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Pacific Health Group

Integrated Medi-Cal care coordination provider

Community Health Worker - CalAIM

Community Outreach & ProgramsPosted on Nov 10
Full-timeRiverside, CA, USA

About the Job

Requirements

  • A high school diploma or equivalent is required; an Associate’s or Bachelor’s degree is preferred.
  • At least 2 years of experience in community health, social services, or a related field is required.
  • Knowledge of community resources and social determinants of health is required.
  • Proficiency with electronic health records, documentation systems, basic computer systems, and communication tools is required.
  • The ability to document in real time and manage multiple systems effectively is required.
  • The ability to travel extensively within the assigned county is required.
  • Residence within the assigned service area is required.
  • The ability to work occasional evenings or weekends for community events is required.
  • The ability to work in a hybrid, field-based environment is required.
  • A valid California Driver’s License, Class C minimum, is required.
  • A personal, operable vehicle for daily business use is required.
  • Current liability insurance meeting California’s minimum legal requirements is required.
  • Passing a Motor Vehicle Report background check before employment is required.

Responsibilities

  • Conduct comprehensive assessments and develop Plans of Care.
  • Provide ongoing member support and follow-up.
  • Assist members with care navigation, appointments, and service coordination.
  • Support transitions of care and continuity of services.
  • Deliver health education and coaching to improve self-management.
  • Help members understand healthcare systems and access services.
  • Address barriers involving transportation, language, and access to care.
  • Conduct outreach to identify and engage high-risk, hard-to-reach populations.
  • Participate in community events, wellness fairs, and outreach initiatives.
  • Coordinate mobile health clinics, vaccination drives, and community activities.
  • Facilitate group sessions and workshops on health-related topics, including prevention, mental health, substance use, and wellness.
  • Assist members with enrollment in public assistance programs.
  • Advocate for improved access to care and services.
  • Support members in navigating healthcare and social systems.
  • Maintain accurate, timely documentation of services and interactions, and complete required reporting and billing documentation.
  • Collaborate with interdisciplinary teams, including registered nurses and licensed providers, and participate in case conferences and team meetings.

Desired Qualifications

  • Bilingual skills in Spanish or another relevant language are 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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