Titanium Healthcare Inc.

Bilingual

• 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

Human Resources

• Own and manage the end-to-end benefits administration process, including enrollments, changes, and open enrollment
• Serve as the point of contact for employee benefit inquiries and vendor communications
• Partner with brokers and carriers to resolve issues and support benefit strategy implementation
• Administer and manage all employee leaves of absence, including FMLA, ADA, state/local leaves, and company-specific policies
• Ensure compliance with all applicable laws and maintain accurate records and documentation
• Support general HR functions including onboarding, offboarding, employee changes, and maintaining HRIS data integrity
• Maintain compliance with federal, state, and local employment laws and regulations; recommend and implement updates as needed
• Manage employment verifications, I-9 compliance, and other HR documentation
• Act as a day-to-day resource for employees and managers on HR policies and procedures
• Handle employee inquiries with a service-minded approach and always maintain confidentiality and professionalism
• Partner with the Director on process improvements that enhance the employee experience and operational efficiency

Senior HR Generalist

• 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
• 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 significant changes to PCP and specialty care providers
• Provide positive member client service through 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 and complete required documentation timely
• Provide leaders with case progress periodically or on required basis
• Advocate for patients or clients, helping them navigate the healthcare system and access required services
• Provide education to members and their families on health-related topics and self-care strategies
• Identify and connect members with appropriate community resources, support services, and programs
• Plan and coordinate the discharge process for members leaving hospitals or long-term care facilities
• Participate in training new employees and perform other duties as assigned per departmental policy

• Responsible for case management of members and their families in obtaining and understanding services and programs available through the Enhanced Care Management (ECM) program
• 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
• Travel to members within assigned San Benito & Monterey County regions; 30% remote work and 70% in-person visits

Manager

• 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
• 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 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
• Serve as an advocate and help patients or clients navigate the healthcare system, understand 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 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 as needed
• Perform other duties as assigned or required

Lead Care Manager

• The Outreach Lead Care Manager is responsible for scheduling, organizing, and managing all aspects of member healthcare maintenance and treatment
• Duties include conducting outreach, helping patients complete paperwork, communicating with a healthcare team about a patient’s treatment plan, and educating patients about resources and options for managing their health
• This role is hybrid, working from home and in the field (Orange County) to coordinate Health Home program enrollment and care coordination
• Visit members in community settings such as their homes, hospitals, shelters, or other locations convenient to them
• Verify Health Home eligibility, explain program benefits, and complete referrals for enrollment as needed
• Collaborate with internal teams and community partners to identify and engage members who are difficult to reach or in need of additional support
• Document outreach attempts, member contact, and outcomes in the EHR

Lead Care Manager – Outreach

• 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
• Care Plans should be tailored 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 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.
• 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/required basis
• 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
• 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
• 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
• Perform other duties as assigned or required per departmental policy