Healthfirst
Care Manager, Fluent in English and Mandarin - 100% Remote
Healthfirst, Hartford, Connecticut, United States
Overview
Care Manager, Fluent in English and Mandarin - 100% Remote
Role involves planning and managing behavioral and/or physical care with members, collaborating with supports, providers, and health care team members. Applies care management principles to engage members, coordinate health care services, address barriers, and improve health outcomes. Assigned to a specific product line such as CompleteCare, SNP, Medicaid/Medicare, PHSP, HARP, etc.
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 aligned with the physician’s treatment plans and recommends interventions that meet proposed goals.
Generates referrals to providers, community-based resources, and other services to support goal achievement and health outcomes.
Facilitates liaison between doctors, social workers, discharge planners, and community-based providers to ensure coordinated care.
Coordinates with the multi-disciplinary health care team to keep care plans person-centered and outcome-focused.
Identifies opportunities for alternative care options based on member needs and assessments.
Evaluates service authorizations to ensure alignment with the member’s care and treatment plan.
Contributes to corporate goals through ongoing execution of member care plans and goal achievement.
Documents encounters in the appropriate system, follows up as needed, and updates care plans 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 with seniors, families, and community care providers; ability to handle rapidly changing situations.
Fluency in Mandarin
Knowledge of community health practices for frail adults and cognitively impaired seniors.
Experience managing member information in shared network environments with paperless databases and archival systems.
Experience and knowledge of the relevant product line
Relevant work experience as a Care Manager
Ability to manage large caseloads and work effectively in a fast-paced environment
Proficiency with Internet navigation and multiple electronic documentation systems
Experience using Microsoft Excel 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, salary and related elements of compensation will depend on work experience, education, licenses and certifications, and other factors Healthfirst deems pertinent to the hiring decision.
Healthfirst offers a full range of benefits (medical, dental, vision, life insurance, 401k contributions, and more) subject to eligibility requirements.
Notes
The hiring range is the lowest and highest salaries Healthfirst would pay in good faith for a new hire, or for a promotion/transfer into this role.
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Role involves planning and managing behavioral and/or physical care with members, collaborating with supports, providers, and health care team members. Applies care management principles to engage members, coordinate health care services, address barriers, and improve health outcomes. Assigned to a specific product line such as CompleteCare, SNP, Medicaid/Medicare, PHSP, HARP, etc.
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 aligned with the physician’s treatment plans and recommends interventions that meet proposed goals.
Generates referrals to providers, community-based resources, and other services to support goal achievement and health outcomes.
Facilitates liaison between doctors, social workers, discharge planners, and community-based providers to ensure coordinated care.
Coordinates with the multi-disciplinary health care team to keep care plans person-centered and outcome-focused.
Identifies opportunities for alternative care options based on member needs and assessments.
Evaluates service authorizations to ensure alignment with the member’s care and treatment plan.
Contributes to corporate goals through ongoing execution of member care plans and goal achievement.
Documents encounters in the appropriate system, follows up as needed, and updates care plans 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 with seniors, families, and community care providers; ability to handle rapidly changing situations.
Fluency in Mandarin
Knowledge of community health practices for frail adults and cognitively impaired seniors.
Experience managing member information in shared network environments with paperless databases and archival systems.
Experience and knowledge of the relevant product line
Relevant work experience as a Care Manager
Ability to manage large caseloads and work effectively in a fast-paced environment
Proficiency with Internet navigation and multiple electronic documentation systems
Experience using Microsoft Excel 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, salary and related elements of compensation will depend on work experience, education, licenses and certifications, and other factors Healthfirst deems pertinent to the hiring decision.
Healthfirst offers a full range of benefits (medical, dental, vision, life insurance, 401k contributions, and more) subject to eligibility requirements.
Notes
The hiring range is the lowest and highest salaries Healthfirst would pay in good faith for a new hire, or for a promotion/transfer into this role.
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