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Care Manager, Fluent in Bengali - Remote

Posted 5 days ago
All others
Full Time
USA
$71,594 - $116,480/year

Overview

The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and health care team members. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of their health care services to provide an excellent member experience, address barriers, and improve their health outcomes.

In Short

  • Advocates, informs, and educates beneficiaries on services and health benefits.
  • Conducts assessments to identify barriers and opportunities for intervention.
  • Develops care plans that align with treatment plans.
  • Generates referrals to providers and community resources.
  • Liaises between service providers to ensure coordinated care.
  • Coordinates with the multi-disciplinary health care team.
  • Documents all encounters with providers and members.
  • Assists in identifying alternative care options.
  • Evaluates service authorizations to ensure alignment with care plans.
  • Handles large caseloads effectively in a fast-paced environment.

Requirements

  • NYS RN or LCSW or LMSW (any state).
  • 3 years of work experience in a mental/behavioral health setting.
  • 1 year of pediatric clinical field experience for PEDS positions.
  • Fluency in Bengali preferred.
  • Strong interpersonal and assessment skills.
  • Experience with community health practices for seniors.
  • Proficient in using Microsoft Excel and electronic documentation systems.
  • Ability to manage large caseloads.
  • Knowledge of relevant product lines.
  • Demonstrated ability to handle rapidly changing situations.

Benefits

  • Medical, dental, and vision coverage.
  • Incentive and recognition programs.
  • Life insurance and 401k contributions.
  • Competitive compensation and benefits package.
  • Focus on employee well-being and community health.

H.H.M.S

HFMS HF Management Services

HF Management Services, operating under Healthfirst, is New York's largest not-for-profit health insurer, dedicated to providing nearly 1.7 million members with access to high-quality, affordable healthcare. With nearly 30 years of experience in the community, Healthfirst emphasizes a value-based care model that prioritizes the health and well-being of its members by collaborating closely with care providers and community leaders. The company is committed to addressing broader health issues beyond the doctor's office, ensuring a holistic approach to healthcare. Healthfirst is focused on innovation and growth in a dynamic market, making it an ideal workplace for individuals passionate about making a positive impact in people's lives.

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