Bilingual Outreach Lead Care Manager

Titanium Healthcare•Anaheim, CA

16d•$21 - $25•Hybrid

About The Position

The Bilingual 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 LCM will conduct outreach to ensure members are provided with information and assistance needed for the ECM program.

Requirements

Fluent in English and Bilingual in Spanish or Vietnamese (written and verbal)
Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear and concise manner
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
Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures
Ability to communicate clearly in-person, by phone, and electronically
Frequent use of computers, keyboard, handheld, and mobile devices
Competent with computers, email, virtual platforms, and Microsoft Office based programs
Ability to type for extended periods
Must be able to remain in a stationary position
Ability to operate a vehicle and travel to meet with members around the community; attend meetings and events as required or requested
Must be able to move around the office and/or travel throughout community
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 climb stairs or navigate uneven terrain in community and home environments
Ability to lift, carry, push, or pull up to 20–25 pounds (e.g., laptop bag, forms, mobile equipment)
Ability to bend, reach, and conduct in-person visits in non-traditional environments
Commitment to maintaining patient confidentiality and adhering to ethical standards in healthcare practice
Ability to maintain professionalism and safety in diverse environments
Associate degree and minimum 2+ years of healthcare or care coordination experience
Current and valid Driver’s License
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

Medical Assistant certification, Certified Nursing Assistant, or experience with home health, hospice, case management, social work, or another related field
Experience working in the healthcare field with pediatric population
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

Make an impact: an organization who cares about its employees, communities, and the future of healthcare
Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself
Growth: opportunities to develop and grow your career with us
Community: you are encouraged to have a voice, share your opinions, and have an individual impact on the business
Paid Time Off: 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, reproductive loss, and therapy
Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model
Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan
Prioritize your mental health with 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
Protect your pet(s) with Pet Insurance
401(k) plan