Outreach Lead Care Manager
1 day ago
Garden Grove
Job DescriptionSalary: $23-$26 WE ARE TITANIUM HEALTHCARE Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just arent getting the medical care they need. Were 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. Join us in our mission! POSITION SUMMARY 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 patients treatment plan, and educating patients about resources and options for managing their health. WHERE YOULL WORK This position is hybrid. Work from home and assist members in the field (Orange County). Standard business hours are Monday through Friday from 8:30 am to 5:00 pm. WHAT YOULL DO Member Outreach & Engagement • Conduct proactive outreach (telephonic, in-person, and through written communications) to locate and engage Health Home-eligible members, • 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 accurately and promptly in the electronic health record (EHR) Care Coordination & Case Management • Conduct comprehensive assessments with members and their families to identify clinical, behavioral, and social service needs upon enrollment into the Health Home program, • Develop the initial Health Action Plan (HAP) based on the members goals, priorities, and identified areas of need, ensuring alignment with available community and healthcare resources, • Coordinate immediate support and services to address urgent needs, ensuring a smooth onboarding experience in the Health Home program, • Educate members and families on available resources such as housing, food access, transportation, behavioral health services, and financial assistance, • Facilitate the transition of care by assigning the member to an appropriate Care Coordinator who will provide ongoing case management and HAP follow-up, • Ensure a warm handoff by clearly communicating the members HAP, preferences, and history to the assigned Care Coordinator, • Support transitions of care from hospitals or facilities during the onboarding phase by coordinating short-term follow-up services, • Accurately document all assessments, HAPs, and referral activities in the EHR and ensure all enrollment and transition requirements are met Member Advocacy & Communication • Serve as a primary contact for member questions, concerns, and feedback to resolve issues directly or escalating as needed, • Maintain ongoing communication with members, families, providers, and care teams to ensure collaborative care delivery and follow-through, • Recognize safety concerns, pain, mental health crises, or signs of child or elder abuse and take appropriate steps, including creating safety plans and reporting to appropriate authorities Documentation & Compliance • Maintain detailed, timely, and accurate documentation in the EHR related to outreach, assessments, HAPs, referrals, and communication, • Use data platforms to track emergency room visits, hospitalizations, and other utilization trends to initiate care coordination as needed, • Review and ensure member data is up to date, correcting errors and inconsistencies in the member record, • Comply with all organizational and departmental policies, safety protocols, and regulatory standards related to health and human services, • Perform other duties as assigned or required per departmental policy WHO YOU ARE • Fluent in English (written and verbal), • Must be able to translate verbal and written information to and from the member, • Competent with computers, email, virtual platforms, Excel and other Microsoft Office based programs, • 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 a computer and other office equipment, • Ability to operate a vehicle and travel to meet with assigned members around the community as required or requested WHAT YOULL NEED • High school diploma or GED required, • Minimum 1-2 years of clinical experience and/or other healthcare or social work-related field, • Current and valid drivers license, • Proof of auto insurance, • Distraction-free home workspace with a secure internet connection NICE TO HAVES • Bilingual in Spanish a plus WHAT YOULL ENJOY • 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 EEO Statement 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.