Bilingual Primary Care Case Manager
About The Position
Our client is seeking a motivated, compassionate, and highly organized Bilingual Primary Care Case Manager fluent in Spanish and English. The role aims to improve patient outcomes and engagement while reducing unnecessary emergency room visits and hospital utilization. The Case Manager proactively reviews medical records, identifies patients needing follow-up, contacts patients, and coordinates timely primary care appointments, either in person or through telehealth. This is a non-licensed care coordination position unless otherwise specified. The Case Manager does not independently diagnose, provide medical advice, perform clinical triage, or modify treatment plans. Clinical decisions and medical concerns must be referred to an appropriate licensed healthcare professional. The schedule is Monday through Friday, 8:00 AM–5:00 PM PST, with a one-hour unpaid break, for 40 work hours per week. The posting describes the role as an independent contractor position and offers permanent work from home.
Requirements
- Bilingual in English and Spanish, with strong verbal communication skills in both languages.
- Experience in a medical office, primary care clinic, care coordination, case management, or patient outreach role.
- Strong understanding of medical terminology and common acute and chronic health conditions.
- Ability to review and understand patient medical records, diagnoses, and treatment recommendations.
- Practical experience working with Electronic Medical Records (EMR).
- Excellent organizational, communication, and follow-up skills, including comfort making a high volume of outbound patient calls.
- Ability to prioritize patients based on identified care needs and established clinical protocols.
- Strong attention to detail and ability to manage multiple patient cases simultaneously.
- Ability to work independently while collaborating effectively with providers and clinical staff.
- Commitment to patient-centered care and improving healthcare outcomes.
Nice To Haves
- Medical Assistant certification or prior clinical experience.
- Experience in primary care, population health, chronic disease management, or utilization management.
- Familiarity with Medi-Cal, managed care plans, and healthcare services in California.
- Experience with post-hospital discharge follow-up, preventive care outreach, or high-risk patient populations.
- Knowledge of quality measures, preventive screenings, and gaps in care.
- Experience using PrognoCIS or similar EMR systems.
Responsibilities
- Review patient charts, medical histories, diagnoses, medications, and previous visits in the Electronic Medical Record (EMR).
- Identify and prioritize high-risk patients, including those with chronic conditions, frequent emergency room visits or hospitalizations, missed appointments, or gaps in care, and determine needed follow-up appointments.
- Contact patients by telephone in English and Spanish to check on health status, discuss care needs, and schedule in-person or telehealth appointments.
- Follow up with patients who have missed or canceled appointments and educate them about primary and urgent care services for non-emergency concerns.
- Conduct outreach after emergency room visits or hospital discharges to coordinate timely follow-up care.
- Monitor high-utilization patients, document outreach outcomes, and immediately escalate urgent symptoms or clinical concerns to licensed clinical staff.
- Support patients managing chronic conditions, including diabetes, hypertension, asthma, and heart disease.
- Identify overdue labs, screenings, or specialist follow-ups; reinforce treatment plans; and coordinate with medical assistants, providers, and referral departments to address barriers to care.
- Explain the importance of preventive care, routine medical visits, and chronic condition management in patient-friendly language.
- Build positive patient relationships to improve trust, engagement, and retention.
- Accurately document outreach, chart reviews, appointment scheduling, and follow-up outcomes in the EMR while maintaining strict HIPAA compliance.
- Track outreach activity, maintain lists of high-utilization patients, and generate regular reports.
Benefits
- Health insurance coverage for eligible locations.
- Permanent work from home.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
