Optima Medical Management Group, through its division Serene Health, is dedicated to enhancing the quality of life by promoting wellness. The Lead Care Manager (LCM) role involves developing personalized care plans, coordinating member services, and collaborating with members and families to ensure they receive necessary medical treatment and support.
Responsibilities
- Interview members to assess medical and social determinant of healthcare gaps 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
- Maintain on-going contact with members, via telehealth and in-person visitation
- 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
- Supporting behavioral health coordination, Substance Abuse and Community Resources
- Perform additional duties as assigned
Skills
- High school diploma or GED required
- Minimum of 1 year experience in case management, member care, customer service, call center, or member care required
- Valid California driver's license and valid vehicle insurance required
- 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
- Must be able to travel using personal vehicle to complete outreach visits
- Prolonged periods of sitting at an office desk on the computer
- Lifting: Able to lift up to 15lbs
- MA certificate or medical terminology knowledge preferred
Benefits
- Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
- Short & 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.
Company Overview
Serene Health provides behavioral health and mental health services. It was founded in 2000, and is headquartered in San Diego, California, USA, with a workforce of 201-500 employees. Its website is https://www.serenehealth.com.
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