Job Description
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, A Positive Choice, and PsycHealth, 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:
As a Community Support Supervisor, you will play a pivotal role in ensuring the efficient operation of Community Support services to our Health Plan members. You will be responsible for providing supervision, managing daily and weekly reports, coordinating with health plans for referrals and authorizations, overseeing staff assessments, and ensuring housing deposit processes are completed accurately and with proper documentation. Your role will involve effective communication with various partners, including health plans, landlords and members.
Supervisory Responsibilities:
- Provide leadership, guidance, and support to CS staff.
Duties/Responsibilities:
- Generate and analyze daily and weekly reports for member progress.
- Maintain and update the Master Log daily.
- Review Ring Central Analytics, productivity logs, and member notes.
- Oversee staff notes and authorization processes in Alliance.
- Collaborate with health plans for referrals and authorizations, ensuring compliance.
- Stay informed on health plan policies and procedures.
- Coordinate completion of Health Plan Housing Goods Form.
- Ensure quality and consistency in staff assessments.
- Monitor assessment processes for regulatory adherence.
- Coordinate timely completion of housing deposit processes, verifying accuracy with landlords.
- Communicate effectively with stakeholders, maintaining accurate documentation and promptly addressing inquiries and requests.
- Performs other duties as assigned.
Required Skills/Abilities:
- Bi-lingual (English/Spanish) Preferred.
- Strong leadership and communication skills.
- Knowledge of health plan requirements and authorization processes.
- Experience with data analysis and reporting.
- Ability to multitask and prioritize responsibilities effectively.
- Attention to detail and accuracy in documentation and record-keeping.
Education and Experience:
- Bachelor's degree in social work or healthcare administration, or at least 4 years of related work experience.
- Previous experience in a supervisory role, preferably in community support services or healthcare.
Physical Requirements:
- Prolonged periods sitting at a desk and working on a computer.
- Must be able to lift up to 10 pounds at times.
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.
Equal Employment Opportunity
Optima 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-Employment
Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.
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