Bilingual Lead Care Manager

Role Overview

• The LCM is responsible for 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
• 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 member client service experience through multiple support channels including telephone and in-person
• 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/required basis
• Advocate for patients or clients, helping them navigate the healthcare system, understand their treatment options, and access the services they require
• 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 their needs, such as housing assistance, financial aid, or counseling services
• 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
• Participate in training new employees
• Perform other duties as assigned or required per departmental policy

Requirements

• Associate degree and 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
• Fluent in English (written and verbal), Bilingual in Spanish
• 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
• Competent with computers, email, virtual platforms, and Microsoft Office based programs

Benefits

• Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan
• 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
• 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