Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Case Management, Care Planning, Customer Service, Interpersonal Communication, Organizational Skills
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Case Management, Care Planning, Customer Service, Interpersonal Communication, Organizational Skills
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Case Management, Member Care, Customer Service, Interpersonal Communication, Organizational Skills
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Performance Management, Quality Assurance, Staff Training, Microsoft Office Suite, Customer Service
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Case Management, Crisis Intervention, Patient Care, Customer Service, Active Listening
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Instructional Design, Training Facilitation, Adult Learning Principles, Learning Management Systems (LMS), Curriculum Development
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Medication Profile Intake, Care Coordination, Medical Documentation, EHR/CRM Proficiency, Patient Outreach
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Quality Assurance Auditing, Electronic Medical Records (EMR), Microsoft Office Suite, Quality Management Software, Analytical Skills
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Spanish Fluency, Case Management, Care Coordination, Customer Service, Interpersonal Communication
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Psychiatric Evaluation, Psychopharmacology, DSM-5-TR Diagnosis, Medication Management, Measurement-Based Care
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Psychiatric Evaluation, Psychopharmacology, DSM-5-TR Diagnosis, Medication Management, Measurement-Based Care
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Psychiatric Evaluation, Psychopharmacology, DSM-5-TR Diagnosis, Medication Management, Measurement-Based Care
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Community Outreach, Team Leadership, Case Management, Data Analysis, Interpersonal Communication
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Care Coordination, Staff Management, Program Compliance, Electronic Health Records (EHR), Microsoft Office
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Electronic Health Records (EHR), Medical Terminology, Clinical Procedures, Patient Confidentiality, Vital Signs Recording
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Electronic Health Records (EHR), Medical Terminology, Clinical Procedures, Patient History Taking, Vital Signs Monitoring
San Francisco, California, United States · On-site
Senior
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Care Management, Leadership, Patient Coordination, Healthcare Administration
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Case Management, Crisis Intervention, Patient Care, Customer Service, Active Listening
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Care Management, Case Coordination, Trauma-Informed Care, Community Outreach, Crisis Intervention
Empowering Wellness, Transforming Lives Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and A…
Skills: Community Outreach, Sales Acumen, Case Enrollment, Relationship Building, CRM Management
The Lead Care Manager develops personalized care plans and coordinates medical and social services for members in the Enhanced Care Management program. They collaborate with healthcare providers and interdisciplinary teams to remove barriers to care and foster member self-sufficiency.
Requirements
Candidates must have a high school diploma or GED and at least one year of experience in case management, member care, or customer service. A valid California driver's license, vehicle insurance, and the ability to pass a TB test are required.
Full job description
Empowering Wellness, Transforming Lives
Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.
As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.
Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.
A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!
Job Summary:
The Lead Care Manager (LCM) role involves developing personalized care plans, coordinatingmember services, and collaborating closely with members and families, as well as Primary Care Providers to ensure they receivenecessary medical treatment and support. The LCM will consult with members to determinetheir needs, develop individualized action plans, and work with care teams to manage themember experience effectively. Providing emotional support, resolving administrative issues,and ensuring timely access to care are key aspects of the position. Compassion, healthcareknowledge, and exceptional customer service are essential qualities for assisting members inbecoming self-sufficient in health.The LCM will work with a diverse population of members enrolled in the Enhanced Care Management program, which may involve one or multiple members from the population of focus section below.
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.
Populations of Focus:
Individuals experiencing homelessness: Lacking a fixed, regular, and adequate nighttime residence.
Individuals at risk for avoidable hospital or emergency department utilization: Five or more emergency room visits in a six-month period that could have been avoided with appropriate outpatient care or improved treatment adherence.
Individuals with Serious Mental Health and/ or substance use disorder needs: Adults who meet the eligibility criteria for participation in, or obtaining services through Specialist mental health services or the Drug Medi-Cal organized delivery system or Drug Medi-Cal program.
Individuals transitioning from incarceration/Justice Involved: Adults transitioning from a correctional setting or transitioned from a correction setting within the past 12 months, or children and youth who are transitioning from a youth correctional facility or transitioned from being in a youth correctional facility within the past 12 months.
Adults living in the community and at risk for long-term care institutionalization: Adults who are living in the community who meet the SNF Level of Care criteria; or who require lower-acuity skilled nursing or equipment for prevention, diagnosis, or treatment of acute illness or injury.
Adult nursing facility residents transitioning to the community: Adult nursing residents who are interested in moving out of the institution, and are likely candidates to do so successfully, and are able to reside continuously in the community.
Children and youth enrolled in California Children’s Services (CCS) or CCS Whole Child Model (WCM) with Additional Needs Beyond the CCS condition: Children and youth enrolled in CCS or CCS WCM and are experiencing at least one complex social factor influencing their health.
Children and Youth Involved in Child Welfare
Individuals with Intellectual/ Developmental Disabilities: Adults who have a diagnosed I/ DD and qualify for eligibility in any other adult ECM population of focus.
Pregnant and Postpartum individuals; Birth Equity Population of Focus: Adults and youth who are pregnant or postpartum and qualify for eligibility in any other adult or youth ECM POF, or are subject to racial and ethnic disparities.
Education and Experience:
High school diploma or GED required.
Minimum of 1 year experience in case management, member care, customer service, call center, or member carerequired.
Valid California driver's license and valid vehicle insurancerequired.
MA certificate or medical terminology knowledge preferred.
Required Skills/Abilities:
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.
Physical Requirements:
Must be able to travel using personal vehicle to complete outreach visits. Mileagereimbursement for the use of your vehicle is at a standard rate.
Must successfully complete and maintain current Tuberculosis (TB) testing and clearance in accordance with company policy and applicable local/state health regulations as a condition of employment.
Prolonged periods of sitting at an office desk on the computer.
Lifting: Able to lift up to 15lbs.
Pay range
$25—$28 USD
Benefits
Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:
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.
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.
Related keywords
Enhanced Care ManagementSocial Determinants of HealthBehavioral Health CoordinationSubstance Abuse SupportMedical TerminologyMA CertificatePatient OutreachInterdisciplinary TeamCare CoordinationHealthcare AdvocacyTelehealthCase Management
All the behavioral and mental health services you need, all in one place.
Industry
Hospitals and Health Care
Company size
201-500 employees
Founded
2000
Headquarters
San Diego, California
LinkedIn followers
5,414
At Serene Health we pride ourselves in using evidence-based, cost effective approaches to improve the quality of life for patients who are battling behavioral health issues, and in turn create stronger families and communities in the process. Healthcare providers who have recognized that taking a unique “whole person” approach to health can achieve positive results in behavioral and physical illnesses.
Offices: 4849 Ronson Ct, Suite 207, San Diego, California 92111, US
All the behavioral and mental health services you need, all in one place.
Industry
Hospitals and Health Care
Company size
201-500 employees
Founded
2000
Headquarters
San Diego, California
LinkedIn followers
5,414
At Serene Health we pride ourselves in using evidence-based, cost effective approaches to improve the quality of life for patients who are battling behavioral health issues, and in turn create stronger families and communities in the process. Healthcare providers who have recognized that taking a unique “whole person” approach to health can achieve positive results in behavioral and physical illnesses.
Offices: 4849 Ronson Ct, Suite 207, San Diego, California 92111, US