Full-Time Care Management Specialist - Internal Medicine
Reports to: Clinical Director
268 Canal StreetNew York, New York, 10013United States
Responsibilities:
Identify the targeted risk population per PCP referral, risk stratification, and patient listsHandle case management assignments, review case progress in accordance to center guidelinesCoordinate patient care through ongoing collaboration with PCP, patient/family, community, and other members of the health care team. Foster a team approach and includes patient/family as active members of the teamCreate and update personalized health care plans for patients by assessing patient’s wellness, needs, preferences and ability to utilize the care plansCommunicate and establish effective working relations with care teamAdvocate and work with patient and patients’ family to achieve treatment goalsEducate patients and caregivers about their health care plan and health care optionsConduct regular follow-ups with patient to evaluate progress, ensure continuity of care and promote optimal health outcomesSummarize report relevant to care management activityMaintain care management documentation in electronic health recordsEstablish linkage to external social services programs, specialist services and payer’s care management servicesParticipate in clinical service team meeting/activitiesUpdate knowledge base relevant to service populationPerform other duties as assigned
Minimum Qualifications:
Bachelor’s degree (health care related preferred)Bilingual in English and Chinese (Mandarin and Cantonese) Capacity for working on weekends preferred Experience in health care setting preferredMotivated individual able to work in a team and be self-directedStrong interpersonal and communication (written and verbal) skillsBasic computer skills
Compensation and Benefits:
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