Bilingual Outreach Lead Care Manager

Titanium Healthcare • Anaheim, CA

8d • $21 - $25 • Hybrid

About The Position

The Outreach Lead Care Manager (LCM) is a member-facing community-based care management and outreach position. The LCM will be responsible for providing oversight and coordination of health care management services within the Enhanced Care Management (ECM) program. Additionally, the Outreach LCM will conduct outreach to ensure members are provided with information and assistance needed for the ECM program.

Requirements

• Fluent in English (written and verbal), Bilingual in Spanish
• Ability to communicate clearly in-person, by phone, and electronically
• Adequate hearing and vision (with corrective devices if necessary) to conduct assessments and documentation
• Ability to identify problems and use logic and related information to develop and implement solutions
• Excellent organizational skills and attention to detail
• Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice
• Ability to lift, carry, push, or pull up to 20–25 pounds (e.g., laptop bag, forms, mobile equipment)
• Ability to climb stairs or navigate uneven terrain in community and home environments
• Ability to bend, reach, and conduct in-person visits in non-traditional environments
• Must be able to remain in a stationary position
• Must be able to move around the office and/or travel throughout community
• Ability to operate a vehicle and travel to meet with members around the community; attend meetings and events as required or requested
• Work may occur in homes, shelters, outdoor settings, hospitals, or community organizations, which may include exposure to pets, smoke, odors, clutter or unsanitary condition, and varying temperature conditions
• Ability to maintain professionalism and safety in diverse environments
• Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures
• Frequent use of computers, keyboard, and handheld/mobile devices
• Ability to type for extended periods
• Competent with computers, email, virtual platforms, and Microsoft Office based programs
• Diploma/GED required
• Minimum 1+ years of experience in healthcare, social services, or care coordination
• Current and valid Driver’s License with a clean driving record
• Reliable transportation and proof of auto insurance
• Current BLS certification from the American Heart Association upon start date
• Distraction-free home workspace with a secure internet connection

Nice To Haves

• Associate degree preferred
• MA, CNA, or LVN license
• Experience using eClinicalWorks (eCW)

Responsibilities

• Manage an assigned caseload of adult and pediatric members
• Conduct comprehensive assessments to determine the physical, emotional, and social needs of members
• Develop individualized care plans based on assessment findings, considering medical history, preferences, and specific needs
• Tailor care plans to individual needs and goals
• Coordinate and facilitate communication between healthcare providers, social workers, therapists, and other members of the care team to ensure a comprehensive and integrated approach to care
• Collaborate with Medical Doctors, Clinical Consultants, Housing Navigators and Leaders to make recommendations tailored to member needs
• Continuously monitor the progress of members and update care plans as needed per policy and compliance requirements
• Ensure prescribed treatments and interventions are being followed and communicate to PCP and specialty care providers any significant changes to member concerns along with any updates on member status
• Provide positive client service experience through multiple support channels including telephonic and in-person; the Enhanced Care Management program is high touch and in-person centered
• Maintain accurate and up-to-date records of assessments, care plans, and interactions with members
• Ensure compliance with relevant regulations and standards
• Complete all required documentation accurately in a timely manner and in accordance with company standards
• Provide leaders with case progress periodically and on a required basis
• Serve as an advocate for patients or clients, helping navigate the healthcare system, understand treatment options, and access the services required
• Provide education to members and their families on health-related topics, treatment options, and self-care strategies
• Identify and connect members with appropriate community resources, support services, and programs to address needs, such as housing assistance, financial aid, or counseling services
• Help plan and coordinate the discharge process for members leaving hospitals or long-term care facilities, ensuring a smooth transition to home or another care setting
• Opportunity to participate in training new employees
• Conduct telephonic or in-person outreach efforts to current or prospective members
• Follow established policies to outreach, enroll, and exclude members
• Verify enrollment eligibility for the Enhanced Care Management program
• Complete referrals to the ECM program when necessary
• Partner with healthcare professionals, community, social support services, and other healthcare entities to locate members
• Answer inbound helpline and respond to member inquiries in a timely and professional manner
• Continuously improve knowledge of Company products and services to better assist members
• Utilize and review data sharing sites to collect and share patient health information and ER utilization with relevant care teams to initiate transition of care
• Review and verify the accuracy of member information file to ensure data is up to date and there are no errors
• Perform other duties as assigned or required per departmental policy

Benefits

• 12 holidays
• up to 15 days of accrued PTO
• additional time for sick, jury duty, bereavement, reproductive loss, and therapy
• Medical, Dental, & Vision Benefits
• Unlimited therapy sessions funded 100% by Titanium Healthcare
• Flexible Spending, Health Savings & Dependent Care Accounts
• Life/AD&D insurance funded 100% by Titanium Healthcare
• Supplemental Short-Term Disability
• Employee Assistance Programs
• Pet Insurance
• 401(k) plan

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED