Medicare Care Manager Team Lead

Marketing Statement

MetroPlusHealth 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, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.

Position Overview

The Medicare Care Manager Team Lead manages day to day activities of the Care Management (CM) team (RN/ SW Care Managers and Care Management Associates) to ensure quality outcomes such as reduction in emergency room visits and hospital admissions, improved member satisfaction, closing and reducing gaps in care, and cost effectiveness. This is accomplished through hands-on, participatory management where all aspects of day-to-day care management operations are supervised, and feedback is shared with the leadership team for the purpose of meeting program goals and the implementation of continuous quality improvement strategies. The Medicare Care Manager Team Lead provides training, ongoing support, and mentorship to the CM team.

The Medicare Care Manager Team Lead facilitates the successful execution of the Integrated Care Management program by providing day to day supervision and applying problem solving skills to ensure the delivery of member-centered care management, improved access to community resources and improvement of overall health status of members.

Job Description

Minimum Qualifications

Department Preferences