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

Benefits:

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

Education:

High school or equivalent (Required)

Experience:

Client services: 1 year (Preferred) Case management: 1 year (Preferred) Patient interaction: 1 year (Preferred)

License/Certification:

Driver's License (Required) Ability to

Commute:

Bakersfield, CA 93305 (Required)

Work Location:

In person