Lead Care Manager

Fundamental Objective: The Lead Care Manager serves as the client's primary point of contact and works with all their providers - such as doctors, specialists, pharmacists, social service providers, and others - to make sure everyone agrees about the client's needs and care.

Minimal Qualifications:

• Possession of a High School Diploma or G.E.D. or equivalent.
• Valid California Driver’s License, car insurance and provide own transportation.
• Must have a flexible schedule.
• Must be able to recognize and respond quickly in crisis situations.
• Bilingual preferred, multilingual a plus.

Essential Job Duties and Responsibilities:

• Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards; in addition, documentation complies with patients’ insurance requirements.
• Conducts initial and ongoing assessment of client's health and/or support service needs. Sets level of client need.
• Facilitates care transitions between providers, partners, referral sources, and specialty care providers.
• Follows up on referrals within established timeframes Initiate and maintain appropriate social interactions with clients.
• Facilitates enrollment of patients in specialty care and services.
• Schedules appointments and provides intakes per department guidelines and productivity goals.
• Ensures appropriate intake steps are followed, including eligibility, assessment of needs, collecting patient data, enrolling in programs, developing a care plan, and other steps as required by department guidelines.
• Provides basic and intensive individual support, based on client needs. Support may include providing interventions, providing internal and community services referrals, and more intensive support which may include a home visit.
• Tracks, monitors, and actively manages assigned patient cases to ensure coordination of care, retention of patients, and ensuring a high level of utilization is maintained.
• Monitor and maintain goal levels of calls per hour calls placed on hold, ring no answer, transfer out, and availability in Queue.
• Capturing of patient demographics information, insurance information, and structured data into patient management systems during each phone encounter.
• Communicate to PCP any significant changes in patient concerns along with any updates on patient status.
• Educate patients about health maintenance and disease prevention.
• Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards. Assists in preparing reports as required.
• Developing patient-focused care plans in partnership with other providers and the client.
• Working with medical staff to develop, implement, and coordinate care plans for clients with chronic conditions such as diabetes, asthma, behavioral health conditions.
• Responsible for driving a positive patient customer service experience through multiple support channels including the patient portal, clinical platform, and messaging systems.

Job Type: Full-time

Pay: $18.00 - $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• Weekends as needed

Work Location: In person

Salary : $18 - $20