Healthcare Management and Services

The Healthcare Management and Services team at Community Health Group ensures the delivery of high-quality health services to Medi-Cal and Cal MediConnect members in San Diego County. This multidisciplinary team collaborates to manage patient care, improve clinical outcomes, maintain compliance with healthcare regulations, and optimize provider networks. Key functions include health education, claims analysis, referral processing, network adequacy assessment, quality assurance, and medication management. Through integrated efforts, the team strives to provide exceptional service and enhance the overall health and well-being of the community.