Bilingual Care Coordinator

Role Overview

• Review and interview potential members to verify eligibility for enrollment in the Health Homes Program (HHP)
• Complete referral process when necessary
• Orient and educate members and their families by meeting with them to explain the role of the Care Coordinator
• Initiate a care plan and provide educational information related to treatments, procedures, medications, and continuing care requirements in coordination with healthcare providers
• Work with healthcare professionals, community and social support services, and other company employees
• Document evidence of care in the member’s record in a concise and timely manner using the EHR system
• Routinely check in or schedule appointments with assigned members
• Maintain documentation of all member encounters to complete established reporting requirements
• Communicate with providers and care team regarding member progress and care needs
• Explain and translate information related to the member’s care to and on behalf of the member, when necessary
• Identify and follow up on all referrals made to assure continuity of care and that member/family needs have been met
• Reassess care plans to ensure effectiveness in achieving desired outcomes for members and their family
• Address member questions and process member requests in a timely manner
• Investigate and direct member inquiries or complaints to appropriate staff members, including follow ups to ensure satisfactory resolution
• Follow established policies to enroll and disenroll members
• Maintain knowledge of community services and resources available to members including housing resources, financial/income assistance, transportation assistance and food assistance
• Follow established protocol around patients experiencing pain, safety concerns and/or mental health concerns and creates safety plans, if necessary
• Recognize signs of child and elder abuse and report appropriately to Child/Adult Protective Services
• Understand and abide by all departmental and companywide policies and procedures
• Comply with all safety and injury prevention policies and regulations
• Perform other duties as assigned or required

Requirements

• 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
• Ability to communicate clearly in-person, by phone, and electronically
• Frequent use of computers, keyboard, and handheld/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
• Bachelor’s degree in sociology, social work, public health, physiology, other related field, or an associate degree and minimum 1+ years of experience
• Current and valid Driver’s License
• Proof of auto insurance
• Distraction-free home workspace with a secure internet connection

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