Care Manager

4 weeks ago


New York, New York, United States MetroPlusHealth Full time
Job Summary

MetroPlusHealth seeks a skilled Care Manager to optimize members' healthcare experience while achieving cost savings through improved quality of care. The ideal candidate will engage with members, understand their needs, and develop individualized plans to address clinical, psychosocial, financial, and environmental challenges.

Key Responsibilities
  • Assess and evaluate member needs, providing creative solutions to optimize services.
  • Develop and implement plans of care with individualized goals and interventions.
  • Collaborate with members' care teams to ensure seamless care transitions.
  • Provide education and support on chronic disease management, preventive care, and medication adherence.
  • Advocate for members, addressing challenges and promoting informed choices.
Requirements
  • Bachelor's degree in a healthcare-related field.
  • Minimum 2 years' experience in care management or a related field.
  • Ability to read and interpret medical records, claims data, and pharmacy reports.
  • Registered Nurse with current NYS license (if required).
Professional Competencies
  • Integrity and trust.
  • Customer focus.
  • Proficiency with computers and web-based applications.
  • Strong verbal and written communication skills.
  • Time management and organizational skills.

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