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Individuals transitioning from incarceration/Justice Involved: Adults transitioning from a correctional setting or transitioned from a correction setting within the past 12 months, or children and youth who are transitioning from a youth correctional facility or transitioned from being in a youth correctional facility within the past 12 months. The Lead Care Manager (LCM) role involves developing personalized care plans, coordinating member services, and collaborating closely with members and families, as well as Primary Care Providers to ensure they receive necessary medical treatment and support.

HOUR

<div class="content-intro">Empowering Wellness, Transforming LivesOptima 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!</div> Job Summary: The official job title is Lead Care Manager (LCM).  The Lead Care Manager (LCM) role involves developing personalized care plans, coordinating member services, and collaborating closely with members and families, as well as Primary Care Providers to ensure they receive necessary medical treatment and support. The LCM will consult with members to determine their needs, develop individualized action plans, and work with care teams to manage the member experience effectively. Providing emotional support, resolving administrative issues, and ensuring timely access to care are key aspects of the position. Compassion, healthcare knowledge, and exceptional customer service are essential qualities for assisting members in becoming self-sufficient in health.  The LCM will work with a diverse population of members enrolled in the Enhanced Care Management program, which may involve one or multiple members from the population of focus section below.  Responsibilities: <ul><li>Interview members to assess medical and social determinant of healthcare gaps and provide education about their condition and medication, while developing individualized care plans. </li></ul><ul><li>Respond to member inquiries and concerns, ensuring adherence to hospital and legal requirements. </li></ul><ul><li>Collaborate with interdisciplinary teams, locate medical and social resources, and coordinate social service plans. </li></ul><ul><li>Maintain on-going contact with members, via telehealth and in-person visitation. </li></ul><ul><li>Advocate for members, consult with healthcare providers, arrange appointments and treatment plans, evaluate member progress, and assist with healthcare barriers. </li></ul><ul><li>Maintain empathy and professionalism while contacting members and families. </li></ul><ul><li>Supporting behavioral health coordination, Substance Abuse and Community Resources. </li></ul><ul><li>Perform additional duties as assigned. </li></ul> Populations of Focus: <ul><li>Individuals experiencing homelessness: Lacking a fixed, regular, and adequate nighttime residence. </li></ul><ul><li>Individuals at risk for avoidable hospital or emergency department utilization: Five or more emergency room visits in a six-month period that could have been avoided with appropriate outpatient care or improved treatment adherence. </li></ul><ul><li>Individuals with Serious Mental Health and/ or substance use disorder needs: Adults who meet the eligibility criteria for participation in, or obtaining services through Specialist mental health services or the Drug Medi-Cal organized delivery system or Drug Medi-Cal program.  </li></ul><ul><li>Individuals transitioning from incarceration/Justice Involved: Adults transitioning from a correctional setting or transitioned from a correction setting within the past 12 months, or children and youth who are transitioning from a youth correctional facility or transitioned from being in a youth correctional facility within the past 12 months.  </li></ul><ul><li>Adults living in the community and at risk for long-term care institutionalization: Adults who are living in the community who meet the SNF Level of Care criteria; or who require lower-acuity skilled nursing or equipment for prevention, diagnosis, or treatment of acute illness or injury. </li></ul><ul><li>Adult nursing facility residents transitioning to the community: Adult nursing residents who are interested in moving out of the institution, and are likely candidates to do so successfully, and are able to reside continuously in the community. </li></ul><ul><li>Children and youth enrolled in California Children's Services (CCS) or CCS Whole Child Model (WCM) with Additional Needs Beyond the CCS condition: Children and youth enrolled in CCS or CCS WCM and are experiencing at least one complex social factor influencing their health.  </li></ul><ul><li>Children and Youth Involved in Child Welfare </li></ul><ul><li>Individuals with Intellectual/ Developmental Disabilities: Adults who have a diagnosed I/ DD and qualify for eligibility in any other adult ECM population of focus. </li></ul><ul><li>Pregnant and Postpartum individuals; Birth Equity Population of Focus: Adults and youth who are pregnant or postpartum and qualify for eligibility in any other adult or youth ECM POF, or are subject to racial and ethnic disparities. </li></ul>Education and Experience: <ul><li>High school diploma or GED required. </li></ul><ul><li>Minimum of 1 year experience in case management, member care, customer  service, call center, or member care required. </li></ul><ul><li>Valid California driver's license and valid vehicle insurance required. </li></ul><ul><li>MA certificate or medical terminology knowledge preferred. </li></ul>Required Skills/Abilities:  <ul><li>Excellent communication, interpersonal, customer service and organizational skills. </li></ul><ul><li>Computer skills for documentation, email and chat support. </li></ul><ul><li>Proficient skills in working independently and collaboratively in a team to provide member care. </li></ul><ul><li>Proficiency in multitasking, organization, and attention to detail is required for effectively providing care to multiple members simultaneously. </li></ul><ul><li>Candidates should exhibit the capability to utilize resources effectively for problem-solving while maintaining composure under pressure in a compassionate manner. </li></ul><ul><li>Applicants must demonstrate proficient speaking, reading, and typing abilities and possess strong proofreading skills. </li></ul>Physical Requirements:  <ul><li>Must be able to travel using personal vehicle to complete outreach visits. Mileagereimbursement for the use of your vehicle is at a standard rate. </li></ul><ul><li>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. </li></ul><ul><li>Prolonged periods of sitting at an office desk on the computer. </li><li>Lifting: Able to lift up to 15lbs. </li></ul><div class="content-pay-transparency"><div class="title" style="font-weight:600;padding-top:8px">Pay range</div><div class="pay-range">$20—$25 USD</div></div><div class="content-conclusion">BenefitsOur 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. Equal Employment OpportunityOptima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.Pre-EmploymentOptima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.</div>

Serene Health

Patient Care Coordinator (Bilingual Spanish)

Behavioral Health

Call Centers

Case Management

Certified Coding Specialist (CCS)

Child Protection/Welfare

Child and Youth Services

Communication Skills

Community Support

Community and Social Services

Computer Skills

Consulting

Corporate Policies

Customer Experience

Customer Service Evaluation

Customer Support/Service

Detail Oriented

Documentation

Driver's License

Drug Delivery Systems

Emergency Care

Health Plan

Healthcare

Healthcare Providers

High School Diploma

Homeless Services

Hospital

Insurance

Interpersonal Skills

Leading Edge Technology

Long-Term Care

Maintain Compliance

Medi-Cal

Medical Office Administration

Medical Terminology

Medical Treatment

Medications

Multilingual

Multitasking

Needs Assessment

Nursing

Organizational Skills

Outpatient Care

Patient Care

Plan Meetings

Primary Care

Problem Solving Skills

Psychiatry and Mental Health

Purchasing/Procurement

Quality of Care

Quality of Life

Regulatory Compliance

Regulatory Requirements

Risk

Spanish Language

State Laws and Regulations

Substance Abuse

Team Player

Technical Support

Telehealth

Time Management

Training/Teaching

Treatment Plan

Willing to Travel

GreenHouseAPI

Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.

<div class="content-intro"><h3>About Us</h3>Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others.</div><h3>Position Summary</h3>We are seeking a highly skilled and compassionate Patient Care Services Representative II to join our team in a hybrid Medical Assistant (MA) and Patient Services Representative (PSR) role. This unique position blends front office administrative duties with back office clinical support, ideal for someone who thrives in a dynamic and patient-centered environment.This role is non-exempt (hourly) and full-time, working 40 hours per week, Monday through Friday.This role will be based primarily in our El Centro clinic but may also provide support to other nearby locations within San Diego County. The ideal candidate is adaptable and enjoys collaborating across multiple sites to ensure seamless operations and excellent patient experiences. <h3>Key Responsibilities</h3><ul><li>Front Office & Administrative Duties:<ul><li>Greet patients and visitors warmly and professionally.</li><li>Manage check-in and check-out processes, verify insurance, and collect co-pays.</li><li>Schedule patient appointments, testing, and follow-ups in collaboration with providers.</li><li>Submit and track prior authorizations, including verifying insurance and submitting required documentation.</li><li>Answer incoming calls and respond to patient inquiries with courtesy and accuracy.</li><li>Maintain up-to-date, HIPAA-compliant records in the electronic health record (EHR) system.</li><li>Ensure the front office area remains clean, organized, and well-stocked with necessary forms and supplies.</li><li>Assist with emergency response protocols by alerting clinical staff as needed.</li><li>Contribute to the onboarding and training of new team members to build support and cross-functional skills.</li></ul></li><li>Clinical & Patient Care Duties (if MA certified):<ul><li>Perform diagnostic procedures such as allergy skin testing, pulmonary function tests (PFTs), and FeNO testing.</li><li>Administer allergy and immunotherapy injections following clinical safety protocols.</li><li>Prepare and maintain allergy serum and oral desensitization vials.</li><li>Monitor and document patient vitals and treatment responses.</li><li>Support physicians and advanced practice providers during clinical consultations and procedures.</li><li>Educate patients and families on allergy and asthma care plans and treatment options.</li><li>Respond to and manage allergic reactions, including emergency interventions when needed.</li><li>Escort patients to exam rooms and prepare for provider exams.</li><li>Assist in preparing asthma action plans, Epinephrine training, and discharge instructions.</li><li>Maintain clean and stocked exam rooms; log refrigerator temperatures and sterilize instruments per protocols.</li><li>Assist with clinical prior authorizations under the direction of a supervisor.</li><li>Additional responsibilities as assigned.</li></ul></li></ul><h3>Qualifications & Requirements</h3><ul><li>Education: High school diploma or equivalent required.</li><li>Experience: 3+ years of experience in a front desk, medical receptionist, or Medical Assistant (MA) role.</li><li>Experience with insurance verification, scheduling, and electronic health records preferred.</li><li>Licensure & Certifications: <ul><li>Certified or Licensed Medical Assistant (California), if performing clinical duties.</li><li>CPR certification (or willingness to obtain upon hire).</li></ul></li><li>Skills & Abilities:<ul><li>Strong interpersonal, customer service, and communication skills.</li><li>Excellent organizational and multitasking ability in a clinical setting.</li><li>Knowledge of medical terminology and EHR systems.</li><li>Familiarity with HIPAA and OSHA compliance standards.</li><li>Ability to remain composed in fast-paced and emergency situations.</li><li>Commitment to patient confidentiality and high-quality service delivery.</li></ul></li><li>Preferred Qualifications:<ul><li>Prior experience in allergy, immunology, or respiratory care settings.</li><li>Comfort with performing skin testing and pulmonary diagnostics.</li><li>Experience submitting and managing insurance prior authorizations.</li></ul></li></ul><h3>Compensation</h3>The hourly range for this position is $27.00-32.00/hour. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate's skills, education, and experience.<div class="content-conclusion"><h3>Physical Requirements</h3>Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment, if applicable.<h3>What We Offer</h3><ul><li>Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities
<ul><li>In addition, we offer paid time Off (PTO), sick time, floating holiday and holiday pay </li></ul></li><li>Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)</li><li>A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth</li></ul>If this role excites you, please submit your resume and a cover letter outlining your relevant experience and why you're passionate about joining our team. We look forward to hearing from enthusiastic candidates ready to drive our success!California Consumer Privacy Act (CCPA) Notice Modena Health ("MH") and Modena Allergy & Asthma ("MAA") complies with the California Consumer Privacy Act ("CCPA"). Personal information provided in the job application process will be collected, used, and retained in accordance with applicable privacy laws. Candidates may request additional information regarding the categories of personal information collected and the purposes for which it is used during the hiring process. </div>

Modena Allergy + Asthma

Patient Care Service Representative II

Administrative Skills

Allergies

CPR Certification

Calendar Management

Certified Medical Assistant

Clinical Outcomes

Clinical Practices/Protocols

Clinical Research

Co-Payments

Cross-Functional

Emergency Response

HIPAA (Health Insurance Portability and Accountability Act)

Immunology

Injections

Lift/Move 25 Pounds

Marketing Authorization Application (MAA)

Medical Assistance

Medical Record System

Medicine

OSHA

Onboarding

Operational Improvement

Patient Care Authorizations

Patient Confidentiality

Patient Education

Pediatrics

Pharmacovigilance

Respiratory Therapy

Service Delivery

Sterilization

Testing

OTHER

Manage an active panel of complex neurological patients enrolled in care management, including but not limited to patients with neuroimmunological disorders, patients with Alzheimer's and dementia, patients with movement disorders, and patients receiving infusion therapy at The Neuron Clinic. The Licensed Vocational Nurse (LVN) – Care Management works under the supervision of a licensed Physician to deliver care management to patients enrolled in both The Neuron Clinic's Chronic Care Management (CCM) and Principal Care Management (PCM) care programs.

Benefits: <ul><li>401(k) matching</li><li>Competitive salary</li><li>Dental insurance</li><li>Health insurance</li><li>Home office stipend</li><li>Opportunity for advancement</li><li>Paid time off</li><li>Training & development</li><li>Vision insurance</li></ul> Job description The Neuron Clinic is a busy outpatient neurology practice with locations in Chula Vista, El Cajon, Murrieta, Corona, Palm Springs and San Marcos, CA. We are passionate about delivering high-quality patient care. We accept Medicare, Medi-Cal, Tricare, and most HMOs and commercial PPOs. We are seeking a healthcare professional that is passionate about quality care and making a difference in our patients lives.  We are looking for an experienced infusion nurse with leadership abilities, the ideal candidate has experience in neurology and or oncology.   Why Join the Team? <ul><li>Competitive Compensation</li><li>Generous Health Insurance Coverage: Medical & Dental</li><li>Retirement Plan - Dollar for Dollar match</li><li>Paid Vacation Accruals</li><li>Paid Holidays</li><li>Paid training</li><li>Work alongside extremely talented highly specialized doctors</li><li>Excellent Work-life Balance</li></ul>  Job Summary The Licensed Vocational Nurse (LVN) – Care Management works under the supervision of a licensed Physician to deliver care management to patients enrolled in both The Neuron Clinic's Chronic Care Management (CCM) and Principal Care Management (PCM) care programs. This role is primarily responsible for operating our care management programs, including directly managing a panel of enrolled patients and engaging with the patients monthly according to their clinician’s plan of care.    Responsibilities  <ul><li>Maintain a working expert knowledge of the LVN scope of practice, and perform all tasks in accordance with it</li><li>Maintain sufficient knowledge of The Neuron Clinic’s available care management programs to perform the tasks required of each program</li><li>Work closely with our internal Referrals and Prior Authorizations department to ensure that patient orders can be successfully completed</li><li>Manage an active panel of complex neurological patients enrolled in care management, including but not limited to patients with neuroimmunological disorders, patients with Alzheimer's and dementia, patients with movement disorders, and patients receiving infusion therapy at The Neuron Clinic</li></ul>  Qualifications <ul><li>A minimum of one year of experience in care management or case management is required, with more than one year of experience preferred</li><li>A minimum of one year of experience in an outpatient setting is preferred</li><li>Bilingual English/Spanish preferred </li><li>Current and unrestricted California Licensed Vocational Nurse (LVN) license required  </li></ul> Work Location This is a Full-time position and is eligible to be performed remotely from within the State of California. This is a remote position.

Patient Care Jobs in Calexico, CA

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Patient Care Jobs in Calexico, CA

Patient Care Coordinator (Bilingual Spanish) Serene Health

Patient Care Service Representative II Modena Allergy + Asthma

LVN- Care Management GLIA HEALTH MANAGEMENT LLC

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