Care Manager, Bilingual Fujianese

Job not on LinkedIn

June 1

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

🗽 New York – Remote

Although this job is listed in New York, this company may be open to hiring remote in other states.

+3 more states

🏄 California – Remote 🗽 New York – Remote 🌾 North Dakota – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

💵 $81.1k - $116.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Healthfirst

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Finance • Medicare

Healthfirst is a health insurance provider dedicated to helping New Yorkers access affordable health coverage for individuals and families. With over 30 years of experience, Healthfirst offers a range of plans including Medicaid managed care, Medicare Advantage, long-term care, and essential health plans. The company focuses on providing quality healthcare options, comprehensive benefits, and support to ensure members can maintain their health and well-being.

1001 - 5000 employees

Founded 1993

⚕️ Healthcare Insurance

💸 Finance

📋 Description

• The Care Manager plans and manages behavioral and/or physical care with members • 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 and other resources to assist in goal achievement and maintenance of successful health outcomes • Liaise 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

🎯 Requirements

• 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

🏖️ Benefits

• medical, dental and vision coverage • incentive and recognition programs • life insurance • 401k contributions