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Pacific Health Group

Integrated Medi-Cal care coordination provider

Licensed Vocational Nurse - Licensed Vocational Nurse, ECM

Nursing & Frontline Patient CareConfirmed live in the last 24 hours
Full-timeUnited States

About the Job

Requirements

  • Maintain a current and unrestricted California Licensed Vocational Nurse (LVN) license.
  • Have at least one year of clinical experience in healthcare, managed care, home health, public health, behavioral health, post-acute care, or community health settings.
  • Understand care coordination and chronic disease management principles.
  • Be able to work independently and collaboratively within interdisciplinary teams.
  • Have basic proficiency with electronic health records and Microsoft Office applications.
  • Reside in or within a reasonable commuting distance of the hiring county.
  • Have a valid California Class C driver's license, reliable transportation, and current automobile insurance meeting California minimum requirements.
  • Successfully pass a Motor Vehicle Report review and background check.
  • Travel up to 60–70% within the county for in-person visits.
  • Successfully complete a Testlify skills assessment.
  • Have a reliable working laptop for the first 21 days of employment until the company-issued laptop is received.
  • Have internet service of at least 300 Mbps download and 25 Mbps upload.
  • Be proficient in technology, including documentation systems, case management platforms, and communication tools.
  • Have effective time management skills.
  • Be willing to work occasional evenings and weekends as needed.
  • Maintain current licensure and required certifications.
  • Protect member confidentiality and maintain HIPAA compliance.

Responsibilities

  • Support care coordination activities for members enrolled in the CalAIM Enhanced Care Management (ECM) program.
  • Help members understand treatment plans, discharge instructions, medications, and provider recommendations.
  • Conduct clinical outreach to members, caregivers, providers, hospitals, and health plans.
  • Monitor member progress and communicate clinical concerns to the Registered Nurse Clinical Case Consultant.
  • Help identify barriers to care and develop solutions that support member success.
  • Support continuity of care and transitions after hospitalizations, emergency department visits, and other healthcare events.
  • Coordinate specialty care, behavioral health services, and community-based resources.
  • Conduct health screenings and assessments within the LVN scope of practice.
  • Collect and document health information, vital signs, medication information, and clinical observations.
  • Support chronic disease management for diabetes, hypertension, COPD, heart disease, and other chronic illnesses.
  • Monitor member symptoms and escalate concerns appropriately.
  • Provide health education about disease management, medication adherence, preventive care, and wellness strategies.
  • Perform medication reconciliation under RN supervision.
  • Educate members about prescribed medications and treatment plans.
  • Monitor medication adherence and identify barriers to compliance.
  • Communicate medication concerns to the RN, providers, and care-team members.
  • Help coordinate medication-related resources and services.
  • Conduct community-based outreach throughout the hiring county to identify, engage, and support eligible members.
  • Participate in outreach events, health fairs, community resource events, and networking opportunities.
  • Collaborate with healthcare providers, hospitals, skilled nursing facilities, shelters, behavioral health programs, and community-based organizations to identify members who may benefit from ECM services.
  • Assist with member enrollment efforts and program education.
  • Build and maintain professional relationships with referral sources and community partners.
  • Promote awareness of the employer's ECM, Community Supports, and Behavioral Health programs.
  • Conduct assigned in-home, community-based, and provider-site member visits.
  • Accompany Lead Care Managers, Community Health Workers, and Registered Nurses on field visits when clinical support is needed.
  • Participate in joint visits with providers, health plans, hospitals, and community partners.
  • Support member engagement and strengthen relationships with hard-to-reach populations.
  • Ensure member safety and report concerns according to organizational protocols.
  • Collaborate with Registered Nurses, Lead Care Managers, Community Health Workers, Behavioral Health staff, providers, health plans, and community organizations.
  • Participate in interdisciplinary team meetings, case conferences, and care planning activities.
  • Provide clinical input about member needs, risks, and care coordination strategies.
  • Support integrated care delivery and whole-person care initiatives.
  • Maintain timely, accurate, and complete documentation in the electronic health record and care management systems.
  • Ensure documentation complies with Medi-Cal, CalAIM ECM, organizational, and regulatory requirements.
  • Participate in quality assurance and audit-readiness activities.
  • Participate in quality improvement initiatives and workflow enhancement projects.
  • Attend required training, meetings, and professional development opportunities.
  • Support organizational initiatives focused on improving member outcomes and service delivery.
  • Travel throughout the hiring county for member visits, community outreach, provider meetings, care coordination, and community-partner collaboration.
  • Attend health fairs, networking events, community meetings, training events, and organizational functions as needed.

Desired Qualifications

  • Experience working with underserved or vulnerable populations.
  • Experience with CalAIM Enhanced Care Management (ECM), Whole Person Care (WPC), Health Homes Program (HHP), or similar care management programs.
  • Experience working with Medi-Cal populations.
  • Experience supporting individuals experiencing homelessness, serious mental illness, substance use disorders, justice involvement, or multiple chronic conditions.
  • Bilingual ability in Spanish, Vietnamese, Tagalog, Punjabi, Hmong, or other languages commonly spoken in the hiring county.
  • Community-based healthcare experience.

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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