Lead Care Manager

4 weeks ago


Visalia, California, United States Serene Health Services Full time
Job Summary:

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

The LCM will consult with members to determine their needs, develop individualized action plans, and work with care teams to manage the member experience effectively.

Providing emotional support, resolving administrative issues, and ensuring timely access to care are key aspects of the position. Compassion, healthcare knowledge, and exceptional customer service are essential qualities for assisting members in becoming self-sufficient in health.

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.


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