MLTC Nurse Care Manager (Bengali, Urdu & Gujarati Speaking)

Job Overview: The Care Manager acts as the sole communicator between member and Plan.

Responsibilities include creating and reviewing of person-centered service plan with member/members family, coordination of covered and non-covered benefits, and ensuring our members have a positive member experience.

Care Manager is responsible for health education and ongoing communication with members, at minimum monthly.

Essential Responsibilities: Ongoing communication with members, dependent on needs, at minimum monthly.

Follow up and respond to identified items requiring attention, including transition of care.

Provide health education to members and work together to improve/stabilize health and minimize hospitalizations.

Communication and coordination of member care with members and family members as well as vendor agencies.

Provide excellent member experience and follow up on any member concerns or needs.

Timely and thorough documentation in members charts.

Participates in team meetings and supervision sessions.

Other duties as identified as a necessary part of employees role.

Specific Knowledge, Skills, and Abilities: Knowledge of member assessment procedure.

Knowledge of clinical review procedures.

Knowledge and understanding of health education.

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 Masters Degree in Social Work.

Bilingual preferred (Bengali, Urdu, Gujarati).

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

Compensation: MSW - $34.61 to $39.42RN's - $41.82 to $50.48 Benefits: Medical, dental, and vision insuranceGenerous PTO packageMultiple floating holidays401 (K) with employer contribution