ECM Senior Lead Care Coordinator - Onboarding Specialist
$29 - $32/hr
Mid, Senior
United States
HybridHybrid, field-based within the hiring county; requires 10%–30% local travel.
Social & Community ServicesCase Management & Advocacy
About the job
Requirements
- Must reside in the hiring county.
- Have 3–5+ years of direct experience in Enhanced Care Management (ECM), CalAIM, Medi-Cal managed care, or complex community-based case management.
- Have a proven track record in clinical preceptorship, staff onboarding, field coaching, or senior-level case management leadership.
- Hold a valid California driver's license, maintain active auto insurance meeting California requirements, have a reliable personal vehicle, and be able to travel 10%–30% locally within the county.
- Have access to a reliable personal computer for the first 21 days of employment; a stipend is provided.
- Have high-speed internet meeting 200+ Mbps download and 25+ Mbps upload speeds.
- Successfully complete a background check, including a motor vehicle record check, and a Testlify skills assessment.
- Have deep understanding of CalAIM policies, community resources, and complex care management workflows.
- Demonstrate adult-learning and coaching ability for complex field dynamics and developing self-sufficient care coordinators.
- Be highly organized, manage time effectively, and balance field coaching with documentation quality control.
- Deliver clear, constructive feedback with a supportive, growth-oriented coaching style.
Responsibilities
- Lead end-to-end clinical and operational onboarding for new Lead Care Coordinators, ensuring mastery of CalAIM guidelines, population health frameworks, and PHG standards.
- Facilitate advanced instruction on comprehensive assessments, care planning, motivational interviewing, trauma-informed care, and crisis de-escalation.
- Drive technical proficiency across TheraPlatform, Salesmate, Monday.com, RingCentral, and health plan portals.
- Conduct field-based ride-alongs and home-visit observations, modeling expert outreach, field safety, rapport building, and community-based care coordination.
- Guide staff through high-acuity, high-barrier cases, modeling advanced problem-solving during crisis interventions and challenging member dynamics.
- Provide real-time, actionable feedback in field and remote settings to build staff confidence and decision-making autonomy.
- Train and audit new hires on billable versus non-billable activity tracking, care coordination notes, and regulatory documentation timelines.
- Identify systemic documentation errors or quality trends and develop targeted retraining plans to maintain team audit readiness.
- Partner with ECM Leadership, QA, and L&D to evaluate and refine standard operating procedures, onboarding manuals, and field reference guides.
- Support new hires through their first 90 days, track competency milestones, and establish performance improvement plans when necessary.
- Enforce accountability regarding productivity benchmarks, outreach frequency, caseload organization, and scheduling efficiency.
- Model professional boundary-setting, active listening, cultural humility, and compassionate accountability.
About the company
Pacific Health Group delivers integrated Medi-Cal care coordination in California, working with 39 health plans to serve over 38,000 members in 44 counties. Its flagship Enhanced Care Management coordinates medical, behavioral, and social services for people with the most complex health needs, supplemented 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 for adults with mental illness. Guided by CalAIM, the organization aims to reduce fragmentation by addressing social determinants of health and managing risk and needs through a unified, whole-person approach.
Company Size
51-200
Company Stage
N/A
Total Funding
N/A
Headquarters
Carlsbad, California
Founded
2023
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Simplify's Take
What believers are saying
- Pacific launched 2026 Transitional Rent, unlocking mandatory managed-care demand immediately.
- August 2026 messaging shows underused Northern California services, leaving substantial growth headroom.
- 39 health-plan partners expand cross-sell opportunities across Medi-Cal counties and member segments.
What critics are saying
- CalAIM rule changes from DHCS in 2026 can slash reimbursement and utilization fast.
- Health Net, L.A. Care, and Partnership can insource care coordination, squeezing Pacific’s contracts.
- A data breach or billing dispute would devastate trust because members receive no-cost sensitive services.
What makes Pacific Health Group unique
- Pacific Health Group’s ECM, Community Supports, and Street Medicine bundle spans 39 health plans.
- Its 2026 Transitional Rent offering fits California’s first mandatory Community Support statewide.
- The company reports serving 38,000 members across 44 counties, giving statewide operational breadth.
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Benefits
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Disability Insurance
- Health Savings Account/Flexible Spending Account
- Flexible Work Hours
- Remote Work Options
- Paid Vacation
- Paid Sick Leave
- Paid Holidays
- Hybrid Work Options