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Pacific Health Group

Integrated Medi-Cal care coordination provider

Client & Family Support Specialist - Bilingual English/Spanish

Case Management & Advocacy +1Confirmed live in the last 24 hours
Full-timeSanta Rosa, CA, USA$25 - $27 /hr

About the Job

Requirements

  • A high school diploma or equivalent is required.
  • At least 2 years of experience in community health, social services, or a related field is required.
  • Shared lived experience with program families is highly prioritized.
  • Knowledge of behavioral health systems, local resources, and social determinants of health is required.
  • Strong communication, cultural competency, and interpersonal skills are required.
  • Ability to engage clients and families effectively and provide supportive services is required.
  • Organizational skills to manage caseloads and documentation are required.
  • Proficiency with technology for case documentation and communication is required.
  • Ability to travel locally within the community is required.
  • A valid California driver’s license and reliable transportation are required.
  • Comfort working in a field-based environment is required.
  • Fluency in Spanish is required.

Responsibilities

  • Engage families and coordinate with the client and their FSP team to develop a family-inclusive Individual Service Plan within 30 days of enrollment.
  • Guide families in accessing all levels of care within Sonoma County DHS-BHD, including Specialty Mental Health Services and DMC-ODS services.
  • Connect families to community resources, including housing assistance, food security programs, and employment services, using closed-loop referrals.
  • Provide information, advocacy, and direct support regarding legislation, legal processes, and formal grievance processes through the DHS-BHD Patients' Rights Advocate.
  • Host educational workshops on effective communication strategies, crisis de-escalation, boundary setting, and caregiver self-care.
  • Provide psychoeducation on SMI and SUD diagnoses, recovery models, and harm reduction principles.
  • Staff weekly drop-in Resource Clinics at community-based locations using a “No Wrong Door” approach to help the public access social services.
  • Conduct targeted outreach to local community centers, faith-based organizations, and nonprofits to distribute culturally and linguistically appropriate information.
  • Lead community education and social media initiatives to reduce stigma and foster understanding of behavioral health challenges.
  • Connect families with local support groups, such as NAMI Sonoma County or Al-Anon, to foster peer support and resilience.
  • Track encounters, referrals, demographics, and family-inclusive ISP documentation using the designated Electronic Health Record system.
  • Record attendance for educational workshops and Resource Clinics.
  • Gather qualitative feedback through post-workshop surveys to measure family empowerment and cultural responsiveness.

Desired Qualifications

  • An Associate’s or Bachelor’s degree is preferred.

About the Company

Pacific Health Group

Integrated Medi-Cal care coordination provider

Pacific Health Group provides integrated Medi-Cal care coordination in California, working with 39 health plans to serve more than 38,000 members across 44 counties. Its flagship Enhanced Care Management coordinates medical, behavioral, and social services for members with complex needs, complemented by Community Supports like housing navigation, rent assistance, medically tailored meals, and home modifications. Street Medicine reaches unsheltered individuals, while Community Health Workers provide culturally responsive care navigation and advocacy; additional services include behavioral health support, medical transportation, and a Clubhouse program for adults with mental illness. The approach follows CalAIM’s whole-person care, addressing social determinants of health to reduce fragmentation and improve stability for at-risk Medi-Cal beneficiaries.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Carlsbad, CA
Founded
2023

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