Lead Care Coordination & Managed Care

MJHS; New York (NY); On-site; USD 90,000 - 130,000; Full time

Job summary

MJHS in New York, NY seeks a Nursing/Case Management leader to oversee the clinical care management team. This role ensures timely evaluation, development of individualized plans, and the provision of interventions for at-risk and chronically ill members.

The position emphasizes mentoring staff, applying CQI principles, and ensuring compliance with federal and state managed care requirements, with a focus on improving outcomes and patient quality of life.

Qualifications

• Graduate from an accredited nursing program with a Baccalaureate in Nursing; Master's degree preferred.
• Minimum of 1 year nursing or social work practice in clinical settings (hospital, nursing facility, or home health).
• NYS RN license and registration, or NYS SW License; CCM preferred.

Responsibilities

• Provide daily oversight of the clinical care management team.
• Ensure timely evaluation, development and implementation of individualized care plans.
• Care for at-risk and chronically ill members to ensure needed services and interventions.
• Support self-management, improved clinical outcomes, and quality of life.

Skills

RN license

Management experience

Case management

Communication skills

Critical thinking

Team leadership

CQI knowledge

Regulatory knowledge

Education

BSN required

MSW or related field preferred

LMSW preferred

Job description

MJHS in New York, NY seeks a Nursing/Case Management leader to oversee the clinical care management team. This role ensures timely evaluation, development of individualized plans, and the provision of interventions for at-risk and chronically ill members.

The position emphasizes mentoring staff, applying CQI principles, and ensuring compliance with federal and state managed care requirements, with a focus on improving outcomes and patient quality of life.