Metropolitan Jewish Health System

Title: Social Work Manager Location: New York, NY Job Description: Req #: 4207 Job ID: 15618 Job Location: New York, NY Zip Code: 10041 Category: Management - Clinical Agency: MJHS Hospice & Palliative Care Status: Regular Full-Time Office: Office-based Salary: $86,351.78 - $103,622.14 per year $15,000 Sign-On Bonus or Student Loan Assistance! Hybrid schedule: 3 days in office / 2 days remote. Our groundbreaking hospice and palliative care programs offer a significant difference when dealing with a life-limiting condition. We offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: - Sign-on Bonuses OR Student Loan Assistance for clinical staff - Tuition Reimbursement for all full and part-time staff - Dependent Tuition Reimbursement for clinical staff! - Generous paid time off, including your birthday! - Affordable and comprehensive medical, dental and vision coverage for employee and family members - Two retirement plans! 403(b) AND Employer Paid Pension - Flexible spending - And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities: Our groundbreaking hospice and palliative care programs offer a significant difference when dealing with a life-limiting condition. We offer a broad range of services in the community or facility-based to help patients and their families ease the burden of managing a life-limiting illness or end of life care. In this role, you will take on the responsibility for managing the Hospice and Palliative Care Social Workers by providing leadership and mentoring guidance to the staff on a day-to-day basis to ensure the provision of Hospice and Palliative Care services are consistent with the philosophy, goals, and policies of the program and MJHS. You will coordinate the provision of Hospice and Palliative Care psychosocial services and ensure adequate staffing and appropriate patient assignments. You will maintain the integration of psychosocial services as part of the Hospice and Palliative Care program’s interdisciplinary team approach and you will function as a member of the Hospice and Palliative Care management team and attends management meetings as directed. - Mentors and provides leadership direction to the Social Work staff - Social Worker Documentation Compliance - Participates in Referral and Community Education and Presentations - Oversees the preparation and planning of weekly team meetings Qualifications: Master's Degree in Social Work from a Graduate School of Social Work accredited by the Counsel of Social Work Education. Minimum five years post Master's degree; minimum 2 years end-of-life care experience; minimum 2 years of supervisory/program development experience. New York State LCSW licensure within one year of employment, R # preferred, SIFI Certification within one year of employment, valid NYS

Role 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. Responsibilities include: - Responding to member and provider inquiries and requests concerning benefits, claims, and complaints within a call center environment. - Ensuring high quality customer service to members and providers. - Receiving calls from members and providers. - Responding to customer complaints and grievances. - Recording all calls and details. - Receiving requests for adjustments on claim issues. - Receiving requests for disenrollment. Qualifications - High School Diploma - Minimum 6 months call center experience - Proficiency in Microsoft Word - Excellent skills in telephone communication and a professional demeanor - Ability to manage multiple tasks and work consistently in a fast-paced environment - Bilingual preferred Requirements - Min: USD $41,000.00/Yr. - Max: USD $45,000.00/Yr. Benefits - Tuition Reimbursement for all full and part-time staff - Generous paid time off, including your birthday! - Affordable and comprehensive medical, dental, and vision coverage for employee and family members - Two retirement plans: 403(b) AND Employer Paid Pension - Flexible spending - And MORE! - MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Role 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. At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. You will: - Manage high volume incoming calls, and emails - Problem solve and research solutions for the caller - Log all calls into computer with details of the call - Work within multiple systems with dual screen monitors - Maintain a professional dialogue while handling difficult situations with callers Qualifications - High School Diploma or equivalent - Must live in the tri-state area - 3-4 years of experience in customer service in a healthcare environment - Prior experience in one or more of the following: Medicare, Medicaid, health insurance, geriatric population and or utilization/care management process is preferred. Requirements - Min: USD $40,000.00/Yr. - Max: USD $43,000.00/Yr. Benefits - Tuition Reimbursement for all full and part-time staff - Generous paid time off, including your birthday! - Affordable and comprehensive medical, dental and vision coverage for employee and family members - Two retirement plans: 403(b) AND Employer Paid Pension - Flexible spending - And MORE! - MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Overview 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. $15,000 Sign-On Bonus or Student Loan Assistance! for Licensed Social Workers The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: - Sign-on Bonuses OR Student Loan Assistance for clinical staff - Tuition Reimbursement for all full and part-time staff - Dependent Tuition Reimbursement for clinical staff! - Generous paid time off, including your birthday! - Affordable and comprehensive medical, dental and vision coverage for employee and family members - Two retirement plans! 403(b) AND Employer Paid Pension - Flexible spending - And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities Provides telephonic and in-home assessments of members' medical, psychosocial, physical and spiritual needs. Develops, implements and monitors care plan, ensures continuity of care and monitors member's chronic care benefit. Qualifications BS in social work or related field required. Master's in social work, healthcare, gerontology or related field preferred. Current NY State CSW also preferred for Master's prepared candidates. Prior human services experience required. Experience working in an interdisciplinary service delivery environment preferred. Demonstrated assessment skills, strong communication and interpersonal skills and strong comprehensive care planning and crisis intervention skills required. Bilingual Bengali, Cantonese, Mandarin, or Spanish required. Min USD $77,099.34/Yr. Max USD $92,519.21/Yr.

Overview 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, employees have an opportunity to make a positive impact on the quality of our health plan members' lives. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: - Sign-on Bonuses OR Student Loan Assistance for clinical staff - FREE Online RN to BSN and MSN degree programs! - Tuition Reimbursement for all full and part-time staff - Dependent Tuition Reimbursement for clinical staff! - Generous paid time off, including your birthday! - Affordable and comprehensive medical, dental and vision coverage for employee and family members - Two retirement plans! 403(b) AND Employer Paid Pension - Flexible spending - And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities Processes all requests for services in accordance with Medicare and NYS Medicaid Guidelines as well as departmental criteria and guidelines. Works collaboratively with other disciplines including Care Manager, Assessment Nurse and Primary Care Physician or other Specialists as necessary to ensure timely provision of services. Coordinates timely completion of UAS NY assessment that accurately reflects current condition of the member. Ensures that the member’s Individualized Person-Centered Care Plan has been updated and accurately reflects present status of the member. Qualifications - Graduate of an accredited nursing program, Bachelor’s preferred - Knowledge with Utilization management processes preferred - Current NY RN license and registration required - CCM preferred - Minimum three to five years nursing experience in long term care, managed care, home care, geriatrics or hospice - Prior experience in an interdisciplinary service delivery environment preferred - Working knowledge of Medicare and Medicaid regulations - Prior experience in an interdisciplinary service delivery environment preferred - Working knowledge of Windows, Word and Excel - Knowledge of current standards of medical practice and healthcare delivery systems - Strong assessment skills - Knowledge of Interqual preferred Min USD $90,000.00/Yr. Max USD $110,000.00/Yr.

Overview 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. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: - Tuition Reimbursement for all full and part-time staff - Generous paid time off, including your birthday! - Affordable and comprehensive medical, dental and vision coverage for employee and family members - Two retirement plans! 403(b) AND Employer Paid Pension - Flexible spending - And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities Responds to member and provider inquires and requests concerning benefits, claims and complaints within a call center environment in order to ensure high quality customer service to members and providers. Receives calls from members and providers. Responds to customers complaints and grievances. Records all calls and detail. Receives requests for adjustments on claim issues. Receives requests for disenrollment. Qualifications - High School Diploma - Minimum 6 months call center experience - Microsoft Word - Excellent skills in telephone communication and a professional demeanor - Ability to manage multiple tasks and work consistently in a fast-paced environment Min USD $41,000.00/Yr. Max USD $45,000.00/Yr.

Overview 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, employees have an opportunity to make a positive impact on the quality of our health plan members' lives. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: - Sign-on Bonuses OR Student Loan Assistance for clinical staff - FREE Online RN to BSN and MSN degree programs! - Tuition Reimbursement for all full and part-time staff - Dependent Tuition Reimbursement for clinical staff! - Generous paid time off, including your birthday! - Affordable and comprehensive medical, dental and vision coverage for employee and family members - Two retirement plans! 403(b) AND Employer Paid Pension - Flexible spending - And MORE! MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF) Responsibilities Processes all requests for services in accordance with Medicare and NYS Medicaid Guidelines as well as departmental criteria and guidelines. Works collaboratively with other disciplines including Care Manager, Assessment Nurse and Primary Care Physician or other Specialists as necessary to ensure timely provision of services. Coordinates timely completion of UAS NY assessment that accurately reflects current condition of the member. Ensures that the member’s Individualized Person-Centered Care Plan has been updated and accurately reflects present status of the member. Qualifications - Graduate of an accredited nursing program, Bachelor’s preferred - Knowledge with Utilization management processes preferred - Current NY RN license and registration required - CCM preferred - Minimum three to five years nursing experience in long term care, managed care, home care, geriatrics or hospice - Prior experience in an interdisciplinary service delivery environment preferred - Working knowledge of Medicare and Medicaid regulations - Prior experience in an interdisciplinary service delivery environment preferred - Working knowledge of Windows, Word and Excel - Knowledge of current standards of medical practice and healthcare delivery systems - Strong assessment skills - Knowledge of Interqual preferred Min USD $90,000.00/Yr. Max USD $110,000.00/Yr.