Care Manager, Fluent in Bengali - 100% Remote

Healthfirst; New York (NY); Remote; USD 60,000 - 95,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager fluent in Bengali to join their remote team. This role involves planning and managing comprehensive care for members, ensuring their health outcomes are prioritized. You will advocate for beneficiaries, develop tailored care plans, and collaborate with a multi-disciplinary healthcare team. The ideal candidate will possess strong interpersonal skills and a deep understanding of community health practices. This position offers a unique opportunity to make a meaningful impact in the lives of members while working in a supportive and innovative environment.

Qualifications

• 3+ years in mental/behavioral health or addictions setting.
• Experience with pediatric clinical care for PEDS positions.

Responsibilities

• Develop care plans and coordinate with healthcare teams.
• Educate members on services and conduct assessments.

Skills

Interpersonal Skills

Assessment Skills

Bengali Fluency

Care Management

Mental/Behavioral Health Experience

Education

NYS RN License

LCSW or LMSW

Licensed Psychologist

Tools

Microsoft Excel

Electronic Documentation Systems

Job description

Join to apply for the Care Manager, Fluent in Bengali - 100% Remote role at Healthfirst.

The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and healthcare team members. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of their healthcare 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.
• Liaises between service providers such as doctors, social workers, discharge planners, and community-based service providers to ensure care is coordinated and needs are adequately addressed.
• Coordinates and facilitates with the multi-disciplinary healthcare team to ensure care plan goals and treatment are person-centered and maximize 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 achievement of member goals.
• Documents all encounters with providers, members, and vendors in the appropriate system per internal procedures; follows up as needed; updates care plans based on member needs.
• Occasional overtime as necessary.
• Performs additional duties as assigned.

Minimum Qualifications

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

Preferred Qualifications

• Strong interpersonal and assessment skills, especially with seniors, their families, and community care providers.
• Fluency in Bengali.
• Knowledge of community health practices for frail adults and cognitively impaired seniors.
• Experience managing member information in shared network environments.
• Relevant work experience as a Care Manager.
• Ability to manage large caseloads in a fast-paced environment.
• Proficiency with Internet navigation and multiple electronic documentation systems.
• Experience with Microsoft Excel and PHI systems.