Carbon Health is looking for a bilingual Spanish/English Care Manager to join our remote team. In this role, you will plan and manage behavioral and/or physical care, working collaboratively with members, their supports, providers, and health care team members. You will apply care management principles to coordinate services, address barriers, and drive improved health outcomes.
What You'll Do
- Advocate for, inform, and educate beneficiaries on services, self-management techniques, and health benefits.
- Conduct assessments to identify barriers and opportunities for intervention.
- Develop care plans aligned with physician treatment plans and recommend interventions for goal achievement.
- Generate referrals to providers, community-based resources, and appropriate services.
- Liaise between service providers such as doctors, social workers, and community-based services to ensure coordinated care.
- Coordinate and facilitate with the multi-disciplinary health care team to ensure person-centered care plans.
- Assist in identifying alternative care options based on member needs and assessments.
- Evaluate service authorizations to ensure alignment with the member’s care and treatment plan.
- Contribute to corporate goals through ongoing execution of member care plans.
- Document all encounters in the appropriate system and update care plans based on member needs.
What We're Looking For
- For Medical Care Management: NYS RN, 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.
- For Behavioral Health (BH) Care Management: NYS RN, LCSW, LMSW, LMFT, LMHC, LPC, or licensed psychologist (any state).
- For BH Care Management: 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.
Nice to Have
- Strong interpersonal and assessment skills, with the ability to relate well with seniors, families, and community providers.
- Fluency in Spanish, Korean, Mandarin, or Cantonese.
- Knowledge of current community health practices for the frail adult population and cognitively impaired seniors.
- Experience managing member information in a shared network environment using paperless database modules.
- Experience and knowledge of the relevant product line.
- Relevant work experience preferably as a Care Manager.
- Demonstrated ability to manage large caseloads in a fast-paced environment.
- Proficiency with simultaneously navigating the Internet and multi-tasking with multiple electronic documentation systems.
- Experience using Microsoft Excel with the ability to edit, search, sort/filter, and other Microsoft and PHI systems.
Benefits & Compensation
- Medical, dental and vision coverage.
- Incentive and recognition programs.
- Life insurance.
- 401k contributions.
- Compensation: Greater New York City Area (NY, NJ, CT residents): $81,099 - $116,480. All Other Locations (within approved locations): $71,594 - $106,080.
Work Mode
This is a fully remote position.
HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis.
