Professional, Hospital Based BH Care Manager

Join Us in Shaping the Future of Health Care

At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.

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

You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.

About the Opportunity

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.

What You'll Do

• 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.

Skills and Experience

• Education, Licensures, & Certifications
  • 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.
  • Case Management certification preferred.
• Years of Experience (Required & Preferred)
  • Minimum of 3 years of recent mental health and/or substance use experience required.
  • Case Management experience in a managed care organization preferred.
• Required Job Skills

• 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.

• 
  Preferred Job Skills
  • Knowledge of Transition of Care (TOC)
  • Knowledge of HEDIS & Quality Measure
  • Knowledge of Government Programs

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.

$83,259.60-$110,734.80

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 .