Case Manager, Transition Care (Job ID: 1234), MVP Health Care

Posted: 04/12/18 | SHARE:


MVP Health Care is a nationally-recognized, regional not-for-profit health plan.  We are committed to having a positive impact on the health and wellness of everyone and every community we serve. We care for more than 700,000 members across New York and Vermont, and we are powered by the ideas and energy of more than 1,600 employees – providing a wide range of health benefit plan options with attentive service and flexibility normally associated with a smaller company.  Stop settling for “just a job,” and join a company where you can reach your full potential…and make a positive difference!


Under the direction of the supervisor of Care Management, the Transition Care Manager will provide support to MVP members who are at risk for readmission. MVP’s Transition Care team will outreach members post hospitalization, to assist them in overcoming major “barriers to care”. This coaching is done through a variety of methods such as home visits and telephonic support, as well as video visits. The goal of the Transition Care team is to improve the health outcomes of these at risk members and reduce MVP’s overall readmission rates. The Transition Care Manager will perform assessment, planning, facilitation, care coordination, evaluation, and advocacy for options for their members to promote quality, cost-effective outcomes. Performs other duties as required.



Minimum Education:

Current New York State Licensure as a Registered Nurse or Licensed Medical Social Worker.

A Bachelor's degree in nursing is preferred.

Case Management Certification a plus (ANCC or CCM). Certification in Case Management required within 24 months after hire.

Minimum Experience:

At least 3 years of recent clinical or Case Management experience required.

Home Care experience a plus.

Required Skills:

•Ability to professionally communicate with members, and all interdisciplinary team members.

•Excellent oral and written communication skills.

•Demonstrated clinical knowledge including an understanding of 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 care plan 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.

•The employee is required to have a current and valid state driver’s license and current liability insurance coverage.

Additional Information


JOB TITLE: Case Manager, Transition Care (Job ID: 1234)            

STATUS: Full-time, Exempt

LOCATION: Rochester

MVP Health Care is an Affirmative Action/Equal Opportunity Employer). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency, protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at

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