Lead Care Manager

Serene Health•El Centro, CA

25d•$20 - $25

About The Position

The Lead Care Manager (LCM) develops personalized care plans, coordinates member services, and collaborates with members, families, Primary Care Providers, and care teams to ensure members receive necessary medical treatment and support. The role assesses member needs, develops individualized action plans, helps manage the member experience, provides emotional support, resolves administrative issues, and promotes timely access to care. The LCM supports members enrolled in the Enhanced Care Management program, including individuals from one or more of the listed populations of focus. The position involves ongoing member contact through telehealth and in-person visits, outreach using a personal vehicle, and prolonged periods sitting at a desk using a computer. Mileage for use of a personal vehicle is reimbursed at a standard rate. Employees must complete and maintain current Tuberculosis testing and clearance in accordance with company policy and applicable regulations. Optima Medical Management Group describes its work culture as collaborative and supportive, with an emphasis on member care outcomes, continuous learning, and professional growth. The posted pay range is $20–$25 USD. Full-time employees may enroll in benefits after 60 days of employment; the 401(k) benefit is effective after one year of employment.

Requirements

High school diploma or GED.
At least one year of experience in case management, member care, customer service, call center, or member care.
Valid California driver's license and valid vehicle insurance.
Excellent communication, interpersonal, customer service, and organizational skills.
Computer skills for documentation, email, and chat support.
Ability to work independently and collaboratively as part of a team to provide member care.
Ability to multitask, stay organized, and maintain attention to detail while providing care to multiple members simultaneously.
Ability to use resources effectively to solve problems and remain composed and compassionate under pressure.
Proficient speaking, reading, and typing abilities, with strong proofreading skills.
Ability to travel in a personal vehicle to complete outreach visits.
Ability to complete and maintain current Tuberculosis testing and clearance in accordance with company policy and applicable local and state health regulations.
Ability to sit for prolonged periods at an office desk using a computer.
Ability to lift up to 15 pounds.

Nice To Haves

Medical Assistant (MA) certificate or knowledge of medical terminology.

Responsibilities

Interview members to assess medical and social determinant of health gaps, provide education about conditions and medications, and develop individualized care plans.
Respond to member inquiries and concerns while ensuring adherence to hospital and legal requirements.
Collaborate with interdisciplinary teams, locate medical and social resources, and coordinate social service plans.
Maintain ongoing contact with members through telehealth and in-person visits.
Advocate for members, consult with healthcare providers, arrange appointments and treatment plans, evaluate member progress, and assist with healthcare barriers.
Communicate with members and families with empathy and professionalism.
Support behavioral health coordination, substance abuse support, and connections to community resources.
Perform additional duties as assigned.