Lead Care Manager
Company: American Truecare
Location: Los Angeles
Posted on: February 12, 2026
|
|
|
Job Description:
Job Description Job Description Job type: Full-time Hours:
Monday – Friday, 8:30 a.m. – 5:00 p.m. Location: Los Angeles, CA
90011 Position Summary We are seeking energetic, reliable
professionals with experience in healthcare and case management to
join our Enhanced Care Management Team in Los Angeles, CA as a
non-clinical Lead Care Manager. In addition to a rewarding work
environment, we offer our employees a competitive benefits package
that includes medical, dental, and vision coverage, vacation, sick
time, and paid holidays. This is a non-clinical position. Under
general supervision, the Enhanced Care Management Lead Care Manager
performs duties by providing case management services to qualified
members. Participates in, and supports, the planning, development,
implementation, and evaluation of services in accordance with
contractual and departmental requirements and guidelines. Enhanced
Care Management Care Manager offers more intensive case management
services to qualifying members, with a focus on providing
community-based healthcare services, including creating care plans
and formalized goal setting. Intensive support may be required
depending on the level of client need (such as scheduling of
appointments, assisting with housing, etc.). Enhanced Care
Management program provides eligible Medi-Cal beneficiaries that
are experiencing or at risk of homelessness with enhanced care
management and coordination services. ECM coordinates a full range
of physical health, behavioral health, and community-based services
to ensure the individuals served to have access and receive the
services necessary to address their complex medical needs and
chronic conditions. Responsibilities include: • Conducting initial
assessments and periodic reassessments of client’s needs • Leads
the provision and coordination of services and provides direct
services for HHP participants in their assigned caseload. •
Developing patient-focused care plans in partnership with other
providers and the client • Working with medical staff to develop,
implement, and coordinate care plans for clients with chronic
conditions such as diabetes, asthma, behavioral health conditions •
Responsible for driving a positive patient customer service
experience through multiple support channels including the patient
portal, clinical platform, and messaging systems • Respond to
inquiries from patients and outside agencies and refer, when
necessary, to the appropriate person or department • Adhere to all
organizational policies, HIPAA regulations, and Joint Commission
guidelines • Schedule weekly and monthly phone calls with members •
Monitor and report changes in patient symptoms or behavior •
Monitor and maintain goal levels of calls per hour calls placed on
hold, ring no answer, transfer out, and availability in Queue. •
capturing of patient demographics information, insurance
information, and structured data into patient management systems
during each phone encounter • Communicate to PCP any significant
changes in patient concerns along with any updates on patient
status • Educate patients about health maintenance and disease
prevention • Completes all required documentation accurately, in a
timely manner, and thoroughly in accordance with department
standards. Assists in preparing reports as required. • Completes
all required documentation accurately, in a timely manner, and
thoroughly in accordance with department standards; in addition,
documentation complies with patients' insurance requirements. •
Conducts initial and ongoing assessment of client's health and/or
support service needs. Sets level of client need. • Facilitates
care transitions between providers, partners, referral sources, and
specialty care providers. • Follows up on referrals within
established timeframes. • Facilitates enrollment of patients in
specialty care and services. • Schedules appointments and provides
intakes per department guidelines and productivity goals. • Ensures
appropriate intake steps are followed, including eligibility,
assessment of needs, collecting patient data, enrolling in
programs, developing a care plan, and other steps as required by
department guidelines. • Provides basic and intensive individual
support, based on client needs. Support may include providing
interventions, providing internal and community services referrals,
and more intensive support which may include a home visit. •
Tracks, monitors, and actively manages assigned patient cases to
ensure coordination of care, retention of patients, and ensuring a
high level of utilization is maintained. • Responsible for
maintaining own technical knowledge of IT systems and utilizing
internal messaging systems and software systems • Performs other
duties as assigned by team leads, supervisors, and managers.
Required Experience: • Execute and maintain confidential
information according to HIPAA standards • Possess a high level of
tolerance and understanding for individuals with urgent and
multiple case management and health needs • Demonstrate strong
skills in technology including electronic health record systems and
Microsoft Software, Intermediate to advanced knowledge of Excel
highly desired • Exercise mature judgment, and are highly
motivated, self-starting, and proactive • Are excellent at
communicating, whether in writing or verbally • Have a strong sense
of prioritization and can coordinate multiple demands in a
high-pressure environment • Ability to build rapport with patients
• Ability to communicate with patients from diverse backgrounds •
Strong problem solving and critical thinking skills • Ability to
work independently • Bi-lingual in English and Spanish is a plus •
Working Knowledge of EMR systems • Strong communication skills,
verbal and written • Experience and demonstration of strong
customer service skills • Excellent oral and written communication
skills • Basic working knowledge of insurance coverage, the
insurance eligibility process • Sensitivity to the needs and
situations of multi-cultural populations from a variety of income
levels • Be able and willing to work flexible hours as needed
including evenings, weekends, and holidays • Excellent attention to
detail Education/Experience: • Minimum of one year of experience in
a health care related field or customer service • Equivalent
combination of education and experience that provides the skills,
knowledge, and ability to perform the essential job duties, and
which meets any required state or federal certification
requirements. “In Office Position” Job Type: Full-time Pay: $20.00
- $27.00 per hour Benefits: • Dental insurance • Health insurance •
Paid time off • Vision insurance WORK LOCATION: One location WORK
ENVIRONMENT Moderate noise level; fast-paced high energy. Described
here are representative of those that must be met by an employee to
successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable qualified
individuals with disabilities to perform the essential functions.
Variations in conditions may occur under certain circumstances.
TRAVEL Staff will travel within the Los Angeles region as needed.
Mileage reimbursement for the use of your vehicle is at a standard
rate. CONFIDENTIALITY Maintains patient, employee, and Foundation
confidentiality at all times, discussing patient or employee
business only with appropriate parties who have a bona fide need to
know; and communicating only the minimum amount of information
necessary with respect to protected health information (PHI) as
defined by the Health Insurance Portability and Accounting Act of
1996 (HIPAA). REQUIRED QUALIFICATIONS Must have a valid driver’s
license and insurable driving record. Please be aware that AMERICAN
TRUECARE, INC. requires all employees to be vaccinated for
COVID-19. This position will require the successful candidate to
show proof of vaccination. AMERICAN TRUECARE, INC is an equal
opportunity employer and will provide reasonable accommodation to
those individuals who are unable to be vaccinated consistent with
federal, state, and local law.
Keywords: American Truecare, Altadena , Lead Care Manager, Healthcare , Los Angeles, California