Job Overview:

The Care Manager acts as the sole communicator between member and Plan. Responsibilities include creating and reviewing of person-centered service plan with member/members family, coordination of covered and non-covered benefits, and ensuring our members have a positive member experience. Care Manager is responsible for health education and ongoing communication with members, at minimum monthly.

Essential Responsibilities:

• Ongoing communication with members, dependent on needs, at minimum monthly.
• Follow up and respond to identified items requiring attention, including transition of care.
• Provide health education to members and work together to improve/stabilize health and minimize hospitalizations.
• Communication and coordination of member care with members and family members as well as vendor agencies.
• Provide excellent member experience and follow up on any member concerns or needs.
• Timely and thorough documentation in members’ charts.
• Participates in team meetings and supervision sessions.
• Other duties as identified as a necessary part of employee’s role.

Specific Knowledge, Skills, and Abilities:

• Knowledge of member assessment procedure.
• Knowledge of clinical review procedures.
• Knowledge and understanding of health education.
• Demonstrates ability to effectively communicate information with members of all ages and socioeconomic levels.
• Ability to read and interpret documents. Ability to speak effectively with members and employees of the agency.

Required Education, Experience, and Licenses:

• The appropriate background in health care and/or long term care.

• RN or Master’s Degree in Social Work (Licensed preferred).

• Bilingual preferred (Spanish, Chinese, Arabic, Hindi, Bengali).

• Hybrid schedule (3 days in office & 2 days remote).

Compensation:

MSW - $34.61 to $39.42
RN's - $41.82 to $50.48

Benefits:

Medical, dental, and vision insurance
Generous PTO package
Multiple floating holidays
401 (K) with employer contribution

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