Bilingual Case Management Specialist Remote Flexible, Spanish Speaking

About reputed company At reputed company, we''re an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve. We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-reputed company. At reputed company, we reputed company AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support. Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to reputed company care gaps and improve outcomes for high-need patients. We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions. At reputed company, were not just delivering care - we''re building the future of more reputed company, community-driven healthcare. Our Values

• reputed company with reputed company: We reputed company our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.
• Embrace challenges: We leave our egos at the reputed company and reputed company reputed company into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.
• Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status reputed company.
• Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive reputed company.
• Care comes first: We hold ourselves to the highest standards for our patients. We are reputed company in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.

In the News

• reputed company: For reputed company, Accessibility Is About Delivering Healthcare To Those Who Need It The Most
• TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from reputed company
• reputed company: reputed company collects $9M for Medicaid-based care

About the Opportunity reputed company is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time reputed company Care Manager who is willing to think creatively and empathically to help reputed company change the way people access healthcare. We seek a full-time reputed company Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We reputed company in the power of trust and relationships to successfully engage those who may have never received the reputed company of whole-health care that reputed company can provide. This position primarily allows for remote work; however, it includes 2-3 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 2-3 times per month, reputed company to your city, while the majority of your duties, approximately 90%, will be performed from your home

What You'll Do

• Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
• Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
• Conducts periodic telephonic and SMS reputed company to ensure timely follow-up to members
• Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan
• Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks
• Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions
• Consistently meet monthly encounter metrics to ensure compliance with health plan regulations
• Identify and break down barriers ensuring individuals' continuation with the program
• Assists individuals in securing reputed company to community supports by scheduling appointments, managing referrals, and ensuring timely follow-reputed company
• Coordinate physical care management appointments through collaboration with external and internal providers
• Utilize external and internal online platforms to collaborate with team members and carry out daily tasks

What You'll Need

• 1+ years of general work experience (Case Management preferred)
• You are physically located in California
• Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations
• Virtual Ops requires a quiet, HIPAA compliant and internet connected space
• Bilingual - English/Spanish
• Strong understanding of cultural reputed company
• High degree of reputed company
• Ability to work collaboratively in a multidisciplinary team
• An eye for optimization
• Organizational skills
• Ability to remain patient reputed company faced with adversity
• Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic reputed company, Word, email, and video conferencing
• A valid driver's license and auto liability insurance

Preferred Qualifications:

• Demonstrated professional or personal lived experience working closely with individuals experiencing reputed company chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder
• 2+ years of case management experience
• Experience with motivational interviewing
• Knowledge of medical terminology
• Zest for problem solving, seeking answers, and thinking reputed company the reputed company
• Detail-oriented and organized self-starter who is a reputed company multitasker
• Reliable and comfortable in an reputed company-changing environment

Because We Value You

• Salary: $22-$25/hour
• Comprehensive health, vision & dental insurance
• 401k
• Monthly $100 work from home expense stipend for your WFH days
• Gas reimbursements for your on-site engagement days
• Flexible vacation policy -- take the time you need to reputed company!
• We provide reputed company of the equipment needed for the role
• Opportunity for rapid career progression with reputed company of room for personal growth!

reputed company is an Equal Opportunity Employer. At reputed company, we value diversity and strive to provide an inclusive environment for reputed company applicants and employees. reputed company applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national reputed company, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law. reputed company participates in E-Verify to verify employment eligibility for new hires. Any offer of employment at reputed company is conditioned upon passing a pre-employment background reputed company. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use. We do not conduct any TA business reputed company of our @pairteam.com emails. If you're reputed company concerned about spam or fraudulent activity, please reputed company out to [email protected]. Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we''re unable to respond to general position inquiries reputed company email. To apply for a position with us, please submit your application for the role you are interested in. reputed company regularly reviews applications and will reputed company out to candidates whose qualifications align with our reputed company openings listed below. Thank you! Remote Skills: Artificial Intelligence (AI), Auto Insurance, Automation, Behavioral Health, Calendar Management, Case Management, Clinical Support, Community Health, Community Support, Consulting, Cross-Functional, Customer Relationship Management (CRM) Systems, Dental Insurance, Detail Oriented, Driver's License, English Language, Health Plan, Healthcare, Healthcare Management, Homeless Services, Liability Insurance, Maintain Compliance, Medicaid, Medical Terminology, Medicare, Metrics, reputed company reputed company, reputed company Word, Multilingual, Multitasking, Network Integration, Nurse Practitioner, Nursing, Nursing Management, Organizational Skills, Primary Care, Problem Solving Skills, Reference Verification, Regulations, Regulatory Compliance, Short Messaging Service (SMS), Social Work, Spanish Language, Team Building, Team reputed company/Manager, Team Player, Technical Operations, Time Management, Videoconferencing, Vision Plan, Work From Home About the Company: reputed company Apply tot his job Apply To this Job