Care Management Supervisor

Metropolitan Jewish Health System; New York (NY); On-site; USD 85,000 - 110,000; Full time

Job summary

Metropolitan Jewish Health System in New York is seeking a Care Management Supervisor to oversee member care coordination across the continuum and to guide a dedicated care team. You will supervise assessments, ensure documentation quality, and help staff deliver high-quality care to members and their families.

The role emphasizes collaboration with PCPs, SCPs, and health care teams, with responsibility for system-wide care improvements and reporting.

Qualifications

• Master of Social Work or related field, or RN or CSW.
• 1-3 years of management experience preferred.
• Experience in managed care, utilization or case management required.
• Current NYS CSW license if CSW qualified.
• CCM certification preferred.

Responsibilities

• Oversees management of member care and coordinates with care teams across the continuum.
• Supervises assessments and provides guidance to staff.
• Reviews cases and recommends changes to improve care quality.
• Ensures thorough documentation and produces efficacy reports; manages staff performance.

Education

Master of Social Work Degree or related field, or RN or CSW

1-3 years management experience

Managed care experience in utilization/case management

NYS CSW license (if CSW qualified)

CCM certification preferred

Job description

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. Even in a non-clinical role, Elderplan employees have an opportunity to make a positive impact on the quality of our health plan members' lives.

Oversees the management of member care with members, their families or significant others and coordinates with the PCP, SCP and all of the health care team facilitating the member's care across the continuum of care. The Care Management Supervisor also acts as a resource to staff reviewing cases, and makes recommendations for change, and supervises assessments of members' needs though coordination with the care team. In addition, supervises a wholistic variety of member's needs through communication with the health care team. The CMS also ensures a high level of complication with all documentation, provides efficacy reports, and manages the performance of their direct and indirect reports.

• Master of Social Work Degree or related field, or RN or CSW.
• Minimum one to three years previous management experience preferred.
• Previous managed care experience in the areas of utilization management and/or case management required.
• Current NYS CSW if CSW qualified.
• CCM preferred.