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CDPHP HARP Care Manager in Albany, New York

For more than 30 years, CDPHP has been providing outstanding health care coverage in the Capital Region of New York and beyond. Based in Albany, NY, the physician-guided not-for-profit offers plans in 24 counties. CDPHP cares deeply about the health and well-being of its members as well as its employees. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.
The HARP Care Manager (RN) is responsible for assisting HARP members identified at risk for recidivism, discontinuous care, or as members or priority or special needs populations who present with complex needs for coordination of their behavioral health service with other aspects of their care. The HARP Care Manager is responsible for assisting these assigned members to care at all levels of the continuum, and for providing any and all required field visits, discharge coordination; referrals to care plan of care development and care coordination as needed. The HARP Care Manager executes these responsibilities consistent with the applicable CDPHP’s policies and procedures. A HARP Care Manager represents the organization to providers, member groups and families, and participates in the overall administration of clinical operations as warranted.
The HARP Care Manager is expected to being a level of clinical leadership to the care management department. In addition, a HARP Care Manager may serve as the care management lead for other members of his/her team. HARP Care Managers are responsible to meet with members in their homes, hospitals and other outpatient settings.
Associates degree required. Bachelor’s degree preferred.
Registered Nurse with a current New York State license is required.
Certification in substance use disorders helpful. Behavioral health experience preferred.
A minimum of three (3) years clinical experience is required.
1-2 years of medical-surgical nursing strongly preferred.
Experience in managed care strongly preferred.
Experience with chronic condition management, particularly diabetes and heart disease is required.
General knowledge of best practices in behavioral health, emphasizing work with special needs or priority populations and in public sector systems.
Case management experience and CCM certification preferred.
Ability to provide case management for complicated members with multiple comorbidities and chronic diseases.
Experience working with database systems, as well as Microsoft Office Suite (Outlook, Word, Excel etc.)

As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law.