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Managed Care Coordinator
2 months ago
MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees.
At MJHS, quality care is our mission. We are committed to creating a workforce as diverse as our community. We have a great culture; we offer great benefits that include a work/life balance and competitive rates.
MJHS attracts individuals who see their work as a calling as well as a job. Professionals in every job category have stated that they appreciate being left to make their own decisions, are encouraged to voice their opinions, and are given the necessary breathing room to do their work with minimal supervision. Yet, at the same time, they feel that management and their co-workers are solidly behind them and readily accessible.
MJHS Home Care provides advanced clinical services and emotional support to patients recovering from illness, injury, or surgery. With a comprehensive range of services supported by an integrated health system, patients can recover in the familiar surroundings of their home.
- This position will ensure high quality, cost-effective care and services for Elderplan members through support of professional Care Management and/or Clinical Service activities
- This position will support all aspects of care coordination for our ISNP, IESNP and Elderplan Plus members in compliance with all departmental and regulatory requirements
- The position requires excellent communication and organizational skills
- High School Diploma or equivalent; College Degree preferred
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One-year prior managed care experience preferred
Prior experience in a health care setting preferred
Familiarity with utilization management/case management
