Bilingual Case Manager; Remote , Spanish Speaking

About Pair Team

Pair Team is on a mission to improve the wellbeing of underserved communities by connecting them to high-quality care. Pair Team serves high-need Medicaid recipients through a community-led model, building local partnerships with shelters, food pantries, and other community-based organizations to create sites of care. We provide wraparound clinical services, up-skill CBO staff to become Community Health Workers, and use our data-driven Arc platform for care coordination.

Through Medicaid MCOs, we deliver healthcare for hard-to-reach individuals while sharing healthcare dollars with community groups to expand social support programs.

Our Values

• Lead with integrity: We keep commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.
• Embrace challenges: We help each other learn and provide candid, kind feedback.
• Break through walls: We go the extra mile for patients, partners, and teammates, and pursue continuous improvement.
• Act beyond yourself: We build each other up, respect boundaries, seek to understand, and assume positive intent.
• Care comes first: We uphold high standards for patients and take care of ourselves to better care for others.

Pair Team is building a team of passionate individuals to change primary care operations for those who need it most. We are looking for a highly motivated full-time Lead Care Manager to think creatively and empathetically to help our team transform how people access healthcare.

We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model. You will directly outreaching and engaging with individuals living with Serious Mental Illness, Substance Use Disorder, experiencing homelessness, or with high medical needs. We believe in trust and relationships to engage those who may have never received comprehensive whole-health care.

This position primarily allows for remote work; however, it includes 1-2 on-site community visits per month alongside a fellow Pair Mate. You can expect in-person activities 1-2 times per month, near your city, while the majority of duties (approximately 90%) are performed from home.

• Maintain an ongoing caseload using evidence-based approaches to promote engagement and health goals.
• Use relationship-based strategies to support members with social support navigation and address distrust of the healthcare system.
• Conduct periodic telephonic and SMS outreach to ensure timely follow-up.
• Work with the member to identify health and wellness goals and incorporate them into Health Action Plan/Shared Care Plan.
• Support nurse care manager, behavioral health care manager, nurse practitioner, and Community Engagement Specialist with delegated tasks.
• Collaborate on care issues with the Enhanced Care Management team by participating in reviews and consulting with clinicians before taking clinical actions.
• Consistently meet monthly encounter metrics to ensure compliance with health plan regulations.
• Identify and remove barriers to program continuation for individuals.
• Assist individuals in securing connections to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups.
• Coordinate physical care management appointments with external and internal providers.
• Use external and internal online platforms to collaborate with team members and carry out daily tasks.

• 1+ years of general work experience (Case Management preferred).
• You are located in Orange County, CA
  • Field Ops requires reliable transportation for engagement at clinics, community-based organizations, and health system partner locations.
  • Virtual Ops requires a quiet, HIPAA-compliant and internet-connected space.
• Strong understanding of cultural fluency
• High degree of empathy
• Ability to work collaboratively in a multidisciplinary team
• Organizational skills
• Ability to remain patient when faced with adversity
• Strong technical skills and comfort with technology, including CRM databases, basic Excel, Word, email, and video conferencing
• A valid driver’s license and auto liability insurance

• Demonstrated lived experience…