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About the Role
The Care Management Specialist will coordinate patient care, develop personalized health care plans, and ensure continuity of care to promote optimal health outcomes. This role involves collaborating with healthcare teams, patients, and families, as well as maintaining documentation and connecting patients with external resources.
Responsibilities
- Identify the targeted risk population per PCP referral, risk stratification, and patient lists
- Handle case management assignments and review case progress according to center guidelines
- Coordinate patient care through ongoing collaboration with PCP, patient/family, community, and other members of the health care team
- Foster a team approach and include patient/family as active members of the team
- Create and update personalized health care plans by assessing patient’s wellness, needs, preferences, and ability to utilize the care plans
- Communicate and establish effective working relations with the care team
- Advocate and work with patient and patients’ family to achieve treatment goals
- Educate patients and caregivers about their health care plan and health care options
- Conduct regular follow-ups with patients to evaluate progress, ensure continuity of care, and promote optimal health outcomes
- Summarize reports relevant to care management activity
- Maintain care management documentation in electronic health records
- Establish linkage to external social services programs, specialist services, and payer’s care management services
- Participate in clinical service team meetings/activities
- Update knowledge base relevant to the service population
- Perform other duties as assigned
Requirements
- Bilingual in English and Chinese (Mandarin and Cantonese) required
- Capacity for working on weekends required
- Experience in a health care setting preferred
- Motivated individual able to work in a team and be self-directed
- Strong interpersonal and communication (written and verbal) skills
- Basic computer skills
Location
- Queens/Manhattan, New York, United States
Work Type
- Full-Time
Education Level
- Bachelor’s degree (health care related preferred)
Benefits
- Medical insurance
- Employer-paid dental, vision, disability and life insurance
- 403(b) retirement savings plan
- Flexible spending accounts for transit, parking, health and dependent care
- Paid time off (28 days for the first year of employment)
- Employee Assistance Program
- Employee Discount Programs
- Tuition reimbursement for eligible employees
- The Health Center is qualified for Public Service Loan Forgiveness (PSLF) program