[Hiring] Community Health Worker Program Manager @Pacific Health Group

Role Description

Pacific Health Group is seeking a CHW Program Manager to lead, supervise, and support a team of CalAIM Community Health Workers (CHWs) delivering whole-person care to vulnerable Medi-Cal members across Humboldt County, CA. The Program Manager ensures high-quality service delivery, operational efficiency, and strict adherence to CalAIM billing and documentation standards.

Key Responsibilities

• Team Leadership & Supervision: Oversee, mentor, and evaluate a team of CalAIM CHWs conducting outreach, health navigation, group facilitation, and advocacy for high-risk populations.
• Program & Billing Compliance: Maintain full compliance with CalAIM guidelines, auditing CPT coding (98960, 98961, 98962, T1028), enforcing daily/period service unit limits, and ensuring clear boundaries regarding non-covered services.
• Quality & Documentation Assurance: Oversee dual-system documentation across the Partnership Health Portal and Pacific Health Group EHR, auditing member Plans of Care, six-month progress updates, and standardized assessments (SDOH 5-Q, PHQ-9/2, Hunger Vital Sign).
• Training & Workforce Development: Coordinate required onboarding and continuing education, including Motivational Interviewing, Mandated Reporting, and the Stanford University Advocacy Training for CHWs.
• Cross-Functional Collaboration: Partner with RNs, licensed clinical providers, and Humboldt County community organizations to streamline care coordination and interdisciplinary case management.

Qualifications

• Education: Bachelor’s degree in Public Health, Social Work, Healthcare Administration, or a related field preferred.
• Experience: Minimum 3–5 years of experience in community health, Medi-Cal services, or social work, with at least 2 years in a supervisory or team lead capacity.
• Knowledge Base: Strong expertise in CalAIM policies, social determinants of health, chronic disease management, and local San Diego County resources.
• Licensure & Compliance: Valid California Driver’s License (Class C) with an operable vehicle, clean MVR, and active auto insurance. CHW certification preferred.

Benefits

• Paid Time Off
• Holidays
• Volunteer time
• Bereavement
• Medical coverage
• FSAs or other wellness benefits
• Disability and EAP
• 401(k)
• Stipends
• Professional development
• Employee discounts
• Team events
• Growth opportunities