Demo

Care Management Associate (OB, Case Management)

MetroPlusHealth
New York, NY Full Time
POSTED ON 2/12/2025
AVAILABLE BEFORE 5/5/2025

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. You can come to work being proud of what you do every day.

About NYC Health Hospitals

MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly owned subsidiary of NYC Health Hospitals, the largest public health system in the United States, MetroPlus Health's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus Health has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Position Overview

Under the direction of the Team Lead and Care Manager, the Care Management Associate (CMA) is a member of a team that provides support to our Medicaid members receiving Personal Care Services (PCS). As an integral team member, the CMA will work in conjunction with the Care Manager to ensure the member receives appropriate and necessary services, ensuring members are connected to care, engage with the member and the member's care team to identify goals and interventions that will improve their health and community resources that will support their well-being to ensure quality outcomes (i.e., reduction in emergency room visits and hospital admissions, improved member satisfaction, closing and reducing Gaps in Care) and cost effectiveness. The CMA will also support the Team Lead with assignments, reports, referrals, and electronic notifications.

Job Description

  • Problem-solve members' issues in an independent, resourceful manner
  • Perform non-clinical activities for members of varying age, clinical scenario, culture, financial means, social support, and motivation
  • Troubleshoots member issues related to transportation, appointments, DME, medication, SDoH
  • Ensure members have appointments with their providers
  • Engage members / caregivers in a collaborative relationship, empowering them to manage their physical, psychosocial, and environmental health to improve and maintain lifelong well being
  • Coordinate required services in accordance with member, caregiver, clinical and non-clinical providers, and care managers when involved
  • Advocate for members by assisting them to address challenges, and make informed choices regarding the use of social and other community supports
  • Promote communication, both internally and externally to enhance effectiveness of clinical and non-clinical services and overall case management services
  • Assist members in understanding mechanics and management of health care and social support networks
  • Maintain accurate and complete documentation of required information in compliance with risk management, regulatory and accreditation requirements
  • Assist member in research and understanding of benefit and claims information and resolution
  • Protect the confidentiality of member information and adheres to all company policies regarding confidentiality
  • Employ critical thinking and judgment when dealing with unplanned issues
  • Collect and prepare data, statistics, proposals and reports relevant to responsibilities as a Care Management Associate
  • Comply with all orientation requirements, annual and other mandatory trainings, organizational and departmental policies and procedures, and actively participate in evaluation process
  • Ensures compliance with Federal, State, and City regulations, and is consistent with the Mission, Vision, and Values of the organization
  • Performs other appropriate duties and participates in other special projects as assigned by Leadership

Minimum Qualifications

  • Associate's degree required. Bachelor's degree preferred.
  • A minimum of two years of experience in a healthcare-related field is required.
  • Managed Care, care management / coordination, health education, health home or community-based experience is preferred.
  • Proficiency with computers navigating in multiple systems and web-based applications including Excel
  • One year working with pregnant persons preferred
  • Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional / Technical skills
  • Written / Oral Communications
  • Strong customer service skills to coordinate service delivery including attention to members / caregivers, sensitivity to concerns, proactive identification and rapid resolution of issues to promote positive outcomes for members
  • Demonstrated ability to communicate effectively, problem solve and work effectively with people
  • Excellent time management and organizational skills
  • Ability to prioritize and manage changing priorities under pressure
  • MHP50

    LI-Hybrid

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Care Management Associate (OB, Case Management)?

    Sign up to receive alerts about other jobs on the Care Management Associate (OB, Case Management) career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $88,558 - $106,947
    Income Estimation: 
    $104,867 - $137,036
    Income Estimation: 
    $36,436 - $44,219
    Income Estimation: 
    $50,145 - $86,059
    Income Estimation: 
    $48,515 - $60,705
    Income Estimation: 
    $77,602 - $107,094
    Income Estimation: 
    $145,432 - $187,921
    Income Estimation: 
    $88,033 - $117,438
    Income Estimation: 
    $88,033 - $117,438
    Income Estimation: 
    $145,432 - $187,921
    Income Estimation: 
    $135,269 - $185,455
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at MetroPlusHealth

    MetroPlusHealth
    Hired Organization Address New York, NY Full Time
    Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We bel...
    MetroPlusHealth
    Hired Organization Address Brooklyn, NY Full Time
    Position Overview The purpose of this position is to provide financial analysis related to the provision, payment, and r...
    MetroPlusHealth
    Hired Organization Address New York, NY Full Time
    Job Description Job Description Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting ...
    MetroPlusHealth
    Hired Organization Address New York, NY Full Time
    Empower. Unite. Care. MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We bel...

    Not the job you're looking for? Here are some other Care Management Associate (OB, Case Management) jobs in the New York, NY area that may be a better fit.

    Care Management Associate (OB, Case Management)

    MetroPlusHealth, Brooklyn, NY

    Care Management Associate (OB, Case Management)

    MetroPlus Health Plan, New York, NY

    AI Assistant is available now!

    Feel free to start your new journey!