Care Management Associate (Case Management)

MetroPlusHealth 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, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus 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.

• 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

Professional Competencies

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