Senior Lead Care Manager, Spanish Speaking

Empowering Wellness, Transforming Lives

Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.

As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.

Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.

A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!

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.
• V alid 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

Benefits

Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:

Medical, Dental, & Vision Benefits

We have various insurance options for you and your family.

Short & Long-Term Disability Benefits

• Protection when you need it most.
• Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
• Flexible Spending Accounts: Manage your finances with flexibility.
• Employee Assistance Program (EAP): Support when life throws challenges your way.
• 401(K): Building your financial future with us. Effective after 1 year of employment.
• Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
• Paid Holidays: Quality time to enjoy celebrations.
• Employee Referral Program: Share the opportunities and reap the rewards.
• Company Discount Program: Enjoy savings on everyday expenses and memberships.