Titanium Healthcare Inc.

Bilingual

• Provide high quality and effective care management to Titanium Healthcare members
• Support ECM members with behavioral health conditions, focusing on SMI and/or SUD needs
• Case manage members with behavioral health needs, utilizing brief behavioral health therapeutic interventions
• Conduct comprehensive, holistic assessments both telephonically and in person
• Engage and collaborate with staff outside the BH department to provide integrated care
• Coordinate with internal and external health partners to support member comprehensive care needs
• Advocate for members to receive high-quality care within IEHP’s network
• Participate in care team meetings and manage transitions of care

Bilingual Behavioral Health Care Manager

• The LCM is 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
• Tailor care plans 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 member needs
• Monitor the progress of members and update care plans as needed per policy and compliance requirements
• Ensure prescribed treatments and interventions are being followed and communicate to PCP and specialty care providers any significant changes to member concerns along with any updates on member 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
• Provide leaders with case progress periodically/required basis
• 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
• 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
• Participate in training new employees
• Perform other duties as assigned or required per departmental policy

Bilingual Lead Care Manager

• Review and interview potential members to verify eligibility for enrollment in the Health Homes Program (HHP)
• Complete referral process when necessary
• Orient and educate members and their families by meeting with them to explain the role of the Care Coordinator
• Initiate a care plan and provide educational information related to treatments, procedures, medications, and continuing care requirements in coordination with healthcare providers
• Work with healthcare professionals, community and social support services, and other company employees
• Document evidence of care in the member’s record in a concise and timely manner using the EHR system
• Routinely check in or schedule appointments with assigned members
• Maintain documentation of all member encounters to complete established reporting requirements
• Communicate with providers and care team regarding member progress and care needs
• Explain and translate information related to the member’s care to and on behalf of the member, when necessary
• Identify and follow up on all referrals made to assure continuity of care and that member/family needs have been met
• Reassess care plans to ensure effectiveness in achieving desired outcomes for members and their family
• Address member questions and process member requests in a timely manner
• Investigate and direct member inquiries or complaints to appropriate staff members, including follow ups to ensure satisfactory resolution
• Follow established policies to enroll and disenroll members
• Maintain knowledge of community services and resources available to members including housing resources, financial/income assistance, transportation assistance and food assistance
• Follow established protocol around patients experiencing pain, safety concerns and/or mental health concerns and creates safety plans, if necessary
• Recognize signs of child and elder abuse and report appropriately to Child/Adult Protective Services
• Understand and abide by all departmental and companywide policies and procedures
• Comply with all safety and injury prevention policies and regulations
• Perform other duties as assigned or required

Bilingual Care Coordinator

Manager

• The LCM is 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
• Tailor care plans 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
• Monitor the progress of members and update care plans as needed per policy and compliance requirements
• 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
• 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

Lead Care Manager

• Execute outreach strategies to identify, engage, and enroll potential members
• Verify eligibility for enrollment in the ECM program
• Complete and upload enrollment intake forms to member charts
• Conduct telephonic/in-person outreach, assessments, and referrals as needed
• Represent Titanium Healthcare at community events, health fairs, and meetings
• Organize and lead community health events, including informational sessions
• Identify, coordinate, and follow up on member referrals to ensure continuity of care
• Collaborate with Lead Care Managers (LCMs) regarding member progress and care needs
• Document member enrollment evidence in EHR record concisely and on time
• Perform other duties and projects assigned

Bilingual Outreach and Enrollment Coordinator

• 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
• Tailor care plans 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 member needs
• Monitor the progress of members and update care plans as needed per policy and compliance requirements
• Ensure prescribed treatments and interventions are being followed and communicate to PCP and specialty care providers any significant changes to member concerns along with any updates on member 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
• Provide leaders with case progress periodically/required basis
• 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
• 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
• Participate in training new employees
• Perform other duties as assigned or required per departmental policy

QA Engineer

• Conduct routine chart audits to evaluate documentation accuracy, completeness, and alignment with CalAIM program and Managed Care Plan requirements
• Review member encounters, care management documentation, outreach efforts, and service plans to ensure services are properly documented
• Identify documentation gaps, workflow challenges, or compliance risks and communicate findings to leadership
• Track audit findings and monitor trends in documentation quality across teams and regions to inform quality improvement efforts
• Monitor compliance with CalAIM program requirements and Managed Care Plan guidelines
• Support internal reviews and external audits by preparing documentation and assisting leadership with audit preparation
• Support the collection and review of audit results and quality metrics

CalAIM Quality Assurance Specialist

• The LCM is 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
• Tailor care plans 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 member needs
• Monitor the progress of members and update care plans as needed per policy and compliance requirements
• Ensure prescribed treatments and interventions are being followed and communicate to PCP and specialty care providers any significant changes to member concerns along with any updates on member 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
• Provide leaders with case progress periodically/required basis
• 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
• 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
• Participate in training new employees
• Perform other duties as assigned or required per departmental policy

• Care Coordination: Manage 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
• Tailor care plans 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 member needs
• Continuously monitor the progress of members and update care plans as needed per policy and compliance requirements
• Ensure prescribed treatments and interventions are being followed and communicate to PCP and specialty care providers any significant changes to member concerns along with any updates on member status
• Provide positive client service experience through multiple support channels including telephonic 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 and on a required basis
• Serve as an advocate for patients or clients, helping navigate the healthcare system, understand treatment options, and access the services required
• 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 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
• Outreach: Conduct telephonic or in-person outreach efforts to current or prospective members
• Follow established policies to outreach, enroll, and exclude members
• Verify enrollment eligibility for the Enhanced Care Management program
• Complete referrals to the ECM program when necessary
• Partner with healthcare professionals, community, social support services, and other healthcare entities to locate members
• Answer inbound helpline and respond to member inquiries in a timely and professional manner
• Continuously improve knowledge of Company products and services to better assist members
• Utilize and review data sharing sites to collect and share patient health information and ER utilization with relevant care teams to initiate transition of care
• Review and verify the accuracy of member information file to ensure data is up to date and there are no errors
• Perform other duties as assigned or required per departmental policy

Bilingual Behavioral Health Care Manager

Bilingual Lead Care Manager

Bilingual Care Coordinator

Bilingual Care Coordinator

Lead Care Manager

Bilingual Outreach and Enrollment Coordinator

Bilingual Lead Care Manager

CalAIM Quality Assurance Specialist

Bilingual Lead Care Manager

Bilingual Lead Care Manager

Bilingual Outreach Lead, Care Manager

Bilingual Lead Care Manager