Lead Care Manager

3 weeks ago

San Diego, California, United States Serene Health Services Full time

About the Role:

The Lead Care Manager will be responsible for developing personalized care plans, coordinating member services, and collaborating closely with members and families to ensure they receive necessary medical treatment and support.

Key Responsibilities:

  • Interview members to assess medical and social needs and provide education about their condition and medication, while developing individualized care plans.
  • Respond to member inquiries and concerns, ensuring adherence to hospital and legal requirements.
  • Collaborate with interdisciplinary teams, locate medical and social resources, and coordinate social service plans.
  • Advocate for members, consult with healthcare providers, arrange appointments and treatment plans, evaluate member progress, and assist with healthcare barriers.
  • Maintain empathy and professionalism while contacting members and families.
  • Support behavioral health coordination, Substance Abuse and Community Resources.
  • Additional duties as assigned.

Requirements/Qualifications:

  • Must have a valid California driver's license and valid vehicle insurance.
  • High school diploma or GED.
  • Minimum of 1 year experience in case management, member care, customer service, call center, or member care.
  • MA certificate or Medical Terminology knowledge.
  • Excellent communication, interpersonal, customer service and organizational skills.
  • Computer skills for documentation, email and chat support.
  • Proficient skills in working independently and collaboratively in a team to provide member care.
  • Proficiency in multitasking, organization, and attention to detail is required for effectively providing care to multiple members simultaneously.
  • Candidates should exhibit the capability to utilize resources effectively for problem-solving while maintaining composure under pressure in a compassionate manner.
  • Applicants must demonstrate proficient speaking, reading, and typing abilities and possess strong proofreading skills.
  • Bilingual in English and Arabic.

Working Environment / Physical Requirements:

  • Must be able to travel using personal vehicle to complete outreach visits. Mileage reimbursement for the use of your vehicle is at a standard rate.
  • Prolonged periods of sitting at an office desk on the computer.

Benefits:

  • Our full-time employees are eligible for the following benefits enrollment after 60 days of employment: Medical, Dental, & Vision Benefits.
  • We have various insurance options for you and your family.
  • Short & Long-Term Disability Benefits.
  • Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans.
  • Flexible Spending Accounts.
  • Employee Assistance Program (EAP).
  • 401(K).
  • Paid Vacation and Sick Leave.
  • Paid Holidays.
  • Employee Referral Program.
  • Company Discount Program.

Equal Employment Opportunity:

Optima Medical Management Group and its divisions are an Equal Opportunity Employer.

Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws.

Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.

Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.

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