Care Manager, Fluent in Bengali - 100% Remote

Healthfirst; Tennessee; Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player seeks a dedicated Care Manager fluent in Bengali for a fully remote role. This position involves planning and managing both behavioral and physical care for members, collaborating closely with healthcare teams to improve health outcomes. You'll engage with beneficiaries, conduct assessments, and develop care plans that align with treatment goals. The role offers a chance to make a significant impact in the lives of individuals while enjoying the benefits of full-time employment in a supportive environment. If you're passionate about healthcare and community support, this opportunity is perfect for you.

Benefits

Health Coverage

401k

Flexible Work Hours

Professional Development Opportunities

Qualifications

• NYS RN or LCSW/LMSW required for medical care management roles.
• 3 years experience in mental/behavioral health for behavioral care management.

Responsibilities

• Advocate and educate beneficiaries on health services and benefits.
• Develop care plans and coordinate with healthcare teams.

Skills

Fluency in Bengali

Interpersonal Skills

Assessment Skills

Community Health Practices

Microsoft Office

Education

NYS RN or LCSW/LMSW

Licensed Psychologist or LMFT

Tools

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, working collaboratively with them, their supports, providers, and healthcare team members. Responsibilities include applying care management principles, engaging members, coordinating healthcare services, and improving health outcomes. The role is assigned to a specific product line such as CompleteCare, SNP, Medicaid/Medicare, PHSP, HARP, etc.

Duties and Responsibilities

1. Advocate, inform, and educate beneficiaries on services, self-management techniques, and health benefits.
2. Conduct assessments to identify barriers and opportunities for intervention.
3. Develop care plans aligned with physicians’ treatment plans and recommend interventions.
4. Generate referrals to providers, community resources, and other services to support health outcomes.
5. Liaise between service providers to ensure coordinated care and address needs.
6. Coordinate with the healthcare team to ensure care plan goals are person-centered and maximize outcomes.
7. Identify opportunities for alternative care options based on assessments.
8. Evaluate service authorizations for alignment with care and treatment plans.
9. Contribute to corporate goals through ongoing care plan execution and member goal achievement.
10. Document encounters and update care plans as needed, following documentation procedures.
11. Occasional overtime and additional duties as assigned.

Minimum Qualifications

• For Medical Care Management: NYS RN or LCSW/LMSW (any state); Pediatric experience preferred for PEDS roles.
• For Behavioral Health Care Management: NYS RN or licensed psychologist, LCSW, LMSW, LMFT, LMHC, LPC (any state); 3 years experience in mental/behavioral health or addictions.

Preferred Qualifications

• Strong interpersonal and assessment skills, fluency in Bengali, experience with community health practices, and managing member information.
• Experience managing large caseloads and working in fast-paced environments.
• Proficiency with Microsoft Office and electronic documentation systems.

Additional Details

• Salary ranges vary by location, with specific figures provided.
• Full-time employment with benefits, including health coverage, 401k, and others.
• Employment type: Full-time; Industry: Healthcare; Seniority: Not Applicable.