Justice Involved Lead Care Manager
About The Position
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! This job is temporarily hybrid. Please see travel details at the bottom.
Requirements
- High school diploma or GED required.
- Minimum of one (1) year of experience in case management, care coordination, behavioral health, healthcare outreach, reentry services, or related field required.
- Valid California driver’s license, reliable transportation, and current automobile insurance required.
- Excellent communication, interpersonal, customer service, and organizational skills.
- Ability to engage vulnerable and hard-to-reach populations using trauma-informed and culturally responsive approaches.
- Comfortable conducting in-person visits with members in correctional settings to support engagement and care coordination.
- Strong documentation, computer, email, and electronic health record skills.
- Ability to work independently and collaboratively within multidisciplinary teams.
- Strong problem-solving, critical thinking, and resource coordination skills.
- Ability to manage multiple members and priorities in a fast-paced environment.
- Must be able to travel using personal vehicle to complete outreach visits and community-based member support.
- Prolonged periods of sitting, standing, driving, and computer use.
- Ability to occasionally lift up to 15 pounds.
Nice To Haves
- Associate degree or higher in social work, psychology, healthcare, criminal justice, human services, or related field preferred.
- Experience working with justice-involved populations strongly preferred.
- Experience with Medi-Cal, CalAIM, ECM, behavioral health, homelessness services, or substance use treatment preferred.
- Knowledge of community resources, behavioral health systems, and social service programs preferred.
Responsibilities
- Conduct field-based, telephonic, facility-based, and community outreach to primarily justice-involved members transitioning from incarceration.
- Complete comprehensive assessments to identify medical, behavioral health, substance use, and social determinants of health needs.
- Develop, implement, and maintain individualized Care Management Plans in accordance with DHCS ECM requirements.
- Coordinate physical health, behavioral health, substance use treatment, housing, transportation, and community support services.
- Collaborate with interdisciplinary care teams, healthcare providers, correctional facilities, probation/parole departments, and community-based organizations.
- Assist members with successful community reintegration, linkage to healthcare services, benefits enrollment, medication continuity, and housing stabilization.
- Support members in reducing avoidable emergency department utilization and barriers to long-term health stability.
- Maintain ongoing contact with members through in-person visits, telehealth, phone outreach, and community engagement.
- Advocate for members and assist with scheduling appointments, accessing treatment, and overcoming healthcare and social barriers.
- Maintain accurate, timely, and compliant documentation in accordance with DHCS, Medi-Cal, HIPAA, and organizational standards.
- Provide trauma-informed, culturally responsive, and member-centered care to diverse populations.
- Maintain professionalism, empathy, and ethical conduct while interacting with members, families, providers, and community partners.
- Participate in trainings, case conferences, supervision, audits, and quality improvement initiatives.
- Perform additional duties as assigned.
Benefits
- Medical, Dental, & Vision Benefits
- Short & Long-Term Disability Benefits
- Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans
- Flexible Spending Accounts
- Employee Assistance Program (EAP)
- 401(K)
- Paid Vacation and Sick Leave
- Paid Holidays
- Employee Referral Program
- Company Discount Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
