Join to apply for the Care Manager, Mandarin Fluency - 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. The role involves applying care management principles to engage members, coordinate healthcare services, improve health outcomes, and address barriers. The Care Manager is assigned to specific product lines such as CompleteCare, SNP, Medicaid/Medicare, PHSP, HARP, etc.
Duties And Responsibilities
- Advocate, inform, and educate beneficiaries on services, self-management techniques, and health benefits.
- Conduct assessments to identify barriers and opportunities for intervention.
- Develop care plans aligned with physicians’ treatment plans and recommend interventions to meet goals.
- Generate referrals to providers, community resources, and services to support health outcomes.
- Liaise between service providers to ensure coordinated care and address needs.
- Coordinate with the healthcare team to ensure person-centered care and maximize outcomes.
- Identify opportunities for alternative care options based on assessments.
- Evaluate service authorizations for alignment with care plans and treatment.
- Contribute to corporate goals through ongoing care plan execution and member goal achievement.
- Document encounters and update care plans in the appropriate systems, following procedures.
- Occasional overtime as necessary.
- Perform additional duties as assigned.
Minimum Qualifications
- For Medical Care Management:
- NYS RN or
- LCSW or LMSW (any state)
- For PEDS positions: 1 year pediatric clinical experience or experience with child/family systems.
- For Behavioral Health Care Management:
- NYS RN or
- LCSW, LMSW, LMFT, LMHC, LPC, licensed psychologist (any state)
- 3 years experience in mental/behavioral health or addictions.
- For PEDS positions: 1 year pediatric experience or experience with child/family systems.
Preferred Qualifications
- Strong interpersonal and assessment skills, especially with seniors, families, and community providers.
- Fluency in Spanish, Korean, Mandarin, or Cantonese.
- Knowledge of community health practices for frail adults and cognitively impaired seniors.
- Experience managing member information in digital systems.
- Relevant work experience as a Care Manager.
- Ability to manage large caseloads in a fast-paced environment.
- Proficiency with internet navigation and electronic documentation systems.
- Experience with Microsoft Excel and other relevant systems.
Hiring Range
- Greater NYC Area (NY, NJ, CT): $81,099 - $116,480
- Other Locations within approved areas: $71,594 - $106,080
Salary and compensation depend on experience, education, licenses, and other factors. Benefits include medical, dental, vision, incentive programs, life insurance, and 401k.
Additional Details
- Employment type: Full-time
- Job function: Healthcare Provider
- Industry: Hospitals and Healthcare