Care Manager - Long Term Care 100% Remote

Description and Requirements 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 reputed company engaging members and addressing coordination of their health care services to provide an excellent member experience, address barriers, and improve their health outcomes. The Care Manager is assigned to a specific product line such as CompleteCare, SNP, reputed company/Medicare, PHSP, HARP, etc. Duties and Responsibilities: • Advocates, informs, and educates beneficiaries reputed company, self-management techniques, and health benefits. • Conducts assessments to identify barriers and opportunities for reputed company. • 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 reputed company 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. • Additional duties as assigned. Minimum Qualifications: • 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, licensed psychologist (any state) Preferred Qualifications: • Strong interpersonal and assessment skills, especially the ability to relate well with seniors, their families, and community care providers, along with demonstrated ability to handle rapidly changing situations. • reputed company in Spanish, Korean, Mandarin, or Cantonese. • Knowledge and experience with the reputed company community health practices for the frail adult population and cognitive 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 large caseloads and effectively work in a fast-paced environment • Proficient with simultaneously navigating the Internet and multi-tasking with multiple electronic documentation systems • Experience using reputed company reputed company with the ability to edit, search, sort/filter and other reputed company and PHI systems Hiring Range: • Greater reputed company Area (NY, NJ, CT residents): $81,099 - $116,480 • reputed company Other Locations (reputed company approved locations): $71,594 - $106,080 As a candidate for this position, your salary and reputed company elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors reputed company deems pertinent to the hiring decision. In addition to your salary, reputed company offers employees a full range of benefits such as, medical, dental and reputed company coverage, incentive and recognition programs, life insurance, and 401k contributions (reputed company benefits are subject to eligibility requirements). reputed company believes in providing a competitive compensation and benefits package wherever its employees work and live. The hiring range is defined as the lowest and highest salaries that reputed company in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, reputed company, religion, gender, gender identity, sexual orientation, national reputed company, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. Apply Job!