Bilingual Case Manager Job Description
Bilingual case manager
provides education to Center employees, students, faculty and others regarding the federal regulations and Center policies regarding conflicts of interest.
Bilingual Case Manager Duties & Responsibilities
To write an effective bilingual case manager job description, begin by listing detailed duties, responsibilities and expectations. We have included bilingual case manager job description templates that you can modify and use.
Sample responsibilities for this position include:
Clarify plan medical benefits, policies and procedures for members, providers and community based agencies
Collaborate with other Care Managers to reduce variations in clinical practice, identify opportunities for systems’ improvement, and develop policies and procedures relevant to practice
Develops, implements, coordinates, reviews and updates case management and individual service plans for ISAP participants in conformance with state and federal regulations and program requirements
Adhere to quality standards and state UR guidelines, confidentiality of all information, policies, and procedures
Conduct face to face and telephonic assessments of members’ functional status, medical, behavioral, psychosocial and community resource needs
Organize Interdisciplinary Care Team (ICT) meetings and act as facilitator to ensure that members’ needs are met
Develop an ICP based on members’ clinical, behavioral and social needs that incorporates barriers to care
Coordinate and arrange for all services required by a member in accordance with the ICP
Monitor members’ health status and ensure that member is receiving all necessary medical and supportive services
Modify ICP as appropriate to member’s needs and progress
Bilingual Case Manager Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Bilingual Case Manager
List any licenses or certifications required by the position: URAC, CPR, CEGEP, CCM, CIRS, CRRN, COHN, CDMS, BLS, CEU
Education for Bilingual Case Manager
Typically a job would require a certain level of education.
Employers hiring for the bilingual case manager job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Social Work, Psychology, Sociology, Criminal Justice, Social Services, Human Services, Social Service, Counseling, Nursing, Sound
Skills for Bilingual Case Manager
Desired skills for bilingual case manager include:
ORR programs and policies
Federal and state laws and regulations regarding the delivery of special education and related services
General education curriculum
Immigration laws
Intervention and assessment strategies for disabled and non-disabled students
Multi-tiered systems of support
Procedures
Regulations
Windows environment
Competencies related to the Nursing profession by participating in formal education programs
Desired experience for bilingual case manager includes:
Monitor/manage service utilization to optimize benefits to support access to services that improve health care outcomes
Provide utilization management and issuance of appropriate authorizations for covered services
Manage care transitions through effective and timely communication necessary for member care and discharge planning
Conduct telephonic assessments of members’ functional status, medical, behavioral, psychosocial and community resource needs
Act as a facilitator / advocate to ensure that members’ needs are met
Develop / modify an ICP/PCSP-based on members’ clinical, behavioral and social needs that addresses barriers to care
Bilingual Case Manager Examples
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Bilingual Case Manager Job Description
Job Description Example
Our company is searching for experienced candidates for the position of bilingual case manager. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for bilingual case manager
- Case Manager Administrative Tasks (10%) - Complete specified administrative tasks on all cases (eg
- Collaborates in a patient care process to assess, plan, facilitate, coordinate, monitor, and evaluate options and services to meet member's health needs
- Supports member or their representative in regard to care, care transitions, and changes in health status
- Implements a comprehensive clinical case management plan for each patient
- Obtains input from providers, patient, and family as appropriate, and evaluates and revises the plan as needed
- Analyzes patient variances from the plan and initiates the appropriate steps to resolve variances
- Performs admission and concurrent stay reviews on hospitalized patients
- Develops and implements discharge planning for patients in conjunction with hospital based case managers
- Performs telephonic, fax and/or on-site reviews with skilled nursing facilities, home health agencies or other contracted service agencies to determine need for continued care
- This position will be supporting MMP compliance requirements for our Case Management Department
Qualifications for bilingual case manager
- Demonstrated ability in planning, organizing, conflict resolution and negotiating skills
- Implementing call-centre programs including the provision of patient and healthcare professional bodies with telephone support
- Coordinating care for members and services as needed (home health, DME)
- Coordinate services as needed (home health, DME)
- Competently assess members’ health status and ensure that member is receiving all necessary medical and supportive services
- Communicates to physician any changes in the patient’s condition
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Bilingual Case Manager Job Description
Job Description Example
Our growing company is looking for a bilingual case manager. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for bilingual case manager
- Conduct assessment interviews and arrange for client to be placed into the appropriate treatment program
- Investigate and arrange client service plans
- Complete follow up paperwork and maintain complete client records and have them available for inspection by Supervision at any time
- Prepare and present written status reports to the criminal justice system in a timely manner regarding client's progress
- Investigate and arrange supportive services for clients
- Conduct cognitive behavioral interventions
- Transport and escort clients to appointments and treatment facilities when indicated in own vehicle as needed, if necessary
- Maintain a caseload of substance abusing offenders
- Make monthly site visits to treatment agencies assigned to caseload
- Conduct drug testing on clients of the program, as needed
Qualifications for bilingual case manager
- Develop customer’s individualized plan of care, communicate the plan of care to the customer
- A Bachelor’s Degree in Sociology, Psychology, Social Work, Criminal Justice, or related social services/human service field
- Participation in and successful completion of on-going training to develop solid practical knowledge of evidence-based principles
- Manages program participant violations, including no-shows and repeat violators
- Administers Security Plan for a specific office, including daily operations, security contingencies, emergencies and mitigation plans, security of Company and DHS employees, clients and the general public
- Provides ISAP participants with a list of community resources including, but not limited to, transportation, medical, educational, financial, legal, religious and other social adjustment or facilitative resources
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Bilingual Case Manager Job Description
Job Description Example
Our company is looking to fill the role of bilingual case manager. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for bilingual case manager
- Performs case reviews telephonically for assigned inpatient facilities and skilled nursing facilities
- Confer with physician advisors on regular basis regarding inpatient cases and participate in utilization departmental rounds
- Maintain in-depth knowledge of all company products and services customer issues and needs through ongoing training and self-directed research
- Working closely with ACS with children who is in risk of entering into foster care
- Managing cases
- Scheduling aides in the homes
- 25% of the time you may be doing field work - you'll interact with members leaving the hospital - possibly with new medications or diagnoses
- Screens clients for medical, social and financial eligibility
- Assesses client's medical, physical, mental and social condition
- Develops plan of care that meets clients needs and participates in staffing and care plan meetings
Qualifications for bilingual case manager
- Must have great organizational and time management skills
- Ability to develop and maintain case records by performing data entry
- Customer service experience in complex case management within the insurance industry
- Excellent bilingual communication skills (both written and verbal in French and English)
- Ability to interpret policy wording and apply it to the customer’s needs
- Ability to liaise with multiple stakeholders and build consensus
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Bilingual Case Manager Job Description
Job Description Example
Our company is hiring for a bilingual case manager. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for bilingual case manager
- Develops, implements and coordinates case management and service plans for ISAP Program Participants in conformance with state and federal regulations
- Determines appropriate service placement and payment level for each client
- Narrates all case actions and information relating to service provision in the client's case record
- Makes referrals to other appropriate community resources when needed
- Screens for elder abuse, protective services, and licensing violations
- Determines and computes eligibility for medical, food stamps and/or service programs
- Conducts resource assessments and counsels potential applicants
- Implements and acknowledges all new referral contacts to account, claimant and physician within same business day
- Monitors all treatment and acts as a liaison between the account, provider, and the claimant
- Arranges and attends all medical evaluations, physician appointments and physical therapy when needed, including those that may occur before and after regular business hours, or on occasional weekends, and holidays in the event of catastrophic cases
Qualifications for bilingual case manager
- Proficient in computer systems and applications including MS office
- Flexible to work rotating shifts, including evenings, weekends and holidays (night shifts if business needs require)
- Accurate data entry skills including reasonable typing speed
- Prior insurance industry (or related) call centre experience is a plus
- Two years of managed care and / or case management experience
- Knowledge of managed care, medical terminology, referral process, claims and ICD-9 codes
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Bilingual Case Manager Job Description
Job Description Example
Our innovative and growing company is looking for a bilingual case manager. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for bilingual case manager
- Participates in coverage as needed for other team members and co-workers as able/requested by supervisor
- Coordinates Independent Medical Examinations, provider appointments
- Participates in coordination of services for catastrophic cases to include, but not limited to, immediate visitation at Hospital to secure all accident and treatment information, coordination of discharge and home care needs
- Arranges transportation services when necessary and authorized
- Reviews and evaluates all medical correspondence obtained from providers
- Coordinates and monitors home health care as necessary
- Implements and utilizes community resources when applicable
- Coordinates case management reviews with the Case Management Supervisor on all files
- Provides medical testimony as required
- Holds to the philosophy and standards of quality as outlined by Optum Management Inc
Qualifications for bilingual case manager
- At least two years of experience working with multi-cultural clients in an immigration-related program
- Knowledge of utilization management and / or insurance review processes current standards of care, a strong knowledge of health care delivery systems and the ability to interact with medical directors, physician advisors, clinicians and support staff
- Minimum of three (3) years’ experience in case management preferred
- Bachelor’s Degree in Sociology, Psychology, Social Work, Criminal Justice or related field
- Bilingual Spanish/English Requied
- Residence in CST, MST, PST time zones preferred