Care Manager

Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us to make a meaningful difference every day.

About MetroPlusHealth

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products, including New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, and the Essential Plan. As a wholly-owned subsidiary of NYC Health + Hospitals—the largest public health system in the United States—MetroPlusHealth’s network includes over 27,000 primary care providers, specialists, and participating clinics. For more than 40 years, MetroPlusHealth has built strong relationships with its members and providers.

About the Role

The primary goal of the Care Manager is to optimize members’ health care and delivery of care experience with expected cost savings due to improved quality of care. This is accomplished through engagement and understanding of members’ needs, environment, providers, support system, and optimization of services available to them. The Care Manager assesses and evaluates members’ needs, acts as a creative, efficient, and resourceful problem solver, and collaborates with the members’ care team to develop, implement, and evaluate a plan of care with individualized goals and interventions.

Schedule

9:00 A.M – 5:00 P.M

Responsibilities

• Screens charts for historical and clinical information, conducts psychosocial evaluations through interviews with patients and/or identified surrogates, and formulates appropriate social work treatment plans.
• Works within healthcare setting offices or in community settings within NYC to provide individual and group counseling, as well as concrete social services, as required.
• Confers and consults with professionals in other disciplines to determine and implement a multidisciplinary approach to patient care, develop treatment plans, evaluate patients’ progress, develop discharge and aftercare plans, and recommend alternative action or treatment.
• Provides outreach services, makes referrals to other governmental, public, and/or community agencies, prepares patients to accept services, provides direct social work services on high-risk cases, and may escort patients in connection with community activities and referrals, as needed.
• As a mandated reporter, documents and reports suspected cases of child abuse or neglect to the New York State Central Registry.
• Appears and testifies at administrative and court hearings, as necessary.
• Assists in plans for institutional or hospital discharge and other post-institutional/hospital care; evaluates alternate care arrangements for patients, where needed.
• Participates in staff conferences and other related social work meetings, special studies, committees, and/or research projects, as well as internal/external quality assurance/performance improvement (QA/PI) activities, programs, and trainings, as required.
• Prepares reports and related paperwork; keeps appropriate records.
• Ensures ongoing compliance with NYC Health + Hospitals policies and procedures, national standards, and other applicable external regulatory requirements, guidelines, and accreditation authorities, as well as safety and quality management standards.
• May assist in the provision of clinical services only under supervision of a New York State LCSW, licensed psychologist, or psychiatrist.
• Performs other related duties, as directed and with required supervision.

Requirements

• One (1) year of experience in case management, care coordination, discharge planning, utilization management/review, quality assurance/management, or a closely related area in a health or managed care setting.
• A doctoral degree in Psychology or a related discipline from an accredited college or university, or one of the following may be substituted for a doctoral degree:
  • A valid Credentialed Alcoholism and Substance Abuse Counselor (CASAC) Level I, Level II, Advanced, or Master issued by the NYS Office of Addiction Services and Supports (OASAS).
  • A valid license and current registration to practice as a Licensed Mental Health Counselor (LMHC), Licensed Master Social Worker (LMSW), or Licensed Clinical Social Worker (LCSW) issued by the New York State Education Department (NYSED).
• Positions supporting behavioral health, Health and Recovery Plan (HARP), and children’s special services functions require three (3) years of experience, as described above, and a valid license and current registration to practice as a Licensed Mental Health Counselor (LMHC), Licensed Marriage and Family Therapist (LMFT), Licensed Master Social Worker (LMSW), or Licensed Clinical Social Worker (LCSW) issued by the New York State Education Department (NYSED).

Benefits

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Paid Holidays and Vacation in accordance with employees’ collectively bargained contracts
• Loan Forgiveness Programs for eligible employees
• College tuition discounts and professional development opportunities
• College Savings Program
• Union Benefits for eligible titles
• Multiple employee discounts programs
• Commuter Benefits Programs

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