Professional, Case Manager220 Alexander St, Rochester, NY 14607, USA • 303 S Broadway # 230, Tarrytown, NY 10591, USA • 625 State St, Schenectady, NY 12305, USA Req #2229Thursday, September 26, 2024At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Case Manager to join #TeamMVP. If you have a passion for advocacy, collaboration and a love for your community this is the opportunity for you.
What's in it for you: - Growth opportunities to uplevel your career
- A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
- Competitive compensation and comprehensive benefits focused on well-being
- An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York
Qualifications you'll bring:
- Current New York State Licensure as a Registered Nurse with at least 3 years of recent clinical and Case Management experience. Certification in Case Management required within 24 months after hire. Bachelor's degree in nursing preferred.
- Ability to professionally communicate with members, and all interdisciplinary team members.
- Demonstrated clinical knowledge including an understanding of population health management and the case management process.
- Detail oriented with strong organizational skills including the ability to manage time wisely to meet established deadlines and experience with situations requiring strict adherence to confidentiality.
- Ability to solve problems while exhibiting clinical judgment and realistic understanding of the current environment and ability to make independent decisions regarding resource utilization, and quality of care.
- Must demonstrate understanding of clinical and psychosocial issues that may alter treatment or care plan and be able to demonstrate good judgment when dealing with emotionally charged situations.
- Strong computer skills including working knowledge of Word, Windows based applications, typing and internet access Curiosity to foster innovation and pave the way for growth
- Humility to play as a team
- Commitment to being the difference for our customers in every interaction
Your key responsibilities:
- Utilize the essentials of an integrated case management model that includes assessment, planning, implementation, care coordination, monitoring and advocacy to meet the member's overall comprehensive health needs.
- Through collaborative efforts this individual will identify the medical and psycho-social needs of designated members, act as a proactive partner, and provide appropriate education, resources and healthcare coaching telephonically or 'face to face'.
- Engage individual members and communicate with an established interdisciplinary team to create an individualized person-centered care plan.
- Provide guidance in understanding benefit coverage and navigating the health care delivery system.
- Create solutions to overcome barriers to care and assist the member achieve optimum health and/or improved functional capability through the coordination of quality cost effective care.
- Monitor and review cases with the Senior Leader, Medical Director to ensure appropriate outcomes.
- Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
Where you'll be: Virtual, NYSPay Transparency At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.Affirmative Action MVP is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at ...@mvphealthcare.com .
Other details - Job Family Medical Management/Clinical
- Pay Type Salary
- Min Hiring Rate $56,200.00
- Max Hiring Rate $110,319.00