Full-Time Care Management Specialist Reports to: Manager, Care Management Services Queens/Manhattan, New York 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 include 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) required + Capacity for working on weekends required + 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 + Employee Discount Programs + Tuition reimbursement for eligible employees, and + The Health Center is qualified for Public Service Loan Forgiveness (PSLF) program