Partnership In Care Clinical Care Manager

Job Description

Job Description

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.

Position Overview

Under the direction of the Director of Care Management (PIC), the PIC Clinical Care Manager (SW) ensures the promotion of health and wellness of HIV-positive, homeless, and transgender members through the development and oversight of an evidence-informed, individualized Plan of Care that addresses their complex medical, behavioral health and social service needs. This position may be deployed, based on business needs, to health care facilities throughout New York City to provide case management services..

Work Shifts

9 : 00 A.M – 5 : 00 P.M

Duties & Responsibilities

• Provides telephonic and / or face-to-face care management services to members at designated HIV primary care facilities, including care coordination, transition of care, out-patient followup, and ancillary service review to ensure optimal health outcomes.
• Develops and implements an individualized member Plan of Care utilizing various resources, including, but not limited to member, family care giver, primary care provider, and facilitybased or community-based care manager, focused on health coaching and care coordination activities, aligned with member needs and preferences in reaching their health goals.
• Promotes access to and oversees the coordination and delivery of comprehensive, quality healthcare services for HIV-positive, transgender, and homeless members.
• Provides health education and coaching on HIV disease, HIV primary and secondary risk reduction, and other chronic co-morbid illness, including, but not limited to hepatitis C, diabetes and hypertension as indicated by the Plan of Care.
• Communicates with the member’s primary care provider, community case manager and all other applicable providers, vendors, or agencies to facilitate the health and wellness of the

member in a coordinated and comprehensive manner.

regulatory guidelines.

development of HIV Services Health & Wellness Advisors (Level 1).

health and wellness of the member.

relations.

relations and health plan promotion.

organization.

Minimum Qualifications

Licensure and / or Certification Required

Professional Competencies

Benefits

NYC Health and Hospitals offers a competitive benefits package that includes :

#LI-Hybrid

#MHP50