Bilingual Care Manager II — Complex Care Coordination

Special Needs, Inc.; Washington (District of Columbia); On-site; USD 73,000 - 122,000; Full time

Job summary

Children’s National Hospital in Washington, DC seeks a Care Manager to provide comprehensive care coordination for HSCSN members. Requires a Master’s in Social Work and DC LICSW license, with 3+ years in healthcare or managed care.

Bilingual Spanish preferred; strong communication and organizational skills are essential. The role involves caseload management, home visits, care plan development, and collaboration with PCPs and multidisciplinary teams to improve outcomes for children with special

Qualifications

• Master’s degree in social work required.
• DC LICSW license required (or eligible).
• 3+ years healthcare or managed care experience.
• Spanish language proficiency preferred.
• Strong communication and organizational skills required.

Responsibilities

• Manages a caseload as outlined by CASSIP and Care Management Leadership.
• Maintains compliance with contractual and care management requirements.
• Contacts enrollees at predetermined intervals based on stratification level.
• Conducts face-to-face visits in enrollees’ homes, offices, or other agreed locations.
• Assesses enrollees to identify needs/barriers and close gaps in care.
• Develops and updates individualized care coordination plans with PCP and multi-disciplinary teams.
• Completes routine care coordination tasks with focus on quality and timeliness.
• Documents enrollee findings and interactions in a timely, policy-compliant manner.
• Participates in multidisciplinary meetings and facilitates coordination of follow-up care.
• Educates enrollees and caregivers about EPSDT and preventive services.
• Engages in transition planning and discharge planning as needed.

Skills

Effective verbal and written comms

Bilingual: Spanish (preferred)

Medical terminology

Microsoft Office proficiency

Strong organizational skills

Decision making / good judgment

Multidisciplinary meetings

Education

Master’s Degree in Social Work

Tools

Microsoft Office

Job description

Children’s National Hospital in Washington, DC seeks a Care Manager to provide comprehensive care coordination for HSCSN members. Requires a Master’s in Social Work and DC LICSW license, with 3+ years in healthcare or managed care.

Bilingual Spanish preferred; strong communication and organizational skills are essential. The role involves caseload management, home visits, care plan development, and collaboration with PCPs and multidisciplinary teams to improve outcomes for children with special