Lead Care Manager

4 weeks ago

Santa Clara, California, United States Serene Health Full time
Job Title: Lead Care Manager

At Serene Health, we are dedicated to empowering individuals to achieve optimal wellness and transform their lives. As a Lead Care Manager, you will play a vital role in 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, provide education about their condition and medication, and develop 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.

Requirements:

  • 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.

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.
  • Lifting: Able to lift up to 15lbs.

Benefits:

  • Medical, Dental, and Vision Benefits: We have various insurance options for you and your family.
  • Short and Long-Term Disability Benefits: Protection when you need it most.
  • Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
  • Flexible Spending Accounts: Manage your finances with flexibility.
  • Employee Assistance Program (EAP): Support when life throws challenges your way.
  • 401(K): Building your financial future with us. Effective after 1 year of employment.
  • Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
  • Paid Holidays: Quality time to enjoy celebrations.
  • Employee Referral Program: Share the opportunities and reap the rewards.
  • Company Discount Program: Enjoy savings on everyday expenses and memberships.

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.

Pre-Employment:

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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