Case Manager Behavioral Health

1 week ago


Rochester, New York, United States MVP Health Care Full time

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP

Status: Full Time, Exempt

Under the direction of the Leader of Case Management, the Behavioral Health Case Manager will provide education and support to customers with behavioral health conditions. The Behavioral Health Case Manager will be responsible for improving health outcomes of and promoting appropriate preventive care for MVP's members with behavioral health conditions. MVP's Behavioral Health Case Manager will coordinate care during hospitalizations and post discharge, to assist our members in overcoming major barriers to care. The goals of the Case Manager are to improve the mental health and substance use disorder health outcomes of these at-risk customers and to reduce MVP's overall readmission rates and improve customers follow-up with behavioral health care. This role will perform assessments, care planning, facilitation, care coordination, evaluation, and advocacy for customers to promote quality, cost-effective outcomes. Performs other duties as required.

POSITION QUALIFICATIONS

Minimum Education:

Master's prepared mental health clinician (LCSW, LMHC), or licensed Registered Nurse (RN).

New York State licensure required with previous mental health or substance use experience.

Case Management Certification preferred (ANCC or CCM).

Minimum Experience:

Minimum of 2 years of recent mental health or substance use experience required.

Utilization or Case Management experience in a managed care organization is preferred.

Required Skills:

  • Ability to professionally communicate with customers, and all interdisciplinary team members.
  • Excellent oral and written communication skills.
  • Demonstrates clinical knowledge, including an understanding of the case management process.
  • Detail oriented with strong organizational skills including the ability to manage time wisely to meet established deadlines.
  • Ability to work in an energetic and cohesive team environment.
  • Experience with situations requiring strict adherence to confidentiality.
  • Ability to solve problems while exhibiting clinical judgment and realistic understanding of the current environment.
  • 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.
About MVP

MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.

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.

In addition, we offer a comprehensive benefits package that includes:
  • Considerable paid time away from work including PTO (Paid Time Off), sick time, service time off, paid holidays, and floating holidays, allowing you to take time off when it suits you best.
  • Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.
  • Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.
  • Life insurance and disability coverage to ensure financial security for you and your dependents.
  • An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.
  • Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.
  • A best-in-class employee Well-Being program to support all dimensions of your health and wellness.
MVP Health Care analyzes the latest market data to determine employee compensation. Compensation figures listed in a job posting are subject to change as new market data becomes available. The salary range, other compensation, and benefits information is accurate as of the date of this posting. MVP Health Care reserves the right to modify this information at any time, subject to applicable law. More detailed information about totalcompensation and benefits will be provided during the hiring process.

MVP Health Care 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

Please apply and learn more - including how you may become a proud member of our team.

Other details
  • Job Family Medical Management/Clinical
  • Pay Type Salary
  • Min Hiring Rate $56,200.00
  • Max Hiring Rate $110,319.00
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