Community Supports Lead Care Coordinator (Housing) - Stanislaus County

Posted today

pacific health groupOakdale (CA)

Community Health Workers Other Community Housing Services

SENIORITY

Mid

SALARY

$35.00 per hour

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About the role

Job Title

Schedule: Monday

Friday | 8:30 AM 5:00 PM

Compensation: $30.00 $35.00 per hour

Location: Hybrid

Mendocino County This includes locations such as: Modesto, CATurlock, CACeres, CARiverbank, CAOakdale, CAAt Pacific Health Group, we are at the forefront of revolutionizing health and wellness through innovation, compassion, and community-driven care. Our mission is to empower members, uplift families, and positively impact the communities we serve. Our Community Supports (CS) Program helps Medi-Cal members live more independently by addressing health-related social needs. In this role, you won't just create care plansyou'll guide members through every step of their journey, ensuring they receive the support and services needed to thrive. This is a highly field-based role supporting members directly in the community. Support members participating in CalAIM Community Supports Housing programs, including Housing Transition Navigation Services, Housing Tenancy & Sustaining Services, and Housing Deposit assistance. Conduct outreach and complete intake assessments for members in need of housing Build strong partnerships with housing providers, shelters, landlords, and community organizations to improve housing access and long-term stability. Provide comprehensive, person-centered housing care management to a diverse panel of high-needs members (including individuals experiencing severe mental health conditions and substance dependencies).Spend approximately 50% of your time in the field (home inspections, shelters, community settings) Conduct in-person visits, assessments, and follow-ups Travel locally within county and surrounding counties Manage and coordinate the application pipeline for housing resources, including processing critical documents like Housing Deposit Services (HDS) packages and coordinating landlord allocations. Participate in community outreach efforts including events, partnerships, and local engagement to build referral routes. Navigate seamlessly and concurrently across multiple primary platforms. Complete high-fidelity chart notes and clinical documentation in real-time following state guidelines. This role requires independence, strong time management, leadership capability, and comfort working in fast-paced, community-based environments.

Housing Stability Services: Support members experiencing homelessness or at risk of homelessness by providing Housing Transition Navigation Services, helping them successfully transition into long-term stable housing while coordinating healthcare and community-based services that address housing as a key social driver of health. Coordinate Housing Tenancy & Sustaining Services by helping members keep a stable housing through ongoing case management, advocacy, landlord engagement, and connections to healthcare, behavioral health, and community resources. Assist members with Housing Deposits, coordinating required documentation and facilitating access to deposit assistance that removes financial barriers to securing permanent housing. Collaborate with housing authorities, landlords, shelters, property managers, healthcare providers, and community-based organizations to ensure successful housing placement and long-term tenancy. Monitor members' housing stability and proactively address barriers that could place housing or health outcomes at risk.

Care Coordination & Case Management:

Conduct comprehensive member assessments to identify health and social needs.
Develop and manage housing individualized care plans
Coordinate appointments, services, and long-term housing support systems
Ensure continuity of care and consistent follow-through
Member Engagement & Advocacy
Build strong, trusting relationships with members and their families
Provide ongoing support through phone, video, and in-person visits
Advocate for timely care, services, and equitable access to resources
Community Outreach & Engagement
Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives
Build and maintain relationships with community-based organizations, shelters, and service providers
Identify opportunities to expand community presence and improve access to services
Support outreach efforts that drive member engagement and program awareness
Community Resource Navigation
Connect members to housing resources and assist providing long term housing
Strengthen partnerships with community-based organizations
Identify gaps in resources and escalate needs for program improvement
Team Support
Actively participate as a collaborative team player by maintaining an engaging, "camera-on" presence in all departmental huddles, sharing valuable housing resources in the team channels, and offering cross-coverage support to peers.
Assist with new Lead Care Managers shadowing sessions
Promote consistency, collaboration, and best practices across the team
Documentation & Compliance
Maintain accurate and timely documentation of all member interactions
Ensure compliance with Medi-Cal, CalAIM, and Community Supports program requirements
Track progress, outcomes, and service delivery
Team Collaboration
Partner with interdisciplinary teams including behavioral health, outreach, and social services
Coordinate with healthcare providers and payers to ensure seamless care delivery
Continuous Improvement
Identify trends and gaps in services
Demonstrate a high level of professionalism by actively collaborating with leadership during 1:1 coaching syncs to integrate feedback and refine daily workflows.

How Success Is Measured:

Successful housing placements and housing retention for eligible members.
Demonstrated continuous progression of member care through the care pipeline. This includes maintaining strong engagement with high-needs individuals, avoiding gaps in care, and successfully helping members meet their housing stabilization milestones.
Timely coordination of Housing Transition Navigation Services, Housing Tenancy & Sustaining Services, and Housing Deposit assistance.
Improved member health outcomes through housing stabilization and reduced barriers to care.
Member engagement and successful care coordination outcomes
Timely and accurate documentation
Ability to manage caseload independently and effectively, and keeping your caseload active and continuously growing through effective outreach and timely enrollment strategies.
Quality team support provided
Strength of community partnerships and outreach engagement
Compliance with program and regulatory requirements
Who Thrives in This RoleIs comfortable working independently in the field and remote environments
Can manage complex caseloads and competing priorities
Is a strong leader and team collaborator
Is proactive, resourceful, and solution-oriented
Thrives in fast-paced, community-based environments
Enjoys engaging with the community and building relationships
Is passionate about supporting high-acuity, underserved populations
Detail-Oriented and enjoys multi tasking
Embraces constructive feedback
Proficient with high-volume documentation and enjoys keeping meticulous, complete records of every member touchpoint.
Comfortable and compassionate when working with complex individuals facing severe mental health challenges, and demonstrates strong emotional intelligence and proven de-escalation techniques during crisis situations.

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

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