Lead Care Manager - San Diego, CA

Job Description

As a Case Manager at Heritage Health Network (HHN), you will play a pivotal role in providing comprehensive care coordination for members through our Enhanced Care Management (ECM) program. Working as part of a multidisciplinary team, you will ensure our members receive culturally responsive, person‑centered care tailored to address their diverse health and social needs. This role combines remote work, in‑office responsibilities, and field engagements, with work arrangements tailored to meet program and member needs.

Key Responsibilities

• Serve as the primary liaison for members, managing their care plans and ensuring seamless communication across the care team.
• Collaborate with members, families, and healthcare providers to create, implement, and regularly update personalized care plans.
• Work closely with other care managers, providers, and community resources to deliver integrated care and address social determinants of health.
• Provide education, guidance, and emotional support to members and their families to improve health outcomes and self‑management skills.
• Identify gaps in care or services and collaborate with the ECM team to develop effective solutions.
• Maintain accurate, timely records of all interactions and services provided in compliance with HHN and ECM program requirements.
• Offer guidance and support to other care team members, fostering a collaborative and cohesive approach to care.

Qualifications

• Experience in care management, preferably in community‑based settings with knowledge of Medi‑Cal benefits and ECM requirements.
• Strong empathy, cultural competence, and commitment to providing individualized, person‑centered care.
• Ability to work effectively within a multidisciplinary team environment.
• Exceptional interpersonal and communication skills, with a focus on building trust and rapport with diverse populations.
• Understanding of healthcare systems, community resources, and regulations.
• Willingness to travel within San Diego for home visits and community engagement.
• Bilingual skills preferred to effectively communicate and serve our diverse member populations.

Benefits & Compensation

• Eligible for medical, dental, and vision insurance from the first of the month following or coinciding with your start date.
• Sick time, paid holidays, and vacation time to support work‑life balance.
• Competitive salary with annual merit increases and quarterly bonus opportunities.
• Work‑from‑home options several days a week.
• Opportunities for career advancement and continued professional development.

Heritage Health Network offers a supportive community and opportunities for professional growth, aiming to enhance both patient and employee experiences. Join us in making a lasting impact on community health.