Managed Care Coordinator III

4 weeks ago

New York, United States Metropolitan Jewish Health System Full time

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.

Why work for MJHS?:

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest

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
  • Affordable 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 Governments Paid Student Loan Forgiveness Program (PSLF)

Responsibilities:

The Managed Care Coordinator (MCC) is expected to insure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities. The position supports all aspects of care coordination for our Medicaid, and/or dual product members in compliance with all departmental and CMS/DOH regulatory requirements. The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.

Qualifications:
  • High School Diploma or equivalent; college degree preferred
  • One year prior managed care experience required
  • Prior experience in a health care setting preferred
  • Familiarity with utilization management/case management


Min:
USD $46,640.15/Yr.

Max:
USD $58,300.19/Yr.

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