Healthfirst
Overview
Field Based Care Manager - Behavioral Health at Healthfirst. The Field Based Care Manager evaluates members’ care needs and promotes quality outcomes and treatment via a variety of modalities and engagement strategies. The Field Based Care Manager works directly with members in field-based settings and telephonically to support members’ unique care needs and successful engagement outcomes with members and treatment providers. The Field Care Manager also works directly with hospital clinicians and care management team members to address member needs across the continuum of care and provide education and consultation to members, family/caregivers, and other parties involved in the member’s care. The Field Based Care Manager will be expected to make community-based field visits to and on behalf of members; including on-site hospital/facility-based visits around downstate New York. Responsibilities
Applies care management principles by advocating, informing, and educating beneficiaries on services, self-management techniques, and health benefits related to the continuum of care Reviews discharge planning, assessments, medical records, and screening for members currently admitted to assigned facilities Assesses need for home care, out of home placement, and/or community-based services and may perform Utilization Review for those services Develops care plans that align with the physician’s treatment plans and recommends interventions aligned with proposed goals Completes social determinant of health assessments to identify barriers and opportunities for intervention 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 to ensure coordinated care Coordinates and facilitates with the multi-disciplinary health care team to ensure care needs are addressed within members’ care plans Discusses opportunities for developing and executing discharge plans with hospital and Healthfirst leadership Evaluates treatment to ensure alignment and execution with the member’s care and physician treatment plan Assists in identifying opportunities for alternative care options based on member needs Contributes to corporate goals through ongoing execution of member care plans and coordination with local supports Documents encounters with providers, members, and vendors in the appropriate system; follows up as needed; updates care plans as appropriate Occasional overtime as necessary Additional duties as assigned Minimum Qualifications
LCSW, LMSW, LMFT, LMHC, LPC, licensed psychologist (NY) For CASAC positions only: Credentialed Alcohol and Substance Abuse Counselor Ability to travel around downstate New York including the five boroughs, Long Island, and Westchester Preferred Qualifications
Strong interpersonal and assessment skills, especially with seniors and their families, and ability to handle crisis situations Experience in hospital/facility discharge planning Bilingual in Spanish, Korean, Mandarin, or Cantonese Knowledge of current community health practices for frail adults and cognitively impaired seniors Experience with shared network environments and paperless documentation systems Experience with relevant product lines and care management Experience managing large caseloads 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 be contingent upon work experience, education, licenses, certifications, and other factors Healthfirst deems pertinent to the hiring decision. Healthfirst offers a full range of benefits including medical, dental, and vision coverage, life insurance, and 401k contributions (eligibility requirements apply).
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Field Based Care Manager - Behavioral Health at Healthfirst. The Field Based Care Manager evaluates members’ care needs and promotes quality outcomes and treatment via a variety of modalities and engagement strategies. The Field Based Care Manager works directly with members in field-based settings and telephonically to support members’ unique care needs and successful engagement outcomes with members and treatment providers. The Field Care Manager also works directly with hospital clinicians and care management team members to address member needs across the continuum of care and provide education and consultation to members, family/caregivers, and other parties involved in the member’s care. The Field Based Care Manager will be expected to make community-based field visits to and on behalf of members; including on-site hospital/facility-based visits around downstate New York. Responsibilities
Applies care management principles by advocating, informing, and educating beneficiaries on services, self-management techniques, and health benefits related to the continuum of care Reviews discharge planning, assessments, medical records, and screening for members currently admitted to assigned facilities Assesses need for home care, out of home placement, and/or community-based services and may perform Utilization Review for those services Develops care plans that align with the physician’s treatment plans and recommends interventions aligned with proposed goals Completes social determinant of health assessments to identify barriers and opportunities for intervention 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 to ensure coordinated care Coordinates and facilitates with the multi-disciplinary health care team to ensure care needs are addressed within members’ care plans Discusses opportunities for developing and executing discharge plans with hospital and Healthfirst leadership Evaluates treatment to ensure alignment and execution with the member’s care and physician treatment plan Assists in identifying opportunities for alternative care options based on member needs Contributes to corporate goals through ongoing execution of member care plans and coordination with local supports Documents encounters with providers, members, and vendors in the appropriate system; follows up as needed; updates care plans as appropriate Occasional overtime as necessary Additional duties as assigned Minimum Qualifications
LCSW, LMSW, LMFT, LMHC, LPC, licensed psychologist (NY) For CASAC positions only: Credentialed Alcohol and Substance Abuse Counselor Ability to travel around downstate New York including the five boroughs, Long Island, and Westchester Preferred Qualifications
Strong interpersonal and assessment skills, especially with seniors and their families, and ability to handle crisis situations Experience in hospital/facility discharge planning Bilingual in Spanish, Korean, Mandarin, or Cantonese Knowledge of current community health practices for frail adults and cognitively impaired seniors Experience with shared network environments and paperless documentation systems Experience with relevant product lines and care management Experience managing large caseloads 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 be contingent upon work experience, education, licenses, certifications, and other factors Healthfirst deems pertinent to the hiring decision. Healthfirst offers a full range of benefits including medical, dental, and vision coverage, life insurance, and 401k contributions (eligibility requirements apply).
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