Full-Time Care Management Specialist - Internal Medicine

Reports to: Clinical Director

268 Canal Street

New York, New York, 10013

United States

Responsibilities :

• Identify the targeted risk population per PCP referral, risk stratification, and patient lists

• Handle case management assignments, review case progress in accordance 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 includes patient/family as active members of the team

• Create and update personalized health care plans for patients by assessing patient’s wellness, needs, preferences and ability to utilize the care plans

• Communicate and establish effective working relations with 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 patient to evaluate progress, ensure continuity of care and promote optimal health outcomes

• Summarize report 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 meeting/activities

• Update knowledge base relevant to service population

• Perform 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 preferred

• Motivated individual able to work in a team and be self-directed

• Strong interpersonal and communication (written and verbal) skills

• Basic computer skills

  Compensation and Benefits :

• Salary: $40,000.00 - 46,000.00 per year

• 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

• Tuition reimbursement for eligible employees, and

• The Health Center is qualified for Public Service Loan Forgiveness (PSLF) program