Medical Case Manager

6 days ago

San Francisco, California, United States Serene Health Full time
Job Summary:

The Patient Care Coordinator - Bilingual Spanish role at Serene Health involves 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:
  • Conduct thorough assessments of members' medical and social needs to 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:
  • Must have a valid California driver's license and valid vehicle insurance.
  • Bilingual in English and Spanish.
  • 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.
Working Environment:

This role requires the ability 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.

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