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- Tasks: As a Care Manager, you'll coordinate health care services and create personalised care plans for members.
- Company: Healthfirst provides affordable health insurance to families in NYC, making a real difference in people's lives.
- Benefits: Enjoy remote work, competitive pay, health coverage, and perks like fitness subsidies and tuition reimbursement.
- Why this job: Join a mission-driven team that values collaboration, personal growth, and improving health outcomes for communities.
- Qualifications: Must have relevant nursing or social work qualifications and experience in health care management.
- Other info: This role offers flexibility and the chance to make a significant impact on members' health journeys.
The predicted salary is between 60000 - 85000 £ per year.
Healthfirst provides health insurance at little to no cost to eligible children, adults, and families in NYC.
Description and Requirements
The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and health care team members. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of their health care services to provide an excellent member experience, address barriers, and improve their health outcomes. The Care Manager is assigned to a specific product line such as CompleteCare, SNP, Medicaid/Medicare, PHSP, HARP, etc.
Duties and Responsibilities:
- Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.
- Conducts assessments to identify barriers and opportunities for intervention.
- Develops care plans that align with the physician\’s treatment plans and recommends interventions that align with proposed goals.
- Generates referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement and maintenance of successful health outcomes.
- Liaise between service providers such as doctors, social workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are adequately addressed.
- Coordinates and facilitates with the multi-disciplinary health care team as necessary to ensure care plan goals and treatment is person-centered and maximizes member health outcomes.
- Assists in identifying opportunities for alternative care options based on member needs and assessments.
- Evaluates service authorizations to ensure alignment and execution of the member\’s care and physician treatment plan.
- Contributes to corporate goals through ongoing execution of member care plans and member goal achievement.
- Documents all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates care plans based on member needs, as appropriate.
- Occasional overtime as necessary.
- Additional duties as assigned.
Description and Requirements
The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and health care team members. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of their health care services to provide an excellent member experience, address barriers, and improve their health outcomes. The Care Manager is assigned to a specific product line such as CompleteCare, SNP, Medicaid/Medicare, PHSP, HARP, etc.
Duties and Responsibilities:
- Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.
- Conducts assessments to identify barriers and opportunities for intervention.
- Develops care plans that align with the physician\’s treatment plans and recommends interventions that align with proposed goals.
- Generates referrals to providers, community-based resources, and appropriate services and other resources to assist in goal achievement and maintenance of successful health outcomes.
- Liaise between service providers such as doctors, social workers, discharge planners, and community-based service providers to ensure care is coordinated and care needs are adequately addressed.
- Coordinates and facilitates with the multi-disciplinary health care team as necessary to ensure care plan goals and treatment is person-centered and maximizes member health outcomes.
- Assists in identifying opportunities for alternative care options based on member needs and assessments.
- Evaluates service authorizations to ensure alignment and execution of the member\’s care and physician treatment plan.
- Contributes to corporate goals through ongoing execution of member care plans and member goal achievement.
- Documents all encounters with providers, members, and vendors in the appropriate system in accordance with internal and established documentation procedures; follows up as needed; and updates care plans based on member needs, as appropriate.
- Occasional overtime as necessary.
- Additional duties as assigned.
Minimum Qualifications:
- For Medical Care Management:
- NYS RN or
- LCSW or LMSW (any state)
- For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations
- For Behavioral Health (BH) Care Management:
- NYS RN or
- LCSW, LMSW, LMFT, LMHC, LPC, licensed psychologist (any state)
- 3 years of work experience in a mental/behavioral health or addictions setting
- For BH PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations
Preferred Qualifications:
- Strong interpersonal and assessment skills, especially the ability to relate well with seniors, their families, and community care providers, along with demonstrated ability to handle rapidly changing situations.
- Fluency in Spanish, Korean, Mandarin, or Cantonese.
- Knowledge and experience with the current community health practices for the frail adult population and cognitive impaired seniors.
- Experience managing member information in a shared network environment using paperless database modules and archival systems.
- Experience and knowledge of the relevant product line
- Relevant work experience preferably as a Care Manager
- Demonstrated ability to manage large caseloads and effectively work in a fast-paced environment
- Proficient with simultaneously navigating the Internet and multi-tasking with multiple electronic documentation systems
- Experience using Microsoft Excel with the ability to edit, search, sort/filter and other Microsoft and PHI systems
Hiring Range:
- Greater New York City Area (NY, NJ, CT residents): $81,099 – $116,480
- All Other Locations (within approved locations): $71,594 – $106,080
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
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In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
The hiring range is defined as the lowest and highest salaries that Healthfirst in \”good faith\” would pay to a new hire, or for a job promotion, or transfer into this role.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.
Know Your Rights
Client-provided location(s): Flexible / Remote
Job ID: healthfirst-R020775
Employment Type: OTHER
Posted: 2025-08-13T02:21:27
Perks and Benefits
Health and Wellness
- Health Insurance
- Health Reimbursement Account
- Vision Insurance
- Life Insurance
- Short-Term Disability
- Long-Term Disability
- FSA
- HSA
- Fitness Subsidies
- Pet Insurance
- Birth Parent or Maternity Leave
- Family Support Resources
Work Flexibility
Office Life and Perks
- Commuter Benefits Program
- Casual Dress
- Happy Hours
- Company Outings
- Holiday Events
Vacation and Time Off
- Paid Vacation
- Paid Holidays
- Personal/Sick Days
Financial and Retirement
- 401(K) With Company Matching
- Performance Bonus
Professional Development
- Internship Program
- Tuition Reimbursement
- Promote From Within
- Access to Online Courses
- Lunch and Learns
- Associate or Rotational Training Program
- Learning and Development Stipend
Diversity and Inclusion
- Employee Resource Groups (ERG)
- Woman founded/led
- Diversity, Equity, and Inclusion Program
Company Videos
Hear directly from employees about what it is like to work at Healthfirst.
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Care Manager, 100% Remote employer: Healthfirst
Contact Detail:
Healthfirst Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Care Manager, 100% Remote
✨Tip Number 1
Familiarise yourself with the specific product lines mentioned in the job description, such as CompleteCare and Medicaid/Medicare. Understanding these areas will help you demonstrate your knowledge during interviews and show that you're genuinely interested in the role.
✨Tip Number 2
Network with current or former Care Managers, especially those who have worked in similar settings. They can provide valuable insights into the role and may even refer you internally, which can significantly boost your chances of landing the job.
✨Tip Number 3
Highlight any experience you have with care management principles and multi-disciplinary teams. Be prepared to discuss specific examples of how you've successfully coordinated care or improved health outcomes for members in past roles.
✨Tip Number 4
If you speak any additional languages, especially Spanish, Korean, Mandarin, or Cantonese, make sure to mention this in conversations. Bilingual skills are highly valued in this role and can set you apart from other candidates.
We think you need these skills to ace Care Manager, 100% Remote
Some tips for your application 🫡
Tailor Your CV: Make sure your CV highlights relevant experience in care management, especially any work with behavioural or physical health. Use keywords from the job description to demonstrate your fit for the role.
Craft a Compelling Cover Letter: In your cover letter, explain why you are passionate about care management and how your skills align with the responsibilities outlined in the job description. Mention specific experiences that showcase your ability to advocate for members and coordinate care.
Highlight Relevant Qualifications: Clearly list your qualifications, such as your RN or LCSW credentials, and any specific experience with pediatric or behavioural health. This will help the hiring team see that you meet the minimum requirements at a glance.
Showcase Interpersonal Skills: Since the role requires strong interpersonal skills, provide examples in your application of how you've successfully communicated with diverse groups, including seniors and their families. This can set you apart from other candidates.
How to prepare for a job interview at Healthfirst
✨Understand the Role
Make sure you thoroughly understand the responsibilities of a Care Manager. Familiarise yourself with care management principles and how they apply to both behavioural and physical health. This will help you articulate your understanding during the interview.
✨Showcase Your Interpersonal Skills
As a Care Manager, strong interpersonal skills are crucial. Be prepared to discuss examples from your past experiences where you've effectively communicated with members, families, and healthcare providers. Highlight your ability to build rapport and trust.
✨Prepare for Scenario-Based Questions
Expect scenario-based questions that assess your problem-solving abilities. Think about potential barriers a member might face and how you would address them. Practising these scenarios can help you respond confidently during the interview.
✨Demonstrate Knowledge of Community Resources
Familiarise yourself with community resources relevant to the populations you’ll be serving. Being able to discuss how you would connect members with these resources shows your commitment to improving their health outcomes.
