Care Coordinator

4 days ago


New York, New York, United States MJHS Full time
Job Title: Managed Care Coordinator

We are seeking a highly skilled Managed Care Coordinator to join our team at MJHS. As a Managed Care Coordinator, you will play a critical role in ensuring high-quality, cost-effective care and services for our Elderplan members.

Responsibilities:
  • Support all aspects of care coordination for our ISNP, IESNP, and Elderplan Plus members in compliance with all departmental and regulatory requirements.
  • Receive and process assignments from ISNP Case Managers and Community staff/PCP outreach.
  • Collaborate with healthcare professionals to develop and implement individualized care plans that meet the unique needs of our members.
  • Monitor and evaluate the effectiveness of care plans, making adjustments as needed to ensure optimal outcomes.
  • Communicate effectively with members, families, and healthcare providers to ensure seamless care transitions and coordination.
Requirements:
  • High School Diploma or equivalent; College Degree preferred.
  • One-year prior managed care experience preferred.
  • Prior experience in a healthcare setting preferred.
  • Familiarity with utilization management/case management.
Why Work for MJHS?

At MJHS, we are committed to creating a workforce as diverse as our community. We offer a great culture, competitive rates, and a work-life balance that allows you to thrive in your career. Our comprehensive benefits package includes tuition reimbursement, paid time off, and affordable health and financial benefits.

We are a not-for-profit organization that values our employees and provides opportunities for career growth and development. If you are passionate about delivering high-quality care and making a difference in the lives of our members, we encourage you to apply for this exciting opportunity.


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