Bilingual Case Manager (Spanish and English) - Telephonic Assessments

Location: Remote - Houston area only as field visits may be required

Department: Case Management

Reports To: Case Management Supervisor

Job Summary:

The Bilingual Case Manager will perform telephonic assessments for children in families enrolled in Medicare/Medicaid through a disadvantaged managed care organization. The primary responsibility is to assess, plan, implement, monitor, and evaluate the options and services required to meet the health and human service needs of the children and their families. The Case Manager will provide services in both English and Spanish, ensuring comprehensive, culturally appropriate care.

Key Responsibilities:

1. Telephonic Assessments:

   • Conduct comprehensive telephonic assessments of children's physical, emotional, and social needs in both English and Spanish.
   • Identify gaps in care and develop care plans in collaboration with families and healthcare providers.

2. Care Coordination:

   • Coordinate and monitor services for children, ensuring they receive appropriate and timely care.
   • Facilitate communication between families, healthcare providers, and social service agencies.

3. Case Management:

   • Develop individualized care plans and monitor their effectiveness.
   • Advocate for the needs of children and families within the healthcare system.
   • Provide education and support to families about available resources and services.

4. Documentation and Reporting:

   • Maintain accurate and up-to-date case files and documentation.
   • Prepare and submit reports as required by the managed care organization.

5. Compliance:

   • Ensure all activities comply with Medicare/Medicaid regulations and organizational policies.
   • Stay informed about changes in healthcare regulations affecting children and families.

Qualifications:

• Education:

  • Bachelor’s degree in Social Work, Nursing, or a related field. Master’s degree preferred. Work experience may be considered in lieu of degree.

• Experience:

  • Minimum of 2 years of experience in case management, social work, or a related field, preferably within a healthcare or managed care setting.
  • Experience working with disadvantaged populations and knowledge of Medicare/Medicaid programs.

• Skills:

  • Fluency in both Spanish and English, with excellent verbal and written communication skills in both languages.
  • Strong assessment, problem-solving, and organizational skills.
  • Ability to work independently and as part of a multidisciplinary team.
  • Proficiency in Microsoft Office and case management software.