Lead Care Manager
$56,160–$62,400 year
HybridSan Francisco, California, United States
Job Summary
Interview members to assess medical and social determinant gaps, develop individualized care plans, and provide education on conditions and medications. Respond to inquiries, resolve administrative issues, and advocate for members by coordinating with healthcare providers, arranging appointments, and locating medical and social resources. Maintain ongoing contact via telehealth and in-person visits to evaluate progress and support behavioral health, substance abuse, and community resource needs. Ensure adherence to hospital and legal requirements while assisting members in achieving self-sufficiency in health.
Required Qualifications
- High school diploma or GED
- Minimum of 1 year experience in case management, member care, customer service, call center, or member care
- Valid California driver's license
- Valid vehicle insurance
- Bilingual in Spanish
- Excellent communication, interpersonal, customer service and organizational skills
- Proficient skills in working independently and collaboratively in a team to provide member care
- Proficiency in multitasking, organization, and attention to detail
- Capability to utilize resources effectively for problem-solving while maintaining composure under pressure in a compassionate manner
- Proficient speaking, reading, and typing abilities
- Strong proofreading skills
- Must be able to travel using personal vehicle to complete outreach visits
- Must successfully complete and maintain current Tuberculosis (TB) testing and clearance
- Able to lift up to 15lbs
- Comfortable driving to San Francisco area
- Must be available for the first week of employment to report to the San Ramon office
- Must be available for weekly visits on Wednesdays to the San Ramon office for the first month
- Must be available for office visits that decrease to once per month based on needs after the first month
- Must be able to commute to the San Ramon office
- Must agree to employment contingent upon a successful pre-employment drug screening
- Must agree to employment contingent upon a background check
Desired Qualifications
- MA certificate
- Medical terminology knowledge
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