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Bilingual Case Manager

4 months ago

Alameda, United States Pair Team Full time

**About Pair Team**:
Pair Team is on a mission to improve the wellbeing of underserved communities by connecting them to high-quality care.

Pair Team cares for the highest-need Medicaid recipients through a community-led model. We build local partnerships with shelters, food pantries, and other community-based organizations to turn them into a site of care. As a support system for the community, we provide wraparound clinical services, up-skill CBO staff to become Community Health Workers, and utilize our proprietary data-driven technology platform, Arc, for care coordination. Through Medicaid MCOs, we provide healthcare for hard-to-reach, high-need individuals, while sharing healthcare dollars with community groups to expand their social support programs.

**Our Values**
- **Lead with integrity**:We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.
- **Embrace challenges**: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.
- **Break through walls**:We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.
- **Act beyond yourself**:We build each other up and respect boundaries. We seek first to understand and assume positive intent.
- **Care comes first**:We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.

**In the News**
- **Forbes**:For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
- **TechCrunch**:Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team
- **Axios**:Pair Team collects $9M for Medicaid-based care

***About the Opportunity**:
Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time Lead Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.

We seek a full-time **Lead Care Manager** to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We believe in the power of trust and relationships to successfully engage those who may have never received the kind of whole-health care that Pair Team can provide.

This is a remote-forward hybrid position; ~10% of your work will be on-site in Alameda County, CA.

**What You'll Do**:

- Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
- Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
- Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
- Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan
- Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks
- Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions
- Consistently meet monthly encounter metrics to ensure compliance with health plan regulations
- Identify and break down barriers ensuring individuals' continuation with the program
- Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups
- Coordinate physical care management appointments through collaboration with external and internal providers
- Utilize external and internal online platforms to collaborate with team members and carry out daily tasks

**What You'll Need**:

- 3+ years of general work experience
- You are physically located in/near Alameda County, California
- Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations
- Virtual Ops requires a quiet, HIPAA compliant and internet connected space
- 1+ year(s) of case management experience
- Bilingual - English/Spanish
- Strong understanding of cultural fluency
- High degree of empathy
- Ability to work collaboratively in a multidisciplinary team
- An eye for optimization
- Organizational skills
- Abili