Professional, Hospital Based 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** As a **Care Manager RN**, where you'll play a critical role in supporting members through their hospital stay and transition home. In this collaborative, patient-focused role, you will partner with hospital staff, providers, caregivers, and community resources to coordinate care, facilitate safe discharge planning, address barriers to recovery, and improve health outcomes. The ideal candidate is a compassionate New York State Registered Nurse with experience in care management, case management, or disease management who is passionate about advocating for patients, navigating complex healthcare needs, and delivering exceptional care throughout the transition of care process. **Qualifications you’ll bring:** - Current New York State Licensure as a Registered Nurse required with at least 4 years of recent clinical and Care Management experience. - Certification in Case Manager (CCM) is required within 2 years of employment. - 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. **Your key 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 understandin…