Lead Care Manager/Case Manager - Monterey (Bilingual Spanish)

WE ARE TITANIUM HEALTHCARE
Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren't getting the medical care they need. We're on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.
Join us in our mission!
POSITION SUMMARY
The Lead Care Manager (LCM) is responsible for case management of members and their families in obtaining and understanding services and programs available through the Enhanced Care Management (ECM) program. The LCM is tasked with improving health and overall well-being through our services. The ideal LCM is an energetic self-starter who can collaboratively and cross-functionally work in a team environment and with external representatives.
WHERE YOU'LL WORK
This position is hybrid. Work from home while servicing members in person; 30% of duties will be performed remotely, 70% of duties will involve traveling to conduct in-person member visits. You will have full control over your schedule when meeting members. Lead Care Managers are required to travel to their members within their designated areas. You are eligible for mileage reimbursement for the use of your vehicle for business-related travel. Business hours are Monday-Friday 8:30 am to 5:00 pm.
WHAT YOU'LL DO

• 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. Care Plans should be tailored 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 the member's needs
• Continuously monitor the progress of members and update care plans as needed per policy and compliance requirements
• Ensure that prescribed treatments and interventions are being followed and Communicate to PCP and specialty care providers any significant changes to member's concerns along with any updates on member's status
• Provide positive member client service experience through multiple support channels including telephone 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/required basis
• Serve as an 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
• 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
• Perform other duties as assigned or required per departmental policy

WHO YOU ARE

• Fluent in English (written and verbal). Bilingual required (Spanish)
• Competent with computers, email, virtual platforms, Excel and other Microsoft Office based programs
• Prior experience using Electronic Medical Records
• Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear, effective manner
• Ability to identify problems and use logic and related information to develop and implement solutions
• Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures
• Consistently operating a computer and other office equipment such as a telephone, calculator, copy machine, and printer
• Must be able to remain in a stationary position 30% of the time
• Must be able to move around the office or community 70% of the time
• Frequently moving or carrying office equipment weighing up to 15 pounds across offices
• Ability to operate a vehicle and travel to meet with assigned members around the community, attend meetings and different office locations as required or requested

WHAT YOU'LL NEED

• 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
• Distraction-free home workspace with a secure internet connection

NICE TO HAVES

• Medical Assistant certification, Certified Nursing Assistant or experience with home health, hospice or related fields a plus
• Exposure working in the healthcare field with pediatric populations a plus

WHAT YOU'LL ENJOY

• 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 individual impact on the business
• Paid Time Off: 12 holidays and up to 3 weeks of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, and reproductive loss

• 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
• Flexible Spending, Health Savings & Dependent Care Accounts
• Life/AD&D insurance funded 100% by Titanium Healthcare
• Supplemental Short-Term Disability

• Employee Assistance Programs
• 401(k) plan

EEO Statement
At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce.
Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.