Site Manager - Community Supports
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!
Requirements
- Bachelor’s degree from accredited college or university or equivalent experience required.
- Minimum of 7 years experience in a healthcare setting.
- Minimum of 2 years experience in managing employees.
- Experience managing multidisciplinary care teams.
- Experience working with homeless, criminal justice, or other underserved populations.
- Understanding of social determinants of health and impact on patient well-being.
- Culturally competent and able to work with a diverse population.
- Strong proficiency with Microsoft Office applications, specifically Word Outlook and internet applications.
- Proficient in working with various electronic health record systems while maintaining the integrity and accuracy of the data.
- Excellent verbal, written, and interpersonal skills, and strong problem-solving skills.
- Excellent organizational skills and ability to multitask and juggle multiple priorities.
- Able to communicate well at all levels of the organization including working with organization leadership and high-level representatives of partner organizations.
Nice To Haves
- Bi-lingual (English/Spanish) Preferred.
Responsibilities
- Directing, organizing, and managing Serene Health’s Community Support (CS) Program.
- Managing health plans for referrals and authorizations.
- Overseeing department assessments.
- Ensuring housing deposit processes are completed accurately and with proper documentation.
- Overseeing department at various sites throughout the state.
- Developing program goals and objectives, established staffing patterns, and organizing the staff work.
- Leading a multidisciplinary team in providing a seamless continuum of care and coordination for high-need, high-risk populations.
- Acting as liaison with other CS departments and programs to create and maintain systems of care coordination.
- Acting as liaison with external referral resources and programs to create and maintain systems of care coordination.
- Interacting professionally with all Health Plan partners.
- Designing and implementing systems of care coordination to enhance outcomes for high-risk patients.
- Helping to create and provide oversight for community support activities.
- Working with community support and healthcare teams to ensure a Health Action Plan (HAP) is created for all CS patients and other patients requiring care.
- Ensuring that goals of individual patients’ HAP are being met.
- Overseeing the development, maintenance, implementation, and training of protocols, policies, and procedures for all functions related to the community support.
- Planning and conducting CS staff meetings on a regular basis.
- Keeping abreast of CS rules and regulations to ensure ongoing program compliance.
- Overseeing accurate documentation in Serene Health’s EHR system to ensure that program requirements are met, high-quality care is provided, and timely payment is received.
- Extracting and reporting on various data sets from various systems.
- Gathering productivity and quality data from CS System and other sources and using it to provide meaningful management information to appropriate staff.
- Performing other 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
Manager
