Professional, Hospital Based BH Care Manager

MVP Health Care • Tarrytown, NY

6d • Onsite

About The Position

At MVP Health Care, we are on a mission to create a healthier future for everyone – which requires innovative thinking and continuous improvement. To achieve this, we are looking for an onsite Hospital Care Manager to join #TeamMVP. If you have a passion for patient advocacy, improving patient outcomes and collaboration, this is the opportunity for you.

Requirements

• Current New York State Licensure as a behavioral health practitioner (LMHC, LCSW, LMFT, RN) required with at least 3 years of mental health and/or substance use experience.
• Minimum of 3 years of recent mental health and/or substance use experience required.
• Ability to work cross functionally and influence clinical stakeholders to best support the patient’s needs.
• Demonstrated clinical knowledge including an understanding of population health management and the care management process.
• Experience with situations that require strict adherence to confidentiality.
• Ability to make independent decisions regarding resource utilization, and quality of care.
• Must demonstrate understanding of clinical and psychosocial issues that may alter treatment or care plan and be able to demonstrate good 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.

Nice To Haves

• Case Management certification preferred.
• Case Management experience in a managed care organization preferred.
• Knowledge of Transition of Care (TOC)
• Knowledge of HEDIS & Quality Measure
• Knowledge of Government Programs

Responsibilities

• This position will utilize the essentials of an integrated care management model that includes assessment, planning, implementation, care coordination, monitoring, and care planning to meet the comprehensive health needs of members admitted to selected hospital facilities.
• In collaboration with hospital discharge staff, the Care Manager will identify the medical and psychosocial needs of members, function as a proactive partner, and provide appropriate education, resources and healthcare coaching through “face to face” meetings during the members inpatient hospital stay.
• The principal role of the position is to engage with the member, their care giver (as appropriate) and their specific providers during the inpatient hospital stay.
• The Care Manager will work to identify any potential barriers to a safe and effective discharge plan and will provide guidance in understanding benefit coverage and navigating the health care delivery system.
• The overall objective is to work collaboratively with hospital staff and assist in discharge planning and to ensure the member achieves optimal health care services through the coordination of quality cost effective care.
• The Care Manager will also monitor and review cases with the appropriate provider and on-site clinical care teams to ensure appropriate outcomes when a significant concern is identified.
• The Care Manager will support members throughout inpatient hospital stay and for a period of 30 days post discharge to ensure adequate care coordination and education in the transition of care period.
• 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.

Benefits

• 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 in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed