Senior Community Support Outreach Specialist

Serene Health•San Diego, CA

7d•$27 - $30•Onsite

About The Position

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 official job title is Senior Community Support Outreach Specialist. The Senior Community Support (CS) Outreach Specialist organizes and oversees the work of the team of CS Outreach Specialists and supports the care of members enrolled in the Community Support program. The goal of the Community Support program is to effectively manage high-utilizers and homeless members to ensure that their housing needs are met for a well-managed, whole person care approach and to minimize the likelihood of preventable hospital admissions and emergency department utilization. The Senior CS Outreach Specialist will work to accomplish this program’s goal in coordination with the CS Leadership team and input from the CS Outreach Specialist team. This role is fully in-office to attend in-person work-related events, trainings, and meetings and to further ensure teamwork, collaboration, and innovation.

Requirements

High school, diploma or GED is required.
Minimum of 6 months experience of CalAIM CS Outreach Specialist experience required.
Minimum of 1 year experience as a Medical Assistant, CNA, EMT, other healthcare experience or customer service experience required.
Must have a valid California driver's license and valid vehicle insurance.
Basic computer literacy, including electronic medical record documentation and patient follow-up.
Proficiency in Microsoft Office and related software.
Knowledge of medical terminology and familiarity with spreadsheets, databases, and office equipment.
Ability to collaborate with diverse patients with strong cultural sensitivity.
Excellent organizational, time-management, and detail-oriented skills.
Leadership skills and ability to multitask, prioritize, and meet deadlines.
Independent resource-seeking and collaboration skills; ability to work independently and in a team.
Effective communication, interpersonal skills, and customer service focus.
Strong writing, presentation, and data interpretation skills.
Ability to manage stress, conflict, and crises effectively.
Flexible, adaptable, and self-disciplined in various settings.
Experience with Motivational Interviewing or empathy-based communication.
Sensitivity to multicultural communities and mental health/addictive disorders.
Commitment to high-performance team practices and continuous improvement.
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.

Nice To Haves

Bachelor’s degree preferred.
Bilingual in English/Spanish preferred.

Responsibilities

Coordinate the enrollment, communication for, and administer in-house training sessions.
Provides care management services to own caseload of patients in line with CS - DHCS guidelines and recommended services.
Conduct regular case plan reviews to ensure that quality services are provided and documented by CS Outreach Specialists, consistently and accurately, as per established workflows.
Provides support and coaching to CS Outreach Specialists in the resolution of patients’ issues.
As needed, collaborates in care management workflows in health plan databases and Alliance portal to review documentation and improve productivity and reimbursements.
Consults with all internal and external Supports teams to ensure that enrolled members experiencing homelessness or at risk for homelessness receive housing navigation and other related services.
Actively participates in program performance improvement and evaluation initiatives.
Outreach and enrollment, timely and accurate completion of comprehensive housing assessments and care plans, and monthly reporting.
Facilitates a team approach, including all participants of the Enhanced Care Management (ECM) team.
Conducts face to face visit with members, when shadowing newly hired CS Outreach Specialists.
Contribute to the success of the organization by participating in quality improvement activities.
Document as necessary in required Electronic Medical Record portals and Managed Care Plan portals for all care coordination and other services or teaching provided in a timely manner.
Maintain current knowledge of policies and procedures related to safe work practices.
Maintain the privacy of all patients, employees, and volunteer information and access such information only on a need-to-know basis for business purposes.
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