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

Bilingual Case Manager, Spanish Speaking

Bilingual Case Manager, Spanish Speaking

Bilingual Case Manager, Spanish Speaking

Bilingual Case Manager, Spanish Speaking

Bilingual Case Manager, Spanish Speaking