Senior Lead Care Manager, Spanish Speaking at Optima… · Riverside

Job Summary:

The Senior Lead Care Manager is responsible for overseeing a team of Lead Care Managers (LCMs) while managing a personal caseload of members. This role works closely with ECM Supervisors and Managers to provide leadership, support, and training for LCMs, ensuring high-quality care delivery and compliance with policies and procedures. The Senior Lead Care Manager also contributes to the smooth operation of the department by managing caseloads, providing mentorship, and ensuring effective team collaboration.

Leadership Responsibilities:

• Provide leadership and guidance to Lead Care Managers, ensuring they are well-trained, informed, and capable of managing their daily responsibilities.

• Collaborate with ECM Supervisors and Managers to ensure alignment on team goals, priorities, and departmental processes.

• Support the ongoing professional development of Lead Care Managers, ensuring they have the tools, knowledge, and resources required for effective case management.

• Assist in identifying training needs and areas for improvement, providing guidance and mentorship to enhance team performance.

• Serve as a role model and resource for Lead Care Managers to ensure understanding and implementation of best practices in adherence to company policies and procedures.

Responsibilities:

• Manage an active caseload of members, delivering personalized care, support, and interventions as required.

• Work closely with ECM Supervisors and Managers to align on departmental priorities and operational strategies.

• Support day-to-day operations by helping to implement any necessary adjustments, changes, or updates in processes and procedures.

• Adapt to evolving departmental needs, including the potential for additional responsibilities or caseload adjustments based on the needs of the department.

• Remain flexible and responsive to changing priorities, ensuring team objectives are met while maintaining a high standard of care.

• Perform additional duties as assigned.

Education and Experience:

• High school diploma or GED required.
• Fluent in both English / Spanish 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.

Required Skills/Abilities:

• Skills to lead and foster a team, including team-building abilities

• 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.

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.

• Must successfully complete and maintain current Tuberculosis (TB) testing and clearance in accordance with company policy and applicable local/state health regulations as a condition of employment.

• Prolonged periods of sitting at an office desk on the computer.

• Lifting: Able to lift up to 15lbs