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Build and maintain referral-generating partnerships that support access to Enhanced Care Management, Community Supports, Behavioral Health, Street Medicine, and Case Health Worker services. Through in-person outreach and strong partnerships with community-based organizations, they help create reliable referral pathways across healthcare, behavioral health, housing, and other essential supports.

Location: Hybrid - Field Based (Based on Hiring County)Employment Type: Full-TimeCompensation: $23-$25 per hour <h3>About Pacific Health Group</h3>At Pacific Health Group, we care deeply about the people and communities we serve. We meet individuals with kindness, respect, and understanding—listening first, honoring each person’s journey, and offering support without judgment.Through compassionate, person-centered healthcare, behavioral health services, and social supports, we walk alongside people as they work toward healing, stability, and a healthier, more hopeful life.<h3>Our Core Values</h3><ul><li>Speak with integrity—clear, respectful, and honest in every interaction.</li><li>Embrace innovation, trying new ideas, learning fast, and improving care.</li><li>Own our roles, staying accountable for outcomes and documenting accurately.</li><li>Build genuine connections with members, families, and teammates through empathy and cultural sensitivity.</li><li>Lead with trust by being consistent, transparent, and following through.</li><li>Celebrate wins together, recognizing individual and team achievements.</li><li>Collaborate with purpose, partnering across departments and with community providers to solve problems.</li><li>Ask for support and offer support, because thriving together is how we serve our members best</li></ul><h3>Overview </h3>Our Street Outreach Advisors work directly in the community to connect individuals with the care and support services that improve health and stability. Through in-person outreach and strong partnerships with community-based organizations, they help create reliable referral pathways across healthcare, behavioral health, housing, and other essential supports.This is a highly field-based role, with most time spent meeting partners, engaging individuals, and expanding access to services in high-need communities. Street Outreach Advisors play a hands-on role in turning community connections into meaningful care access.<h3>Community Partnerships</h3><ul><li>Identify and prioritize community-based organizations across more than 100 categories within assigned local markets.</li><li>Build and maintain referral-generating partnerships that support access to Enhanced Care Management, Community Supports, Behavioral Health, Street Medicine, and Case Health Worker services.</li><li>Take ownership of an outreach territory by developing and sustaining partner relationships that produce ongoing referrals.</li></ul><h3>Field Outreach</h3><ul><li>Spend the majority of the workweek in the field meeting with potential partners and engaging the community through in-person outreach.</li><li>Identify individuals who may benefit from PHG services and facilitate warm referrals or enrollments through direct engagement.</li><li>Balance relationship building with consistent follow-through to support steady referral activity.</li></ul><h3>Coordination and Documentation</h3><ul><li>Accurately document outreach activity, referrals, and partnerships in CRM tools.</li><li>Coordinate with internal care teams to ensure referrals are tracked and closed-loop.</li><li>Share observations and insights from the field to inform outreach strategy and improvement.</li></ul><h3>Success Measures</h3><ul><li>Consistent referral generation and growth within assigned territory.</li><li>Strong and sustained community partnerships across priority service categories.</li><li>Accurate and timely CRM documentation and referral tracking.</li><li>Increased community awareness and engagement with PHG services.</li><li>Positive collaboration and feedback from internal care teams and external partners.</li></ul>Requirements<ul><li>Experience in community outreach, public health, social services, healthcare navigation, or similar field-based work.</li><li>Comfort working independently in a fast-paced, community-facing environment.</li><li>Ability to manage outreach activity, relationships, and follow-through across multiple partners.</li><li>Strong organizational skills and comfort using mobile tools and CRM systems.</li><li>Valid driver’s license and ability to travel locally.</li><li>Willingness to work occasional evenings or weekends as needed. </li></ul>BenefitsTime Off & Leave<ul><li>Paid Time Off</li><li>Holidays</li><li>Volunteer time</li><li>Bereavement</li></ul>Health & Wellness<ul><li>Medical coverage</li><li>FSAs or other wellness benefits</li><li>Disability and EAP</li></ul>Financial & Professional<ul><li>401(k) </li><li>Stipends</li><li>Professional Development</li></ul>Culture & Perks<ul><li>Employee discounts</li><li>Team events</li><li>Growth opportunities</li></ul>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. Job Application & Offer DisclaimerPacific Health Group is committed to maintaining a transparent, lawful, and secure hiring process in compliance with California labor laws and employment standards. No candidate will be offered employment without meeting the required qualifications and skillset for the position and successfully completing all steps of our recruitment process, which include:<ul><li>Submission of an internal application</li><li>Recruiter pre-screen</li><li>Skills assessment if applicable</li><li>Final interview with hiring leadership</li><li>Formal verbal offer from authorized hiring representatives</li></ul>Important Notice: Any communication claiming to represent Pacific Health Group that bypasses this process is not authorized.AI & Human Interaction (HI) in RecruitmentPacific Health Group uses AI tools to assist with resume matching based on qualifications, skills, and location. All qualified applications are reviewed by our recruiting and HR team to ensure fair, equitable, and human-centered hiring decisions.

Pacific Health Group

Street Outreach Advisor

Alliance/Partner Management

Artificial Intelligence (AI)

Behavioral Health

Community Providers

Community Support

Community and Social Services

Customer Relationship Management (CRM) Systems

Customer Support/Service

Documentation

Driver's License

Establish Priorities

Follow Through

Health Plan

Healthcare

Human Interaction

Medicine

Organizational Skills

Problem Solving Skills

Public Health

Social Work

Territory Development

Willing to Travel

Workable

As a Lead Care Coordinator, you won’t just create care plans—you’ll personally guide members at every step, arranging all the services they need to thrive and building authentic, trusting relationships along the way. Our Enhanced Care Management (ECM) programs focus on addressing social determinants of health and providing community-based services that truly meet each individual’s needs.

Schedule: Monday – Friday | 8:30 AM – 5:00 PM Compensation: $25.00 - $29.00 per hour (based on experience)  FLSA: Non-Exempt Location: Hybrid (Field-Based in Hiring County) This position is an individual contributor, not a People ManagerAbout Pacific Health Group At Pacific Health Group, we’re more than just a healthcare organization—we’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’s needs. As a Lead Care Coordinator, you won’t just create care plans—you’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’t just coordinate clinical visits. You’ll respond to real-life challenges such as housing, food insecurity, and mental health, ensuring that members’ needs are addressed comprehensively.</li><li>By forming strong, personal connections through frequent in-person visits, you’ll become a pivotal support system—someone members can rely on for comfort, guidance, and advocacy.</li></ul>Minimum Qualifications<ul><li>Residency: Must reside in hiring county</li><li>Experience: 3–5 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<h3>Requirements:</h3><ul><li>Valid California Driver’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 60–70 members</li><li>Conduct 3–5 in-person visits per day (homes, shelters, community settings)</li><li>Spend 60–70% of your time in the field</li><li>Travel locally within hiring 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’ll Do Care Coordination & 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 & 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 & 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 & 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>BenefitsCompensation & Benefits<ul><li>$25.00 – $29.00/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 & long-term disability, AD&D</li><li>Employee Assistance Program (EAP)</li><li>401(k) with company match</li><li>Quarterly in-person team events</li></ul><h3>Equal Employment Opportunity</h3>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 & Human Interaction (HI) in RecruitmentPacific 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) — 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.

Enhanced Care Management Lead Care Coordinator

Accidental Death and Dismemberment (AD&D)

Auto Insurance

Background Investigation

Case Management

Communication Skills

Community Health

Community Relations

Diversity

Employee Assistance Plan

Engineering Change Management

Equal Employment Opportunity (EEO)

Flexible Spending Accounts

High Tech Industry

Hospital

Laptop PC

Maintain Compliance

Medi-Cal

People Management

Plan Meetings

Psychiatry and Mental Health

Reimbursement

Systems Administration/Management

Time Management

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Street Outreach AdvisorPacific Health Group

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