Case Manager, Medicaid Long Term Support Program

2 weeks ago

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

MVP Health Care is seeking a skilled Case Manager to join our team in a Medicaid Long Term Support Program. As a Case Manager, you will play a critical role in ensuring the health and well-being of our members by providing proactive case management services.

Key Responsibilities
  • Utilize an integrated utilization management and case management model to assess, plan, implement, and coordinate care for medically complex Medicaid members.
  • Identify medical and psycho-social needs of designated members and provide education, coordination of care, and resource allocation.
  • Develop and implement individualized person-centered plans of care, working collaboratively with interdisciplinary teams.
  • Provide guidance on benefit coverage and navigate the healthcare delivery system to overcome barriers to care.
  • Monitor and review cases with the Medical Director to ensure appropriate outcomes.
Requirements
  • 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.
  • 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.
What We Offer
  • Competitive salary range: $56,200.00 - $110,319.00.
  • Comprehensive benefits package, including paid time off, sick time, service time off, paid holidays, and floating holidays.
  • 401(k) employer matching and profit-sharing program.
  • Low premium health benefits, including medical, dental, and vision coverage.
  • 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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