Care Manager, Mandarin/Cantonese Fluency - 100% Remote

Avature; Connecticut; Remote; USD 71,000 - 107,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager to lead the coordination of behavioral and physical care for members. This role involves collaborating with healthcare teams, developing personalized care plans, and advocating for members' needs to enhance their health outcomes. The ideal candidate will have strong assessment skills and relevant licenses, with a passion for improving the quality of care for diverse populations. Join a forward-thinking organization that values your expertise and offers a competitive compensation package along with a supportive work environment, where your contributions can make a real difference in the lives of others.

Benefits

Medical Coverage

Dental Coverage

Vision Coverage

Life Insurance

401k Contributions

Incentive Programs

Recognition Programs

Qualifications

• Must possess relevant licenses such as RN, LCSW, or LMSW.
• Experience in a mental/behavioral health or addictions setting is essential.

Responsibilities

• Develops and manages care plans for members and coordinates with healthcare teams.
• Educates beneficiaries on services and self-management techniques.

Skills

Interpersonal Skills

Assessment Skills

Fluency in Spanish

Fluency in Korean

Fluency in Mandarin

Fluency in Cantonese

Case Management

Communication Skills

Education

NYS RN License

LCSW or LMSW License

Licensed Psychologist

Tools

Microsoft Excel

Electronic Documentation Systems

Paperless Database Modules

Job description

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 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 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 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 using Microsoft 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.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.