Professional Case Manager

3 days ago


Schenectady, New York, United States MVP Health Care Full time
About the Role

MVP Health Care is seeking a highly skilled and dedicated Case Manager to join our team. As a key member of our medical management team, you will play a critical role in ensuring the highest quality of care for our members.

Key Responsibilities
  • Utilize an integrated Case Management model to assess, plan, implement, and monitor care coordination for designated members.
  • Act as a proactive partner to provide education, resources, and healthcare coaching to members.
  • Collaborate with an interdisciplinary team to create individualized person-centered care plans.
  • Provide guidance on benefit coverage and navigate the healthcare delivery system, including Medicaid and Medicare benefits.
  • Monitor and review cases with the Medical Director to ensure appropriate outcomes.
Requirements
  • Current New York State licensure as a Registered Nurse is required.
  • Possession of Vermont licensure is preferred but can be obtained post-hire.
  • RN with multiple state licenses is preferred.
  • Bachelor's degree in nursing preferred.
  • Case Management Certification preferred (ANCC or CCM).
Preferred Qualifications
  • At least 3 years of recent clinical and Case Management experience.
  • Experience with Medicaid and Medicare programs and benefits strongly preferred.
  • Certification in Case Management required within 24 months after hire.
What We Offer
  • Competitive salary range: $82,000.00 - $97,110.60.
  • Comprehensive benefits package, including health, dental, and vision coverage.
  • 401(k) employer matching and profit-sharing program.
  • Life insurance and disability coverage.
  • Optional benefit plans, such as accident insurance and specified disease coverage.
  • Full tuition reimbursement for approved courses and programs.
  • Best-in-class employee Well-Being program.


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