Bilingual Care Manager - DUR

Job Summary We are seeking a highly skilled and compassionate Bilingual Care Manager to join our team. To perform this job successfully, an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions herein described. Since every duty associated with this position may not be described herein, employees may be required to perform duties not specifically spelled out in the job description, but which may be reasonably considered to be incidental in the performing of their duties. Duties Care Management Services Actively engages with individuals receiving care management services through assessment, care coordination, health promotion, and comprehensive transitional care/follow up. Documents care management assessment, plan and coordinates care with the care team and communicates regularly with care team members and participates in case conferences. Coordinates Referrals Makes appropriate referrals to community resources and empowers individuals to be responsible for their own healthcare and personal needs. Referrals focus on behavioral health, physical health, and Social Determinants of Health (SDOH) needs. SDOH needs are related but not limited to economic stability, education access and quality, health‑care access and quality, community connection and engagement, and safety in communities. Coordinates Care Transition Coordinates follow‑up services for individuals with recent inpatient hospitalization or Emergency Department visit within 24 hours of discharge. Coordinates after‑care needs for transitions in care such as release from incarceration, change in housing, or other life transitions. Coordinates Crisis Response Identifies and provides emergency crisis response as necessary following agency policies. Participation in the agency on‑call structure may be required and in 24:7 crisis response for members. Participates in post‑crisis team debriefing and provides feedback on ways to prevent future crisis for the person served. Establish Relationships With Integrated Care Team And Community Resources Communicates effectively with individuals receiving services, providers, and other natural supports as needed and provides education regarding services to all parties involved in the care and support of the individual. Establishes collaborative relationships with integrated care team members and community resources within the assigned geographical region to improve resource linkage. Maintain Documentation Maintains medical record compliance/quality. Ensures timely documentation of care coordination activities as required by department policy and procedures. Other Duties Include Reviews data to identify and determine appropriateness for services, including monitoring utilization, reporting, clinical measurement data and compliance issues. Demonstrates knowledge of and complies with all agency policies and procedures, as well as service definitions related to specific program areas. Maintains trainings as required and requested. Participates in Quality Improvement (QI) projects to improve service delivery and costs of care on an as‑needed basis. Completes all other relevant responsibilities as assigned by the supervisor. Qualifications A bachelor’s degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area, or licensure as a registered nurse (RN). Two years of experience working directly with individuals with behavioral health conditions (if serving members with behavioral health needs). Knowledge of ICD‑10 coding system. Strong understanding of behavior management techniques. Excellent communication and interpersonal skills. Ability to work effectively in a team environment. For care managers serving members with LTSS needs: Two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience, in addition to the required aforementioned. This experience may be concurrent with the two years of experience working directly with individuals with behavioral health conditions, an I/DD, or a TBI. Certified Peer Support Specialist and/peer support experience (preferred). Job Types: Full‑time EEOC Statement Epiphany Family Services LLC is an Equal Opportunity Employer. We are committed to creating a workplace that values diversity, equity, and inclusion. All employment decisions are made based on qualifications, merit, and business needs, without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, or any other legally protected status under applicable law. #J-18808-Ljbffr