Job Information
MVP Health Care Case Manager- Medicaid Long Term Support Program in Schenectady, New York
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.
Qualifications you’ll bring:
Current New York State Licensure as a Registered Nurse required. Bachelor's degree in nursing preferred
Case Management Certification a Plus (ANCC or CCM)
Certification in Case Management required within 24 months after hire.
At least 3 years of recent clinical and Case Management experience.
Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required.
Experience with Medicaid programs and benefits strongly required.
Ability to professionally communicate with members, and all interdisciplinary team members.
Demonstrated clinical knowledge including an understanding of population health management and the case management process.
Detail oriented with strong organizational skills including the ability to manage time wisely to meet established deadlines.
Ability to work in an energetic team environment.
Experience with situations requiring strict adherence to confidentiality.
Ability to solve problems while exhibiting clinical judgment and realistic understanding of the current environment.
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 plan of care and be able to demonstrate good judgment when dealing with emotionally charged situations.
Strong computer skills including working knowledge of Word, Windows based applications, typing and internet access
Curiosity to foster innovation and pave the way for growth
Humility to play as a team
Commitment to being the difference for our customers in every interaction
Your key responsibilities:
Utilize an integrated utilization management and case management model, including assessment, planning, implementation, care coordination, monitoring, and advocacy, to meet the needs of medically complex Medicaid members.
Identify medical and psychosocial needs of assigned members through collaborative efforts and act as a proactive partner in their care.
Provide education, coordinate care, and allocate appropriate resources to support member health and well‑being.
Engage directly with individual members and maintain ongoing communication with an established interdisciplinary team.
Review comprehensive assessments and develop time‑tasking tools along with individualized, person‑centered plans of care.
Guide members in understanding their benefit coverage and navigating the healthcare delivery system.
Identify and implement solutions to overcome barriers to care and support members in achieving optimal health outcomes and improved functional capabilities.
Coordinate high‑quality, cost‑effective care to address member needs.
Monitor and review cases with the Medical Director to ensure appropriate outcomes and adherence to care standards.
Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
Where you’ll be:
Location: Remote
Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$69,383.00-$92,279.00
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at hr@mvphealthcare.com .