Qureos Mentor

Pacific Health Group

<div>Schedule: Monday &ndash; Friday | 8:30 AM &ndash; 5:00 PM 
Compensation: $29.00 &ndash; $32.00 per hour (based on experience) 
FLSA: Non-Exempt 
Location: Hybrid (Field-Based in Hiring County) 
This position is an individual contributor, not a People Manager
About Pacific Health Group 
At Pacific Health Group, we&rsquo;re more than just a healthcare organization&mdash;we&rsquo;re a catalyst for positive change in our communities. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual&rsquo;s needs. As a Lead Care Coordinator, you won&rsquo;t just create care plans&mdash;you&rsquo;ll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. 
Why This Role Matters - Holistic Impact and Compassionate Care<ul><li>
You won&rsquo;t just coordinate clinical visits. You&rsquo;ll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members&rsquo; needs are addressed comprehensively.</li><li>
By forming strong, personal connections through frequent in-person visits, you&rsquo;ll become a pivotal support system&mdash;someone members can rely on for comfort, guidance, and advocacy.</li></ul>
Minimum Qualifications
<ul><li>Residency: Must reside in Santa Clara County</li><li>
Experience: 3&ndash;5 years in case management, social services, or healthcare (preferred)</li><li>
Experience with: Medi-Cal, CalAIM, or Enhanced Care Management (preferred)</li><li>
Working experience of healthcare systems and community resources is a plus</li><li>
Excellent communication, organization, and time management skills</li><li>
Proficiency with documentation systems and technology</li><li>
Ability to effectively communicate both written and verbally</li></ul> 

Requirements 
 
Requirements:<ul><li>
Valid California Driver&rsquo;s License and active auto insurance meeting CA requirements</li><li>
Reliable personal vehicle for daily work use</li><li>
Successful completion of background check (including MVR)</li><li>
Must be able to travel up to 60-70% within the county to conduct in person visits</li><li>
Must successfully complete a Testlify skills assessment</li><li>
Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issues laptop is received</li><li>
Must have effective Time Management skills</li><li>
Must have internet speed of - 300+ mbps download and 25+mbps upload</li><li>
Must be proficient in technology, including documentation systems, case management platforms, and communication tools</li></ul>
What This Role Looks Like (Day-to-Day Reality) 
This is a high-impact, field-based role supporting members in the community.<ul><li>
Manage a caseload of approximately 60&ndash;70 members</li><li>
Conduct 3&ndash;5 in-person visits per day (homes, shelters, community settings)</li><li>
Spend 60&ndash;70% of your time in the field</li><li>
Travel locally within Santa Clara County (mileage reimbursed)</li><li>
Coordinate care across medical, behavioral health, and community services</li><li>
Document in real-time or by end of day using internal systems</li></ul>
What You&rsquo;ll Do 
Care Coordination &amp; Case Management<ul><li>
Develop and manage individualized care plans</li><li>
Coordinate appointments, services, and follow-ups across providers</li><li>
Support transitions of care (hospital discharge, referrals, etc.)</li></ul>
Member Engagement &amp; Advocacy<ul><li>
Build trust through consistent, in-person engagement</li><li>
Advocate for timely access to care, services, and resources</li><li>
Support members navigating housing, food access, transportation, and behavioral health needs</li></ul>
Community Outreach &amp; Engagement<ul><li>
Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives</li><li>
Build and maintain relationships with community-based organizations, shelters, and local resource partners</li><li>
Identify opportunities to expand community presence and improve member access to services</li></ul>
Community Resource Navigation<ul><li>
Connect members to local programs and services</li><li>
Build relationships with community-based organizations</li><li>
Identify gaps in resources and escalate when needed</li></ul>
Documentation &amp; Compliance<ul><li>
Complete timely and accurate documentation</li><li>
Maintain compliance with Medi-Cal, CalAIM, and ECM program requirements</li></ul>
Team Collaboration
<ul><li>Partner with internal teams, providers, and community stakeholders</li><li>
Participate in case conferences and care coordination meetings</li></ul>
How Success Is Measured<ul><li>
Consistent member engagement and visit completion</li><li>
Timely and accurate documentation</li><li>
Effective care coordination and follow-through</li><li>
Ability to manage caseload independently</li><li>
Positive collaboration with internal and external partners</li><li>
Ability to effectively communicate with internal and external stakeholders</li></ul>
Who Thrives in This Role 
This role is a strong fit for someone who:<ul><li>
Is comfortable working independently in the field</li><li>
Can manage a high caseload independently with minimal supervision</li><li>
Is resourceful, proactive, and solution-oriented</li><li>
Thrives in fast-paced, community-based environments</li><li>
Is passionate about supporting underserved populations</li><li>
Cares about their community and its people</li><li>
Independently navigate new software and company issued equipment</li></ul> 
Benefits 
Compensation &amp; Benefits
<ul><li>$29.00 &ndash; $32.00/hour (based on experience)</li><li>
Monthly stipend + mileage reimbursement</li><li>
PTO + paid sick time</li><li>
11 paid holidays (including birthday + floating holiday)</li><li>
4 paid volunteer hours per month</li><li>
90% employer-paid employee-only medical benefits</li><li>
FSA</li><li>
Short-term &amp; long-term disability, AD&amp;D</li><li>
Employee Assistance Program (EAP)</li><li>
401(k) with company match</li><li>
Quarterly in-person team events</li></ul>
Equal Employment Opportunity
Pacific Health Group, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for every qualified candidate, irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by federal, state, or local laws.
At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected.
Pre-Employment Requirements 
Employment is contingent upon the successful completion of our pre-employment process, which includes a background check and the submission of all required documentation and new hire paperwork.
AI &amp; Human Interaction (HI) in Recruitment
Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location.
All resumes that meet these criteria are then reviewed by HI (Human Interaction) &mdash; our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration.
Benefits
Compensation &amp; Benefits<ul><li>
$29.00 &ndash; $32.00/hour (based on experience)</li><li>
Monthly stipend + mileage reimbursement</li><li>
PTO + paid sick time</li><li>
11 paid holidays (including birthday + floating holiday)</li><li>
4 paid volunteer hours per month</li><li>
90% employer-paid employee-only medical benefits</li><li>
FSA</li><li>
Short-term &amp; long-term disability, AD&amp;D</li><li>
Employee Assistance Program (EAP)</li><li>
401(k) with company match</li><li>
Quarterly in-person team events</li></ul></div>

Enhanced Care Management Lead Care Coordinator

<div>Schedule: Monday &ndash; Friday | 8:30 AM &ndash; 5:00 PM 
Compensation: $30.00 &ndash; $35.00 per hour 
Location: Hybrid
 
FLSA Status: Non-Exempt 
This position is an individual contributor, not a People Manager.
About Pacific Health Group 
At 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&rsquo;t just create care plans&mdash;you&rsquo;ll guide members through every step of their journey, ensuring they receive the support and services needed to thrive.
What This Role Looks Like (Day-to-Day Reality) 
This is a highly field-based role supporting members directly in the community.<ul><li>
Manage a caseload of members with complex health and social needs</li><li>
Spend approximately 65% of your time in the field (homes, shelters, community settings)</li><li>
Conduct in-person visits, assessments, and follow-ups</li><li>
Travel locally within Santa Clara County</li><li>
Coordinate services across healthcare, behavioral health, and community resources</li><li>
Participate in community outreach efforts including events, partnerships, and local engagement</li><li>
Provide mentorship and support to other care managers</li><li>
Document in real-time or by end of day using internal systems 
This role requires independence, strong time management, leadership capability, and comfort working in fast-paced, community-based environments</li></ul>
What You&rsquo;ll Do
Care Coordination &amp; Case Management<ul><li>
Conduct comprehensive member assessments to identify health and social needs</li><li>
Develop and manage individualized care plans</li><li>
Coordinate appointments, services, and long-term support systems</li><li>
Ensure continuity of care and consistent follow-through</li></ul>
Member Engagement &amp; Advocacy<ul><li>
Build strong, trusting relationships with members and their families</li><li>
Provide ongoing support through phone, video, and in-person visits</li><li>
Advocate for timely care, services, and equitable access to resources</li></ul>
Community Outreach &amp; Engagement<ul><li>
Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives</li><li>
Build and maintain relationships with community-based organizations, shelters, and service providers</li><li>
Identify opportunities to expand community presence and improve access to services</li><li>
Support outreach efforts that drive member engagement and program awareness</li></ul>
Community Resource Navigation<ul><li>
Connect members to housing, food access, workforce programs, childcare, and other services</li><li>
Strengthen partnerships with community-based organizations</li><li>
Identify gaps in resources and escalate needs for program improvement</li></ul>
Leadership &amp; Team Support<ul><li>
Provide guidance, mentorship, and support to care managers within the program</li><li>
Assist with onboarding and training of new team members</li><li>
Promote consistency, collaboration, and best practices across the team</li></ul>
Documentation &amp; Compliance<ul><li>
Maintain accurate and timely documentation of all member interactions</li><li>
Ensure compliance with Medi-Cal, CalAIM, and Community Supports program requirements</li><li>
Track progress, outcomes, and service delivery</li></ul>
Team Collaboration<ul><li>
Partner with interdisciplinary teams including behavioral health, outreach, and social services</li><li>
Coordinate with healthcare providers and payers to ensure seamless care delivery</li></ul>
Continuous Improvement<ul><li>
Identify trends and gaps in services</li><li>
Provide feedback to leadership to improve care coordination strategies and partnerships</li></ul>
How Success Is Measured<ul><li>
Member engagement and successful care coordination outcomes</li><li>
Timely and accurate documentation</li><li>
Ability to manage caseload independently and effectively</li><li>
Quality of mentorship and team support provided</li><li>
Strength of community partnerships and outreach engagement</li><li>
Compliance with program and regulatory requirements</li></ul>
Who Thrives in This Role<ul><li>
Is comfortable working independently in the field</li><li>
Can manage complex caseloads and competing priorities</li><li>
Is a strong leader and team collaborator</li><li>
Is proactive, resourceful, and solution-oriented</li><li>
Thrives in fast-paced, community-based environments</li><li>
Enjoys engaging with the community and building relationships</li><li>
Is passionate about supporting high-acuity, underserved populations</li></ul> 
Equal Employment Opportunity 
Pacific Health Group, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for every qualified candidate, irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by federal, state, or local laws. 
At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected.
Pre-Employment Requirements 
Employment is contingent upon the successful completion of our pre-employment process, which includes a background check and the submission of all required documentation and new hire paperwork.
AI &amp; Human Interaction (HI) in Recruitment 
Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. 
All resumes that meet these criteria are then reviewed by HI (Human Interaction) &mdash; our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration. 
Requirements 
Minimum Qualifications<ul><li>
Experience: 3&ndash;5 years in case management, social services, or healthcare</li><li>
Experience with: Medi-Cal, CalAIM, and Community Supports programs (preferred)</li><li>
Strong understanding of healthcare systems, managed care, and community resources</li><li>
Excellent communication, empathy, and cultural competence</li><li>
Strong organizational and time management skills</li><li>
Must be proficient in technology, including case management systems, EHR platforms, and documentation tools</li><li>
Ability to document in real-time and manage member data accurately</li><li>
Comfortable navigating multiple systems and communication platforms</li></ul>
Work Requirements<ul><li>
Ability to travel locally within Santa Clara County</li><li>
Valid California Driver&rsquo;s License and reliable transportation</li><li>
Ability to work in a hybrid, field-based environment</li></ul> 

Benefits 
Compensation &amp; Benefits<ul><li>
Hourly Range:$30.00 - $35.00, depending on experience, qualifications, and internal equity</li><li>
Monthly stipend</li><li>
160 hours PTO + paid sick time</li><li>
11 paid holidays (including birthday and floating holiday)</li><li>
4 paid volunteer hours per month</li><li>
90% employer-paid employee-only medical benefits</li><li>
Flexible Spending Account (FSA)</li><li>
Short-term &amp; long-term disability, AD&amp;D</li><li>
Employee Assistance Program (EAP)</li><li>
401(k) with company match</li><li>
Professional development opportunities</li><li>
Quarterly in-person events</li><li>
Employee discount programs</li></ul></div>

Community Support Lead Care Manager

Join Pacific Health Group and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Pacific Health Group

About Company

Enhanced Care Management Lead Care Coordinator

Community Support Lead Care Manager

Community Support Lead Care Manager