Case Management Analyst

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Job Description:

  • Provide comprehensive care management services to members enrolled in the New York Managed Long Term Care (MLTC) Plan
  • Conduct psychosocial assessments and identify member needs
  • Develop and implement person-centered service plans
  • Coordinate long-term services and supports
  • Facilitate access to medical, behavioral health, and community resources
  • Collaborate with members, caregivers, providers, and interdisciplinary teams
  • Promote member independence and improve health outcomes
  • Address social determinants of health
  • Ensure delivery of quality, cost-effective care
  • Conduct member visits within the assigned service area as needed

Requirements:

  • Active and unrestricted New York State Social Work license (LMSW or LCSW), as required
  • Minimum 2 years of experience in care management, case management, managed care, behavioral health, long-term care, home care, or a related healthcare setting
  • Knowledge of New York Medicaid, Medicare, Managed Long Term Care (MLTC), and Long-Term Services and Supports (LTSS)
  • Experience conducting psychosocial assessments and developing person-centered care plans
  • Strong communication, care coordination, advocacy, organizational, and problem-solving skills
  • Ability to work collaboratively with interdisciplinary teams, providers, members, and caregivers
  • Proficiency in Microsoft Office applications and electronic documentation systems
  • Ability to travel within the assigned service area to conduct member visits as needed
  • Master's Degree in Social Work (MSW) from an accredited college or university required
  • Active New York State LMSW or LCSW licensure preferred or required based on business needs
  • Equivalent combination of education and relevant care management experience may be considered where applicable

Benefits:

  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources supporting physical, emotional, and financial well-being
  • CVS Health bonus, commission or short-term incentive program eligibility
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