Lead Care Manager
3 days ago
Job Summary:
We are seeking a highly motivated and experienced Lead Care Manager to join our team at American Truecare, Inc. in Los Angeles, CA. As a Lead Care Manager, you will be responsible for providing case management services to qualified members, participating in the planning, development, implementation, and evaluation of services, and coordinating care transitions between providers.
Responsibilities:
- Conduct initial assessments and periodic reassessments of client's needs
- Develop patient-focused care plans in partnership with other providers and the client
- Work with medical staff to develop, implement, and coordinate care plans for clients with chronic conditions
- Responsible for driving a positive patient customer service experience through multiple support channels
- Respond to inquiries from patients and outside agencies and refer, when necessary, to the appropriate person or department
- Adhere to all organizational policies, HIPAA regulations, and Joint Commission guidelines
- Schedule weekly and monthly phone calls with members
- Monitor and report changes in patient symptoms or behavior
- Capture patient demographics information, insurance information, and structured data into patient management systems during each phone encounter
- Communicate to PCP any significant changes in patient concerns along with any updates on patient status
- Complete all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards
Requirements:
- Minimum of one year of experience in a healthcare-related field or customer service
- Equivalent combination of education and experience that provides the skills, knowledge, and ability to perform the essential job duties
- Strong communication skills, verbal and written
- Experience and demonstration of strong customer service skills
- Excellent oral and written communication skills
- Basic working knowledge of insurance coverage, the insurance eligibility process
- Sensitivity to the needs and situations of multi-cultural populations from a variety of income levels
- Ability to work flexible hours as needed, including evenings, weekends, and holidays
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Environment:
Moderate noise level; fast-paced high energy. Described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Travel:
Staff will travel within the Los Angeles region as needed. Mileage reimbursement for the use of your vehicle is at a standard rate.
Confidentiality:
Maintains patient, employee, and Foundation confidentiality at all times, discussing patient or employee business only with appropriate parties who have a bona fide need to know; and communicating only the minimum amount of information necessary with respect to protected health information (PHI) as defined by the Health Insurance Portability and Accounting Act of 1996 (HIPAA).
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