Lead Care Manager

Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren't getting the medical care they need. We're on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.

The Lead Care Manager (LCM) is responsible for case management of members and their families in obtaining and understanding services available through the Enhanced Care Management (ECM) program. The LCM is tasked with improving the health and overall well-being through our services. The ideal LCM is a compassionate self-starter who collaborates well with team members and external representatives.

This position is hybrid. Work from home and service members in the field; 30% of duties will be performed remotely, 70% of duties will involve traveling to conduct in-person member visits. You will have full control over your schedule when meeting members. Lead Care Managers are required to travel to their members within designated region. Mileage reimbursement provided for the use of your vehicle for business-related travel. Standard business hours are Monday through Friday from 8:30 am to 5:00 pm.

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

Fluent in English (written and verbal), Bilingual in Spanish

Competent with computers, email, virtual platforms, and Microsoft Office programs

Prior experience using Electronic Medical Records

Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear and concise manner

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

Operate office equipment such as a telephone, calculator, copy machine, and printer

Must be able to remain in a stationary position 30% of the time

Must be able to move around the office or community 70% of the time

Frequently moving or carrying office equipment weighing up to 15 pounds across offices

Ability to operate a vehicle and travel to meet with assigned members around the community, attend meetings, and different office locations as required or requested

Associate degree and 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 date

Distraction-free home workspace with a secure internet connection

Medical Assistant certification, Certified Nursing Assistant, or experience with home health, hospice, case management, social work and other related fields

Experience in the healthcare field with pediatric populations

Prior EMR experience

Make an impact: an organization who cares about its employees, communities, and the future of healthcare

Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself

Growth: opportunities to develop and grow your career with us

Community: you are encouraged to have a voice, share your opinions, and have an individual impact on the business

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

Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan

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

Supplemental Short-Term Disability

Employee Assistance Programs

Protect your pet(s) with Pet Insurance

401(k) plan

At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce.

Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.