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.

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