Care Manager, Bilingual Fujianese - 100% Remote

Healthfirst; New Jersey; Remote; USD 81,000 - 117,000; Full time

Job summary

Healthfirst seeks a Care Manager, Bilingual Fujianese, to provide comprehensive support to members. This role involves conducting assessments, developing care plans, and advocating for members' health outcomes. Ideal candidates will have strong interpersonal and assessment skills, along with necessary qualifications like an RN or LCSW. The position is 100% remote, providing a unique opportunity to make an impact from anywhere.

Benefits

Medical, dental and vision coverage

401k contributions

Life insurance

Qualifications

• 1 year of pediatric clinical field experience for relevant positions.
• 3 years of work experience in mental/behavioral health for Behavioral Health Care Manager roles.
• Experience managing member information in a shared network environment.

Responsibilities

• Plans and manages behavioral and physical care with members.
• Develops care plans and recommends interventions.
• Advocates and educates beneficiaries on health benefits.

Skills

Interpersonal skills

Assessment skills

Fluency in Fujianese

Education

Registered Nurse license (NYS or any state)

LCSW, LMSW, LMFT, LMHC, LPC or Licensed Psychologist

Job description

Join to apply for the Care Manager, Bilingual Fujianese - 100% Remote role at Healthfirst

1 day ago Be among the first 25 applicants

Join to apply for the Care Manager, Bilingual Fujianese - 100% Remote role at Healthfirst

Get AI-powered advice on this job and more exclusive features.

The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and health care team members. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of their health care services to provide an excellent member experience, address barriers, and improve their health outcomes. The Care Manager is assigned to a specific product line such as CompleteCare, SNP, Medicaid/Medicare, PHSP, HARP, etc.

Duties And Responsibilities

• Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.
• Conducts assessments to identify barriers and opportunities for intervention.
• Develops care plans that align with the physician’s treatment plans and recommends interventions that align with proposed goals.
• Generates referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement and maintenance of successful health outcomes.
• Liaise between service providers such as doctors, social workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are adequately addressed.
• Coordinates and facilitates with the multi-disciplinary health care team as necessary to ensure care plan goals and treatment is person-centered and maximizes member health outcomes.
• Assists in identifying opportunities for alternative care options based on member needs and assessments.
• Evaluates service authorizations to ensure alignment and execution of the member’s care and physician treatment plan.
• Contributes to corporate goals through ongoing execution of member care plans and member goal achievement.
• Documents all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates care plans based on member needs, as appropriate.
• Occasional overtime as necessary.
• Additional duties as assigned.
  
  

Minimum Qualifications

• For Medical Care Management:
• NYS RN or
• LCSW or LMSW (any state)
• For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations
• For Behavioral Health (BH) Care Management:
• NYS RN or
• LCSW, LMSW, LMFT, LMHC, LPC, licensed psychologist (any state)
• 3 years of work experience in a mental/behavioral health or addictions setting
• For BH PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations
  

Preferred Qualifications

• Strong interpersonal and assessment skills, especially the ability to relate well with seniors, their families, and community care providers, along with demonstrated ability to handle rapidly changing situations.
• Fluency in Fujianese
• Knowledge and experience with the current community health practices for the frail adult population and cognitive impaired seniors.
• Experience managing member information in a shared network environment using paperless database modules and archival systems.
• Experience and knowledge of the relevant product line
• Relevant work experience preferably as a Care Manager
• Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment
• Proficient with simultaneously navigating the Internet and multi-tasking with multiple electronic documentation systems
• Experience usingMicrosoft Excel with the ability to edit, search, sort/filter and other Microsoft and PHI systems
  
  
  
  

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $81,099 - $116,480
• All Other Locations (within approved locations): $71,594 - $106,080
  
  

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

• The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Healthfirst by 2x

Get notified about new Care Manager jobs in New Jersey, United States.

Behavioral Health Care Manager NJ - Remote

Care Manager (RN) - Hudson and/or Bergen County

Care Manager (RN) - Morris, Warren, and/or Sussex County

Care Manager (RN) - Morris, Warren, and/or Sussex County

Case Manager, Registered Nurse (Field - Bergen County, NJ)

Chronic Care Manager (Remote - Compact States)

New Jersey, United States $55,100.00-$99,000.00 1 week ago

New Jersey, United States $55,100.00-$99,000.00 6 days ago

Care Manager (RN) - Middlesex and/or Union County

Care Manager (RN) - Middlesex and/or Union County

Care Manager (RN) - Somerset and/or Union County

Care Manager (RN) - Mercer and/or Somerset County

Care Manager (RN) - Hudson and/or Essex County

Care Manager (RN) - Mercer and/or Somerset County

Disability Case Manager-Hybrid-Jersey City, NJ

Telephonic RN Nurse Care Manager- Remote in Newark, NJ

Senior Manager, Reimbursement Services (Operations)

Case Manager Registered Nurse - Bergen County

Care Manager (RN) - Bergen and/or Passaic County

Clinical Case Manager Behavioral Health - Bergen County

Bergen County, NJ $72,627.00-$155,538.00 3 days ago

Care Manager (RN) - Bergen and/or Passaic County

Care Manager (RN) - Bergen and/or Passaic County

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.