Senior / Lead Care Manager Esteem Health
Coordinate ECM intake and Medi-Cal referral workflows, including member outreach, eligibility-related documentation, referral submission, and authorization follow-up with CenCal Health and care teams.
Review records for completeness, track pending approvals and missing information, and follow through on outstanding items to support timely access to services. Collaborate with providers, managed care contacts, and community organizations to resolve barriers and escalate time-sensitive member needs.
Train and mentor colleagues on referral procedures, documentation, member communication, and complex case navigation. Develop reusable guides, onboarding resources, standardized templates, and workflow improvements; also support purchase orders, financial tracking, and appropriate use of HIPAA-compliant AI tools.