Care Manager - DSNP - 100% Remote

Healthfirst; New York (NY); Remote; USD 71,000 - 117,000; Full time

Job summary

Healthfirst is seeking a Care Manager for a fully remote position focusing on dual eligibility plans. The role involves planning and managing care while collaborating with clients and healthcare teams to improve health outcomes. Ideal candidates hold relevant licensure and possess extensive experience in care management, making a strong impact on community health.

Benefits

Medical, dental, and vision coverage

401k contributions

Incentive and recognition programs

Life insurance

Qualifications

• NYS RN or LCSW, LMSW, or other relevant licensure is required.
• 3 years of experience in a mental/behavioral health or addictions setting.
• 1 year of pediatric clinical field experience required for PEDS positions.

Responsibilities

• Conducts assessments to identify barriers and opportunities for intervention.
• Develops care plans aligned with treatment goals of physicians.
• Coordinates with providers and community resources to assist members.

Skills

Strong interpersonal skills

Assessment skills

Fluency in Spanish

Knowledge of community health practices

Multi-tasking abilities

Education

NYS RN or LCSW or LMSW

3 years in behavioral health or addictions setting

Tools

Microsoft Excel

Job description

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• This position is 100% Remote. 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.
  
  

• This position is 100% Remote. 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

• The care manager will be responsible for dual eligibility plan.
• 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
• For CASAC positions only: Credentialed Alcohol and Substance Abuse Counselor
  

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 Spanish, Korean, Mandarin, or Cantonese.
• 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

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