Professional, Case Manager

At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Professional, Case Manager to join #TeamMVP. If you have a passion for collaboration, advocacy and empowerment and problem-solving this is the opportunity for you.

• Growth opportunities to uplevel your career
• A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
• Competitive compensation and comprehensive benefits focused on well-being
• An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York

Qualifications you'll bring:

• Current New York State Licensure as a Registered Nurse is required.
• Case Management Certification preferred (ANCC or CCM).
• At least 3 years of recent clinical and Case Management experience.
• Certification in Case Management required within 24 months after hire.
• Demonstrated clinical knowledge including an understanding of population health management and the Case Management process.
• 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.
• Curiosity to foster innovation and pave the way for growth
• Humility to play as a team
• Commitment to being the difference for our customers in every interaction

Your key responsibilities:

• This position will utilize the essentials of an integrated Case Management model that includes assessment, planning, implementation, care coordination, monitoring and advocacy to meet the member's comprehensive health needs.
• Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members, act as a proactive partner to provide appropriate education, resources, and healthcare coaching.
• The principal role of the position is to engage individual members and communicate with an established interdisciplinary team to create an individualized person-centered care plan.
• The position will provide guidance in understanding benefit coverage and navigating the health care delivery system, including but not limited to Medicaid and Medicare benefits.
• The overall objective is to create solutions to overcome barriers to care and assist members 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.
• . Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Where you'll be:

Schenectady, Rochester, Tarrytown

• This position may be worked virtually (remotely from home) within a New York or Vermont residency. Occasional (semi-annual) travel to the Schenectady based headquarter office is required

Pay Transparency
MVP Health Care is 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. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended 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.

We do not request current or historical salary information from candidates.
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.

MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.

To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at hr@mvphealthcare.com.

• Headquarters Office, 625 State Street, Schenectady, New York, United States of America
• Rochester, NY, USA
• Tarrytown, NY, USA