Healthfirst

Bilingual Spanish Care Manager

Healthfirst

full-time

Posted on:

Origin:  • 🇺🇸 United States • New York

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Salary

💰 $81,099 - $116,480 per year

Job Level

Mid-LevelSenior

About the role

  • Provide telephonic and occasional onsite care management to high-risk, medically frail members
  • Engage members, their supports, providers, and health care team members to coordinate care and improve outcomes
  • Attend Interdisciplinary Team (IDT) rounds several times per week to discuss high-risk cases
  • Conduct assessments to identify barriers and opportunities for intervention and develop care plans aligned with physician treatment plans
  • Conduct home visits and field visits to members and local healthcare facilities as needed
  • Generate referrals to providers, community-based resources, and appropriate services
  • Liaise between service providers (doctors, NPs, social workers, discharge planners, community providers) to ensure coordinated care
  • Coordinate and facilitate multi-disciplinary health care team to ensure person-centered treatment and goal achievement
  • Evaluate service authorizations for alignment with member care and physician treatment plans
  • Document all encounters in appropriate systems and update care plans accordingly
  • Contribute to corporate goals through execution of member care plans and member goal achievement

Requirements

  • NYS RN, or LCSW, LMSW, or licensed psychologist (any state)
  • Ability to travel around downstate New York including the 5 boroughs, Long Island, and Westchester
  • Fluency in Spanish, Korean, Mandarin, or Cantonese (preferred; title indicates bilingual Spanish)
  • Strong interpersonal and assessment skills, especially relating to seniors and community care providers
  • Knowledge and experience with community health practices for frail adult population and cognitively impaired seniors
  • Experience managing member information in a shared network environment using paperless database modules and archival systems
  • Experience and knowledge of the relevant product line
  • Relevant work experience preferably as a Care Manager
  • Demonstrated ability to manage member panels and work effectively in a fast-paced environment
  • Proficient with simultaneously navigating the Internet and multi-tasking with multiple electronic documentation systems
  • High level of competency using Microsoft Excel, Word and PowerPoint, including ability to manage large data sets and reports
  • M-F, 8:30am-5pm availability; occasional overtime as necessary
  • Ability to conduct 3-5 field visits per month and at least 1 field visit per week (hybrid/field-based requirement)
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