Lead Care Manager | Garden Grove (Medical Assistant/Care Coordinator)

Job Description

Job Description

Salary : $21 - $23 per hour DOE

Who We Are :

We are 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!

Lead Care Manager Job 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 Lead Care Manager is tasked with improving their health and overall well-being through our services. The Lead Care Manager is an energetic self-starter who can function comfortably in a team environment and independently and relates well to co-workers and external representatives.

Position Responsibilities :

• The Lead Care Manager is responsible for an assigned caseload of adult and pediatric members. The Lead Care Manager will conduct comprehensive assessments to determine the physical, emotional, and social needs of members.
• Care Planning : 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.

Coordination : 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 members’ needs.

Monitoring : 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.

Member Experience : 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.

Documentation : 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.

• Advocacy : Serve as an advocate for patients or clients, helping them navigate the healthcare system, understand their treatment options, and access the services they require.
• Education : Provide education to members and their families on health-related topics, treatment options, and self-care strategies.
• Resource Referral : 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.
• Assist with Discharge Planning : 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.
• Performs other duties as assigned or required per departmental policy.

Position Requirements :

• Education & Experience : Associate Degree and 2 years of healthcare or care coordination experience.
• Language : Fluent in English (written and verbal).
• Medical Assistant Diploma / Certificate from accredited school License / certification : o Current and valid Driver’s License and proof of auto insurance.

Current BLS certification from the American Heart Association upon start date.

• Skills required : o Competent with computers, email, virtual platforms, Excel and other Microsoft Office based programs.
• Prior use of 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.
• Bilingual, Spanish

Salary :

Pay Range : $21 - $23 per hour.

Travel :

Hybrid Work Schedule 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.

Eligible for mileage reimbursement for the use of your vehicle for business related travel.

Physical Requirements : Physical demands associated with office work and driving, including but not limited to :

• Consistently operating a computer and other office equipment such as a telephone, calculator, copy machine, and printer.
• 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.

Benefits :

• This is a hybrid role working from home while still servicing members in person!
• Medical, Dental and Vision Insurance
• We cover up to 100% of your premium and 50% of your dependent premium depending on the plan!
• Flexible Spending Accounts, Health Savings Accounts & Dependent Care Accounts are also available!
• Life, AD&D and Short-Term Disability Insurance funded 100% by Titanium Healthcare
• 401(k) plan
• Employee Assistance Program
• 12 Paid Holidays, 3 weeks of all-inclusive PTO per year (accrual begins on the first day of employment) as well as a separate Paid Sick Time balance

Equal Employment Opportunity Commission :

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.