Case Manager

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 True Care—our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long‑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 employees with access to industry experts, cutting‑edge technologies, and a supportive community that values each individual’s contributions.

The official job title is Community Support Outreach Specialist. The Community Support Outreach Specialist cultivates relationships with community programs, members and leaders. They develop assistance programs, offer crisis intervention for the homeless, and provide expert referrals and advocacy to help secure permanent housing, while also providing intensive support to resolve housing barriers for individuals experiencing homelessness. The Specialist also implements ongoing efforts to support members after securing housing, ensuring continued development of life skills, financial literacy, and home management skills to promote long‑term stability and self‑sufficiency.

The program includes services and centers from the community support services section below.

• Perform thorough screening and assessments with individual members or families, gathering functional, environmental, financial, employment, housing, educational, and health information. The CS Outreach Specialist aids in assisting them to find and sustain housing, ultimately putting an end to their homelessness.
• Develop rapport with program members to understand their housing needs, goals, strengths, and barriers, then create a feasible, sustainable Individualized Housing Support Plan based on the Community Support Assessment.
• Keep the channels of communication open, and be proactive about problem‑solving with individuals, interdisciplinary teams, members of Community Support, potential employers and training programs.
• Offer personalized case management support to program participants that is individualized, culturally competent, family‑focused, goal‑driven, strengths‑based and appropriate to ensure members are matched with resources considering their needs and income‑generating abilities.
• Provide personalized support in life skills, job preparation, and financial literacy, to guide members towards self‑sufficiency by offering essential training in home care, job readiness, and budgeting.
• Maintain member records, track outcomes in appropriate databases, and submit regular monthly and weekly progress reports to Supervisor.
• Act as a liaison between landlords and tenants to resolve issues and prevent evictions, conduct post‑housing home visits to ensure lease compliance, coordinate case conferences, consult with service teams, social workers and case managers as needed. Monitor member’s progress towards agreed‑upon goals.
• Perform additional duties as assigned.

• Housing Transition Navigation Services
• Housing Tenancy and Sustaining Services
• Community Transition Services / Nursing Facility Transition to a Home
• Housing Deposits
• Short-Term Post-Hospitalization Housing

• High school, diploma or GED is required.
• Minimum of 1 year…