Job Summary:
The official job title is Lead Care Manager (LCM).
Please read the bottom Travel section for schedule and travel details.
The Lead Care Manager (LCM) role involves developing personalized care plans, coordinating
member services, and collaborating closely with members and families to ensure they receive
necessary medical treatment and support. The LCM will consult with members to determine
their needs, develop individualized action plans, and work with care teams to manage the
member experience effectively. Providing emotional support, resolving administrative issues,
and ensuring timely access to care are key aspects of the position. Compassion, healthcare
knowledge, and exceptional customer service are essential qualities for assisting members in
becoming self-sufficient in health.
Responsibilities:
● Interview members to assess medical and social needs and provide education about
their condition and medication, while developing individualized care plans.
● Respond to member inquiries and concerns, ensuring adherence to hospital and legal
requirements.
● Collaborate with interdisciplinary teams, locate medical and social resources, and
coordinate social service plans.
● Advocate for members, consult with healthcare providers, arrange appointments
and treatment plans, evaluate member progress, and assist with healthcare
barriers.
● Maintain empathy and professionalism while contacting members and families.
● Supporting behavioral health coordination, Substance Abuse and Community
Resources.
● Additional duties as assigned.
Requirements/Qualifications:
● Must have a valid California driver's license and valid vehicle insurance.
● High school, diploma or GED. (Required)
● Minimum of 1 year experience in case management, member care, customer
service, call center, or member care. (Required)
● MA certificate or Medical Terminology knowledge. (Preferred)
● Excellent communication, interpersonal, customer service and organizational skills.
● Computer skills for documentation, email and chat support.
● Proficient skills in working independently and collaboratively in a team to provide
member care.
● Proficiency in multitasking, organization, and attention to detail is required for
effectively providing care to multiple members simultaneously.
● Candidates should exhibit the capability to utilize resources effectively for
problem-solving while maintaining composure under pressure in a compassionate
manner.
● Applicants must demonstrate proficient speaking, reading, and typing abilities and
possess strong proofreading skills.
Working Environment / Physical Requirements:
● Must be able to travel using personal vehicle to complete outreach visits. Mileage
reimbursement for the use of your vehicle is at a standard rate.
● Prolonged periods of sitting at an office desk on the computer.
● Lifting: Able to lift up to 15lbs.
Travel:
- Mileage reimbursement by Serene Health Group
- Must be willing to travel to one of the following zip codes: MARTINEZ -94553, ANTIOCH-94509, PITTSBURG-94565, CONCORD 94520