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Metroplus Jobs (NOW HIRING)

MetroPlusHealth

Pharmacy Resident

New York, NY · Hybrid

$18.25 - $22.75/hr

Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...

MetroPlusHealth

Pharmacy Resident

Manhattan, NY · On-site

$57K/yr

Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...

MetroPlusHealth

Care Manager

Manhattan, NY · On-site

$83K/yr

About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of ...

MetroPlusHealth

Pharmacy Resident

Manhattan, NY · Hybrid

$57K/yr

Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...

NYC Health Hospitals

Staff Nurse - CHS

New York, NY · On-site

$112K/yr

We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.

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How much do metroplus jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for metroplus in the United States is $20.83, according to ZipRecruiter salary data. Most workers in this role earn between $19.95 and $21.88 per hour, depending on experience, location, and employer.

What is a Metroplus?

A MetroPlus job typically refers to a position at MetroPlusHealth, a health insurance provider serving New York City residents. Jobs at MetroPlusHealth span various roles, including customer service, healthcare management, administration, and IT. Employees work to provide affordable, quality healthcare solutions to individuals, families, and businesses. Positions may require experience in healthcare, insurance, or customer support, depending on the role.

What are the key skills and qualifications needed to thrive in the Metroplus position, and why are they important?

To thrive at MetroPlus Health, professionals typically need a background in healthcare administration, insurance, or case management, often supported by a relevant degree or credential. Familiarity with health plan management systems, regulatory compliance tools, and electronic records is important in this environment. Excellent communication, problem-solving skills, and the ability to work collaboratively help team members excel. These competencies are crucial for ensuring quality service delivery, regulatory compliance, and efficient support for members and providers.

What are some common challenges faced by employees at MetroPlus Health, and how are they addressed?

At MetroPlus Health, employees often navigate challenges such as managing a high volume of member inquiries, adhering to evolving healthcare regulations, and ensuring accurate coordination among providers, members, and internal teams. The organization provides robust training, cross-functional support, and up-to-date resources to help team members stay informed and equipped to handle these demands. Colleagues work collaboratively to share expertise and resolve complex cases, and management fosters a culture of continuous improvement and open communication. This supportive environment helps employees grow professionally while maintaining high standards of service and care.

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Metroplus jobs near you
Infographic showing various Metroplus job openings in the United States as of August 2026, with employment types broken down into 97% Full Time, and 3% Part Time. Highlights an 76% Physical, and 24% Hybrid job distribution, with an average salary of $43,327 per year, or $20.8 per hour.

Children's Care Manager (RN)

MetroPlusHealth

Manhattan, NY • On-site

$112K/yr

Full-time

Re-posted 25 days ago

MetroPlusHealth rating

6.7

Company rating: 6.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

275th of 315 rated insurance

Job description

Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
About NYC Health + Hospitals
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 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 nurse Care Manager (CM) is responsible for reviewing and approving Plans of Care, CANS-NY assessments, and UM review for HCBS services. The CM is also responsible for care management for medically fragile children and supporting the coordination of services related to inpatient, homecare, specialty medications, and DME according to UM requirements set forth by the "office of Health Insurance Programs Principles for Medically Fragile Children. The CM works with Health Home Coordinators, community providers, and LDSS/VCFA to ensure proper access, level of care, level of need and continuation of care for Medically Fragile and Care at Home children.
Work Shifts
9:00 AM - 5:00 PM
Duties & Responsibilities
  • Coordinates with Health Home Coordinators and LDSS/VFCA Care Managers to ensure that patient comprehensive treatment needs are met.
  • Coordinates member's service needs with community agencies.
  • Provide education and coaching to members' family.
  • Conducts follow up quarterly assessment calls to Health Home Coordinators.
  • Provide clinical guidance and support to assist members with achieving their goals.
  • Have extensive knowledge of community resources/services.
  • Prepares for and participates in all clinical rounds.
  • Interacts with physicians and other members of the Providers' Clinical Teams for discharge planning and required DME.
  • Coordinates with UM team to determine appropriate level of care.
  • Consults with Clinical Peer Reviewers when requests for services do not meet medical necessity criteria.
  • Interacts with Clinical Peer Reviewers to discuss clinical/authorization questions, alternative treatment options and concerns regarding specific cases.
  • Provides information to members' families, Health Home coordinators, LDSS/VFCA, clinical and HCBS providers regarding medical benefits.
  • Provides telephone triage and crisis intervention to callers and, when necessary, assists with ensuring members have access to local services and resources.
  • Recognizes quality of care issues and reports them appropriately through internal and external processes.
  • Perform other duties as assigned by Medical Director for Medically Fragile Children, Senior Director of Children's Special Services, and the Director of Children's Special Services.

Minimum Qualifications
  • A minimum of a Bachelor's Degree required.
  • A minimum of two years' clinical experience in an acute care setting.
  • Experience using InterQual Guidelines required.
  • Knowledge of medical care and HCBS services needed by medically fragile children.

Licensure and/or Certification Required:
  • Valid New York State license and current registration to practice as a Registered Professional Nurse (RN) issued by the New York State Education Department (NYSED).

Professional Competencies:
  • Clinical skills and subject matter knowledge.
  • Must be able to learn and master UM/CM MetroPlusHealth systems and procedures.
  • Customer Service
  • Oral and written communication skills

#LI-hybrid #MPH50

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