Care Manager
4 weeks ago
At NYC Health Hospitals, we are seeking a highly skilled and compassionate Care Manager to join our team. As a Care Manager, you will play a critical role in optimizing members' healthcare and delivery of care experience with expected cost savings due to improved quality of care.
Key Responsibilities:- Assess and evaluate member's needs, identifying clinical, psychosocial, financial, and environmental factors that impact their health.
- Develop and implement individualized plans of care, collaborating with members' care teams and healthcare providers.
- Provide services to members of varying age, risk level, clinical scenario, culture, financial means, social support, and motivation.
- Engage members in a collaborative relationship, empowering them to self-manage their physical, psychosocial, and environmental health.
- Prepare member-oriented plans of care, integrating concepts of cultural sensitivity and privacy practices.
- Communicate plans of care to Primary Care Physicians and address gaps in care with members and providers.
- Address members' social determinants of health issues and provide care management support during Transitions of Care.
- Maintain accurate, comprehensive, and current clinical and non-clinical documentation in DCMS, the Care Management System.
- Comply with all orientation requirements, annual and other mandatory trainings, organizational and departmental policies and procedures, and actively participate in evaluation processes.
- Bachelor's Degree required.
- Minimum 2 years' prior experience in a healthcare setting, Care Management, or Managed Care setting required.
- Ability to proficiently read and interpret medical records, claims data, pharmacy, lab reports, and prescriptions required.
- Proficiency with computers navigating in multiple systems and web-based applications.
- Time management and organizational skills.
- Ability to prioritize and manage changing priorities under pressure.
- Must know how to use Microsoft Office applications, including Word, Excel, and PowerPoint, and Outlook.
At NYC Health Hospitals, we offer a dynamic and supportive work environment, competitive compensation, and opportunities for professional growth and development.
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