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Senior Care Management Specialist

2 months ago

Garden Grove, California, United States Titanium Healthcare Full time
Job Overview

Salary: $21 - $23 per hour DOE

About Us: We are a dedicated healthcare organization focused on delivering compassionate and effective medical services. Our mission is to ensure that every individual receives the necessary healthcare support, enhancing both patient care and provider efficiency.

Position Summary: The Lead Care Manager (LCM) plays a pivotal role in managing cases for members and their families, guiding them through the services and programs available via the Enhanced Care Management (ECM) initiative. The LCM is committed to fostering improved health outcomes and overall wellness through our comprehensive services. This position requires a proactive individual who thrives in both collaborative and independent settings and can effectively engage with colleagues and external stakeholders.

Key Responsibilities:

  • Manage a designated caseload of adult and pediatric members, conducting thorough assessments to identify their physical, emotional, and social requirements.
  • Care Planning: Create personalized care plans that reflect assessment insights, taking into account medical histories, preferences, and specific needs.
  • Coordination: Facilitate effective communication among healthcare providers, social workers, therapists, and other care team members to ensure a holistic approach to patient care.
  • Monitoring: Regularly assess member progress and adjust care plans as necessary, ensuring adherence to prescribed treatments and promptly communicating any significant changes to relevant healthcare providers.
  • Member Experience: Deliver exceptional service to members through various support channels, ensuring a high-touch, person-centered approach.
  • Documentation: Keep precise and current records of assessments, care plans, and member interactions, ensuring compliance with applicable regulations and standards.
  • Advocacy: Act as a patient advocate, assisting them in navigating the healthcare system and understanding their treatment options.
  • Education: Provide valuable information to members and their families regarding health topics, treatment choices, and self-care techniques.
  • Resource Referral: Connect members with suitable community resources and support services to meet their needs.
  • Discharge Planning: Aid in planning and coordinating the discharge process for members transitioning from hospitals or long-term care facilities.
  • Participate in training new staff members as needed.
  • Perform additional duties as required by departmental policies.

Qualifications:

  • Education & Experience: Associate Degree with a minimum of 2 years in healthcare or care coordination.
  • Language: Proficient in English (both written and verbal).
  • Certifications: Medical Assistant Diploma/Certificate from an accredited institution, valid Driver's License, proof of auto insurance, and current BLS certification from the American Heart Association.
  • Skills: Proficient in computer applications, including email, virtual platforms, and Microsoft Office Suite. Experience with Electronic Medical Records is preferred. Strong communication skills, problem-solving abilities, and the capacity to work independently are essential. Bilingual in Spanish is a plus.

Salary Range: $21 - $23 per hour.

Travel Requirements: This role involves a hybrid work schedule, with 30% of duties performed remotely and 70% requiring travel for in-person member visits. Mileage reimbursement is available for business-related travel.

Physical Demands: The position requires standard office work and driving, including operating a computer and other office equipment, as well as traveling to meet with members.

Benefits:

  • Hybrid work environment with both remote and in-person member service.
  • Comprehensive Medical, Dental, and Vision Insurance.
  • Flexible Spending Accounts, Health Savings Accounts, and Dependent Care Accounts.
  • Life, AD&D, and Short-Term Disability Insurance fully funded by Titanium Healthcare.
  • 401(k) plan.
  • Employee Assistance Program.
  • 12 Paid Holidays and 3 weeks of PTO annually, with separate Paid Sick Time.

Equal Employment Opportunity: Titanium Healthcare is committed to fostering a diverse and inclusive workforce. We encourage applicants from all backgrounds to apply, as we believe diversity drives innovation and equity in healthcare.