In-Home Community Health Coach – NYC

MJHS; New York (NY); On-site; USD 70,000 - 98,000; Full time

Job summary

MJHS in New York, NY seeks a care manager to conduct in-person visits and address psychosocial, environmental, and spiritual needs within patients' homes. This role covers Manhattan and Queens and requires strong coordination with the interdisciplinary team to ensure seamless care transitions and patient education.

You will educate members on benefits, assist with access to covered/non-covered services, and help complete directives and POA documentation, while leveraging community resources to

Qualifications

• Fluency in a Chinese language, such as Mandarin or Cantonese.
• Bachelor’s degree in Social Work, psychology or related health field preferred.
• Minimum 1-2 years of relevant work experience in long term care, managed care, home care, geriatrics, hospital setting, or hospice.
• Prior experience in an interdisciplinary service delivery environment preferred.
• Working knowledge of Medicare and Medicaid regulations.
• Strong background in addressing Social Determinants of Health/Certification.

Responsibilities

• Conduct in-person care management visits to identify and provide appropriate interventions based on psychosocial, environmental, and spiritual needs of the member.
• Use pre-established criteria & care management scripts to identify Social Determinants of Health (SDOH) needs while in the members’ home, in accordance with departmental workflow.
• Provide education on how to access covered and non-covered benefits and ensure continuity of care across all healthcare settings by collaborating with the interdisciplinary team.
• Utilize benefit structure and community-based resources to address member needs.
• Educate members on preventative health, quality of life interventions, plan benefits, Advanced Directives/Health Care Proxy/Power of Attorney (POA) and help to facilitate the completion of such documentation.
• Collaborate with the Primary Care Management, report findings, & submit completed documentation to the Support Staff Supervisor.

Skills

Chinese language fluency

Education

Bachelor’s degree in Social Work or related health field

Job description

MJHS in New York, NY seeks a care manager to conduct in-person visits and address psychosocial, environmental, and spiritual needs within patients' homes. This role covers Manhattan and Queens and requires strong coordination with the interdisciplinary team to ensure seamless care transitions and patient education.

You will educate members on benefits, assist with access to covered/non-covered services, and help complete directives and POA documentation, while leveraging community resources to