Titanium Healthcare Inc.

Bilingual

• Research, establish, and maintain a list of available housing opportunities in the region
• Develop relationships with and become knowledgeable about local community resources including transitional housing, shelters, and permanent housing
• Develop individualized housing plans and communicate plans and housing opportunities to members
• Ensure effective service and all placements are consistent with member care plan
• Assist members with the housing search, including applying for apartments, negotiating with potential landlords, and filling out rental applications
• Assist members in understanding tenant rights and responsibilities
• Assist members with landlord communications by being a mediator if there are disagreements or concerns
• Conduct follow-up meetings with members after housing placement to assist with any issues that may have arisen
• Maintain accurate documentation of service objectives, outcomes, and other member-related information in appropriate data systems
• Participate in collaborative team meetings to provide input, support, brainstorm solutions to common areas of concern, and develop best practices
• Understand and abide by all departmental and companywide policies and procedures
• Comply with all safety and injury prevention policies and regulations
• Utilize the Homeless Management Information System (HMIS) to add members into housing portal
• Assist members complete the CES assessments
• Assist members in-person with assessments or housing tenancy
• Perform other duties as assigned or required per departmental policy

Bilingual Housing Navigator

• 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

• Facilitate access to primary care and behavioral health providers, as needed
• Responsible for working effectively with and as part of Titanium’s interdisciplinary team to provide high quality and effective care management to members
• Engage members in skilled therapeutic interactions to promote health behaviors and/or other behavioral health interventions within scope of practice
• Coordinate care using resource linkage and partnering with other professionals and organizations in the community to ensure quality of care for members
• Provide seamless transition of care that meets requirements for post ER visits and hospitalizations
• Complete regularly scheduled follow-up visits
• Provide care coordination through phone calls, emails, messages, updating calendars, scheduling appointments, data entry, and attending meetings
• Support the Behavioral Health Care Manager, Community Health Worker, and Care Coordinator with delegated tasks
• Collaborate on member care issues with other ECM care team members
• Participate in weekly systematic case reviews and ad hoc case reviews
• Consult with the Clinical Nurse Leader and/or the Behavioral Health Care Manager before taking any clinical action
• Strategize to engage members in care and conduct motivational interviews
• Provide health education to members within scope of practice
• Initiate a care plan and complete all necessary assessments of healthcare plan guidelines
• Understand and abide by all departmental and companywide policies and procedures
• Perform other duties and projects assigned

Bilingual Housing Navigator

Bilingual Lead Care Manager

Bilingual Housing Navigator

Bilingual Housing Navigator

Bilingual Housing Navigator

Bilingual Housing Navigator

Bilingual Lead Care Manager

Bilingual RN Care Manager

Bilingual Lead Care Manager

Bilingual Lead Care Manager