MLTC Care Manager (Bilingual)

Job Overview:

The Care Manager acts as the sole communicator between member and Plan. Responsibilities include reviewing of person-centered service plan with member/members family and coordination of covered and non-covered benefits. Care Manager is responsible for monthly contact and follow up with the members. Home visits conducted as necessary.

Essential Responsibilities:

• Monthly communication with members
• Follow up and respond to identified items requiring attention
• Communication and coordination of member care with members and family members as well as vendor agencies
• Timely and thorough documentation in members’ charts
• Participates in weekly team meetings
• Member home and Adult Home visits as necessary
• Other duties as identified as a necessary part of employee’s role

Specific Knowledge, Skills, and Abilities:

• Knowledge of member assessment procedure.
• Knowledge of clinical review procedures.
• Demonstrates ability to effectively communicate information with members of all ages and socioeconomic levels.
• Ability to read and interpret documents. Ability to speak effectively with members and employees of the agency.

Required Education, Experience, and Licenses: 

• The appropriate background in health care and/or long term care
• RN or Master’s Degree in Social Work

• Bilingual preferred (Arabic, Hindi, Bengali)

• Hybrid schedule (3 days in office & 2 days remote)