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Managed Care Coordinator
2 months ago
MJHS is a leading not-for-profit health system in the Greater New York area, providing a range of health services including home care, hospice, and palliative care for adults and children, rehabilitation, and nursing care. Our mission is to deliver high-quality care to our patients and residents.
Job SummaryWe are seeking a highly skilled Care Management Specialist to join our team at MJHS Medical Associates, P.C. This role will be responsible for ensuring high-quality, cost-effective care and services for our Elderplan members through support of professional Care Management and/or Clinical Service activities.
Key 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.
- Monitor and evaluate the effectiveness of care plans and make adjustments as needed.
- 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.
We offer a comprehensive benefits package, including tuition reimbursement, generous paid time off, and affordable medical, dental, and vision coverage. Our company is a qualified employer under the Federal Government's Paid Student Loan Forgiveness Program.
