Case Manager, Bilingual Mandarin, Korean, Spanish

Job not on LinkedIn

12 hours ago

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $90k - $100k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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L.A. Care Health Plan

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Government

L. A. Care Health Plan is a public health plan and the Local Initiative Health Authority for Los Angeles County that administers Medicaid (Medi‑Cal), Medicare, and Affordable Care Act plans and coordinates care for millions of residents. The organization operates provider networks, community resource centers, care management and behavioral health programs, pharmacy and telehealth services, language interpretation, and outreach/renewal assistance with a focus on access, equity, and continuity of care. It provides 24/7 member services, supports providers with claims and quality programs, and advocates for community health and Medicaid policy.

1001 - 5000 employees

Founded 1997

⚕️ Healthcare Insurance

🏛️ Government

📋 Description

• Assessment of the medical, social, and behavioral needs of an assigned population • Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment. • Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals. • Conducts telephonic, and face-to-face/virtual visits as required. • Performs ongoing monitoring of the care plan to evaluate effectiveness of interventions for goal achievement, suggest changes as needed and document updates accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health care and longterm services and supports/home and community to enhance the continuity of care for Clever Care members. • Uses motivational interviewing and Clever Care clinical guidelines to educate, support and motivate change during member contacts. • Assesses barriers to care, provides care coordination, and assistance to members to address concerns. • Additional duties, as assigned.

🎯 Requirements

• Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) or Licensed Vocational Nurse (LVN) license issued by the California BRN required. • Certified Case Manager (CCM) preferred • Certified Managed Care Nurse (CMCN) preferred • 2-3 years in case management, disease management, managed care, or medical or behavioral health settings • High level of critical thinking and problem-solving skills • Strong work ethic and overall positive attitude • Effective communication skills including verbal and written • Ability to manage time effectively, understand directions, and work independently in a fast-paced environment • Demonstrated flexibility, organization, and self-motivation • Highly adaptable to change • Bilingual in Mandarin/Cantonese, Vietnamese, or Korean, preferred.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development opportunities