Lead Care Manager responsible for case management and improving health at Titanium Healthcare. Collaborating with teams for enhanced patient care services in San Diego region.
Responsibilities
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.
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.
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
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
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
Requirements
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
Fluent in English (written and verbal)
Competent with computers, email, virtual platforms, Excel and other Microsoft Office based programs
Prior experience using Electronic Medical Records
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
Benefits
Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan
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
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
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