Case Manager, Medicaid Long Term Support Program
6 months ago
625 State St, Schenectady, NY 12305, USA • Rochester, NY, USA • Tarrytown, NY, USA Req #1769
Tuesday, October 17, 2023
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
This position will utilize the essentials of an integrated utilization management and case management model that includes assessment, planning, implementation, care coordination, monitoring, and advocacy to meet the needs of medically complex Medicaid members. Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members, act as a proactive partner, and provide appropriate education, coordination of care and resource allocation. The principal role of the position is to engage individual members and communicate with an established interdisciplinary team. The role requires review of a comprehensive assessment and development of a time tasking tool and an individualized person-centered plan of care. In addition, the position will provide guidance in understanding benefit coverage and navigating the health care delivery system. The overall objective is to create solutions to overcome barriers to care and assist the member to achieve optimum health and/or improved functional capability through the coordination of quality cost effective care. The Case Manager will also monitor and review cases with the Medical Director to ensure appropriate outcomes. Other duties as assigned by supervisor. This position may be worked either virtually (worked remotely from home) within a New York residency or at one of our office locations (Schenectady, Rochester, Tarrytown).
POSITION QUALIFICATIONS
Minimum Education:
- Current New York State Licensure as a Registered Nurse required.
- Bachelor's degree in nursing preferred
- Case Management Certification a Plus (ANCC or CCM)
- Certification in Case Management required within 24 months after hire.
Minimum Experience
- At least 3 years of recent clinical and Case Management experience.
- Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required.
- Experience with Medicaid programs and benefits strongly preferred
Required Skills:
- Ability to professionally communicate with members, and all interdisciplinary team members.
- Excellent oral and written communication skills
- 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.
- Ability to work in an energetic 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 plan of care 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), s ick t ime, service t ime o ff, p aid h olidays, and f loating h olidays , 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 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 hr@mvphealthcare.com
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
-
Case Manager, Medicaid Long Term Support Program
3 weeks ago
Rochester, United States MVP Health Care Full timeCase Manager, Medicaid Long Term Support Program220 Alexander St, Rochester, NY 14607, USA • 303 S Broadway # 230, Tarrytown, NY 10591, USA • 625 State St, Schenectady, NY 12305, USA Req #2152Tuesday, August 20, 2024At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous...
-
Social Worker, Medicaid Long Term Support Program
3 months ago
Rochester, United States MVP Health Care Full timeSocial Worker, Medicaid Long Term Support Program220 Alexander St, Rochester, NY 14607, USA • 303 S Broadway # 230, Tarrytown, NY 10591, USA • 625 State St, Schenectady, NY 12305, USA Req #2152Tuesday, August 20, 2024At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous...
-
Program Manager. Long-Term Care Services
1 week ago
Rochester, United States MVP Health Care Full timeProgram Manager. Long-Term Care Services220 Alexander St, Rochester, NY 14607, USA • 303 S Broadway # 230, Tarrytown, NY 10591, USA • 625 State St, Schenectady, NY 12305, USA Req #1823Friday, December 8, 2023Over 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...
-
Case Manager
1 month ago
Rochester, United States Amatus Health Full timeAmatus Health - Join our team as a Case Manager for an Amatus Health Facility! Midwest Centers needs a Case Manager to work alongside the clinical team and ensure life-skills improvement and long-term sobriety for patients with SUD and Mental Health Diagnoses.We Require:College degree from accredited university, or equivalent work experience2+ years of...
-
Case Manager
4 weeks ago
Rochester, United States Amatus Health Full timeAmatus Health - Join our team as a Case Manager for an Amatus Health Facility! The Case Manager works alongside the clinical team and ensures life-skills improvement and long-term sobriety for patients with SUD and Mental Health Diagnoses.**M-F 8am-430pm**We Require:College degree from accredited university, or equivalent work experience2+ years of...
-
Case Manager
2 weeks ago
Rochester, United States Amatus Health Full timeAmatus Health - Join our team as a Case Manager for an Amatus Health Facility! The Case Manager works alongside the clinical team and ensures life-skills improvement and long-term sobriety for patients with SUD and Mental Health Diagnoses.Benefits:Medical insuranceDental insuranceVision insurancePTO401(k) (matched)Energetic work environmentCompetitive...
-
MDS Clinical Reimbursement Coordinator
17 hours ago
Rochester, United States Genesis HealthCare Full timeRochester Manor seeks a part time (20 hour/week) MDS Coordinator!Must have experience in LTC and MDS New Leadership!!! Genesis HealthCare is one of the nation's leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is delivered by bringing...
-
LPN- Long Term Care
4 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
4 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
Long-Term Care Healthcare Leader
3 weeks ago
Rochester, New York, United States Health Dimensions Group Full timeJob Summary: At Health Dimensions Group, we are seeking a highly skilled and experienced Long-Term Care Healthcare Leader to oversee the management of our healthcare facilities. This role requires a unique blend of leadership, operational, and strategic expertise to drive the success of our programs and achieve our mission.Key Responsibilities:Develop and...
-
CNA - Long Term Care
4 months ago
Rochester, United States Clinical Staffing Resources New York Full timeBenefits Health Insurance Vision insurance Dental Insurance Flexible Schedule Referral program Weekly Direct Deposit Competitive Pay, Flexible Schedule, exp in LTC required Clinical Staffing Resources is currently seeking per diem LTC Certified Nursing Assistants (CNA) to...
-
LPN - Long Term Care
4 weeks ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
Service Coordinator Waiver Programs
2 weeks ago
Rochester, United States EPISCOPAL CHURCH HOME Full timeEpiscopal SeniorLife Communities Mission:We provide high quality services from skilled nursing and restorative care to housing, assisted living and community-based wellness programs. We are committed to meeting each individual's needs, in a culturally competent manner, supporting family and loved ones through transitions, and fulfilling our pledge...Life....
-
LPN- Long Term Care
5 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
3 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
5 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
3 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
6 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN- Long Term Care
6 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Health & Wellness Benefits starting Your First DayMedical, Dental & Vision Programs tailored to...
-
LPN - Long Term Care
5 months ago
Rochester, United States Rochester Regional Health Full timeHOW WE CARE FOR YOU:At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.Sign-On Bonuses up to $20,000 for Experienced LPNsSame Day Pay through DailyPayPaid Vacation &...
