Lead Care Manager ; Medical Assistant

Overview

We are recruiting for a Lead Care Manager (Medical Assistant) to join our team at our Corporate office in Fresno, Ca.

SUMMARY:

The Lead Care Manager is responsible for serving as the primary point of contact for the Member, Member’s family, Authorized Representative (AR), caregiver, other authorized support person(s) as appropriate, and the multidisciplinary care team providing care to the Member. The Lead Care Manager also conducts a Comprehensive Assessment and develops a comprehensive Care Management Plan with input from the Member and/or their parent, caregiver, guardian, and multidisciplinary care team, to ensure a whole-person approach is taken in identifying gaps in treatment or gaps in available and needed services.

Bi-lingual in English/Spanish is strongly preferred for this position.

PERFORMANCE AREA 1:

• Serve as the primary point of contact for the Member, Member’s family, Authorized Representative (AR), caregiver, other authorized support person(s) as appropriate, and the multidisciplinary care team providing care to the Member.
• Conduct a Comprehensive Assessment and under the supervision of the Clinical Consultant develop a comprehensive Care Management Plan with input from the Member and/or their parent, caregiver, guardian, and multidisciplinary care team.
  
  Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the Member and non-duplication of services.
• Conducts ongoing outreach and engagement, primarily through in-person contact or the member’s preferred method of communication.
• Oversees provision of ECM services and implements the member’s care plan.
• Manages referrals, and coordinates and follows up on needed services and supports.
• Offers services where the member lives, seeks care, or finds most easily accessible.
• Organizes member care activities and maintains at least monthly contact with their providers to ensure coordination, including referrals to specialty mental health.
• Advocates on behalf of the member with health care professionals.
• Uses motivational interviewing, trauma-informed, and harm reduction approaches.
• Accompanies member to office visits as needed.
• Monitors care plan adherence.
• Provides health promotion and self-management training and identifies support needs for a member and their family or other caregivers.
• Supports the member in making healthy choices and strengthening skills that allows the member to better manage their conditions.
• Supports the member and their personal support system during discharge from the hospital and other treatment facilities.
• Coordinates with hospital staff on discharge plan.
• Attends all required ECM training programs.
• Performs other duties that may be assigned.
• Lead Care Manager I position is responsible for providing trainings on ECM Core Service Delivery.

QUALIFICATION REQUIREMENTS:

• Medical Assistant certificate (Certified or Registered Medical Assistants preferred).
• AND at least 1 year of previous experience in a health care setting providing evidence-based health education and training to patients to avoid illness, injury or lessen its effects, preferred.
• High school Diploma or GED required.

LICENSE/CERTIFICATION:

• Valid driver's license

PRIOR

EXPERIENCE:

• 1 year of previous experience in a health care setting providing evidence-based health education and training to patients to avoid illness, injury or lessen its effects, preferred.

SKILLS:

• Bilingual (English/Spanish).
• Able to quickly build and maintain rapport with staff of differing backgrounds; team player
• Customer-service oriented
• Direct knowledge of the local community.
• Strong interest in the community and its people.
• Strong computer skills (knowledge of MS Office products and familiarity with medical management software).
• Excel Skills
• Positive professional insight
• Strong writing and verbal skills
• Flexibility and dependability