Comprehensive Care Coordinator

3 days ago


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

MVP Health Care is seeking a skilled Professional Case Manager to join our team. As a key member of our medical management team, you will play a critical role in ensuring our members receive high-quality, coordinated care.

Key Responsibilities
  • Utilize an integrated Case Management model to assess, plan, implement, and monitor care for our members.
  • Collaborate with interdisciplinary teams to create individualized care plans that address the unique needs of each member.
  • Provide education, resources, and healthcare coaching to members to empower them to take control of their health.
  • Monitor and review cases with the Medical Director to ensure optimal outcomes.
  • Perform other duties as assigned by supervisor.
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).
  • 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.
Preferred Qualifications
  • 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 care coordination, and quality of care.
  • Must demonstrate understanding of clinical and psychosocial issues that may alter treatment or the care plan. Ability to demonstrate strong judgment when dealing with emotionally charged situations.
  • Strong computer skills including working knowledge of Windows and internet-based applications.
About MVP Health Care

MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. We are committed to the complete well-being of our members and the communities we serve, making 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.



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