured agenda template for weekly one-on-ones that includes caseload review, performance metrics discussion, professional development check-in, and resource needs assessment Document key discussion points and action items from each one-on-one meeting, with follow-up tracking to ensure completion Use these meetings to identify systemic issues that may require program-wide solutions or policy adjustments Develop individualized coaching approaches for each Lead Care Manager based on their learning style, experience level, and areas for growth Team Leadership & Development Implement a structured mentorship program where you pair new Lead Care Managers with experienced ones across different counties to facilitate knowledge transfer and consistent practice standards Lead quarterly regional training sessions focused on complex case management strategies, addressing topics like managing members with co-occurring behavioral health and chronic medical conditions Create a cross-county peer learning community where Lead Care Managers can share best practices and problem-solve together Operational Management Lead Monday morning operational huddles with all Lead Care Managers to review the week's priorities, address staffing challenges, and highlight critical member situations requiring attention Review and analyze weekly performance dashboards showing county-by-county metrics on member engagement, visit completion, and outcome measures Conduct bi-weekly case conferences focused on complex members who require multi-disciplinary approaches or have challenging barriers to engagement Stakeholder Management Prepare and present quarterly program performance reports to health plan leadership, demonstrating impact on utilization, quality measures, and member outcomes Develop and maintain relationships with county behavioral health directors to improve coordination for members with mental health and substance use disorders Create and distribute a monthly ECM program newsletter highlighting success stories, best practices, and upcoming initiatives for internal and external stakeholders Qualifications Education & Experience Master's, or Bachelor's degree in Healthcare Administration, Public Health, Nursing, or related field 5+ years of experience in healthcare management, with at least 3 years in care/case management services Minimum of 2 years of direct experience working in Enhanced Care Management programs or equivalent intensive care management initiatives Demonstrated understanding of ECM program requirements, populations of focus, and care management best practices specific to high-need Medicaid populations Previous supervisory experience managing teams across multiple locations Knowledge & Skills Thorough understanding of care management principles and practices Strong knowledge of healthcare delivery systems and Medicaid/Medicare programs In-depth familiarity with California's ECM program structure, reporting requirements, and quality metrics Experience interpreting and implementing ECM policy guidance and requirements from the Department of Health Care Services Excellent analytical skills to evaluate program effectiveness and implement improvements Advanced proficiency in healthcare data analysis and quality improvement methodologies Personal Attributes Exceptional leadership abilities with demonstrated success in team development Strong communication and interpersonal skills Ability to manage multiple priorities in a fast-paced environment Commitment to person-centered care and health equity Working Conditions Primary office location in San Marcos with regular travel (30-40%) to county sites throughout Southern California Occasional evening/weekend availability for special program initiatives or urgent situations This position offers an opportunity to make a significant impact on vulnerable populations through innovative care management approaches while leading a dedicated team of healthcare professionals across Southern California. Compensation and Benefits Salary Range: $75,000–$85,000 annually Hours: Monday through Friday; some evenings and some weekends required Benefits: 401(k), health/dental/vision insurance, life insurance, paid time off Additional: Mileage reimbursement at the IRS standard rate Job Type: Full-time Pay: $75,000.00 - $85,000.00 per year Benefits: 401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Work Location: On the road

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.

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