Lead Care Manager: Wellness Navigator & Care Coordinator

Serene Health; Modesto (CA); Hybrid; USD 34,000 - 39,000; Full time

Benefits offered by this job

Medical, Dental & Vision benefits

401(k) plan after 1 year

Paid vacation and sick leave

Paid holidays

Job summary

Optima Medical Management Group, including its Serene Health division, is seeking a Lead Care Manager (LCM) in a temporarily hybrid role serving diverse populations in California. The LCM will develop personalized care plans, coordinate member services with families and primary care providers, and ensure timely access to care while providing emotional support.

The ideal candidate will have a high school diploma, at least 1 year in case management or related care roles, a CA driver's license, and

Qualifications

• High school diploma or GED required.
• Minimum of 1 year experience in case management, member care, customer service, call center, or member care required.
• Valid California driver's license and valid vehicle insurance required.
• MA certificate or medical terminology knowledge preferred.

Responsibilities

• Interview members to assess medical and social determinants of healthcare gaps 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.
• Maintain ongoing contact with members, via telehealth and in-person visitation.
• 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.
• Support behavioral health coordination, Substance Abuse and Community Resources.
• Perform additional duties as assigned.

Skills

Excellent communication

Bilingual in Spanish

Independent working style

Education

High school diploma or GED

MA certificate or medical terminology knowledge (preferred)

Job description

Optima Medical Management Group, including its Serene Health division, is seeking a Lead Care Manager (LCM) in a temporarily hybrid role serving diverse populations in California. The LCM will develop personalized care plans, coordinate member services with families and primary care providers, and ensure timely access to care while providing emotional support.

The ideal candidate will have a high school diploma, at least 1 year in case management or related care roles, a CA driver's license, and