Current jobs related to Care Coordinator for Behavioral Health Utilization Management - New York, New York - NYC Health Hospitals
-
Behavioral Health Care Manager
2 weeks ago
New York, New York, United States MetroPlus Health Plan Full timeJob Title: Behavioral Health Care ManagerAt MetroPlus Health Plan, we are committed to empowering New Yorkers by uniting communities through care. We believe that healthcare is a right, not a privilege. If you have compassion and a collaborative spirit, we invite you to join our team.Job Summary:The Behavioral Health Care Manager develops, facilitates, and...
-
Care Manager
2 weeks ago
New York, New York, United States Care Collab Full timeJob SummaryCareCollab is seeking a skilled Care Manager to lead the engagement and coordination of comprehensive care and services for high-utilization Medicaid members with chronic medical and behavioral health conditions.This role is crucial in addressing the holistic needs of our members, including behavioral, medical, and social aspects. Key...
-
Behavioral Health Care Manager
2 weeks ago
New York, New York, United States Integral Health Full timeJob Title: Behavioral Health Care ManagerAt Integral Health, we are seeking a skilled Behavioral Health Care Manager to join our team. This role is responsible for coordinating behavioral health care for our patients and collaborating with primary care providers.Key Responsibilities:Coordinate behavioral health care with primary care providersConduct...
-
Behavioral Health Care Manager
4 weeks ago
New York, New York, United States MetroPlus Health Plan Full timeJob Title: Behavioral Health Care ManagerJoin MetroPlus Health Plan, a leading provider of healthcare services in New York City, as a Behavioral Health Care Manager. In this role, you will play a critical part in developing and implementing care plans for our members with behavioral health needs.Job SummaryThe Behavioral Health Care Manager will work closely...
-
Behavioral Health Care Manager II
4 weeks ago
New York, New York, United States Elevance Health Full timeJob SummaryElevance Health is seeking a highly skilled Behavioral Health Care Manager II to join our team. As a key member of our team, you will be responsible for managing psychiatric disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.Key ResponsibilitiesUses appropriate screening criteria...
-
Behavioral Health Operations Manager
3 weeks ago
New York, New York, United States Amida Care Full timeJob Title: Manager of Behavioral Health OperationsAmida Care, a leading Medicaid HIV Special Needs Plan in NY, is seeking a highly motivated and experienced leader to join our team as the Manager of Behavioral Health Operations.About Amida CareWe deliver a uniquely effective care model that has become a true benchmark for innovation, engagement, and member...
-
BH Care Manager
6 days ago
New York, New York, United States MetroPlus Health Plan Full timeJob SummaryMetroPlus Health Plan is seeking a skilled BH Care Manager to join our team. As a BH Care Manager, you will be responsible for developing, facilitating, and communicating a plan of care in partnership with the member, their assigned Health Home, primary caregiver, the primary and attending physicians, and various Behavioral Health and/or substance...
-
Manager of Behavioral Health Operations
2 weeks ago
New York, New York, United States Amida Care Full timeJob Title: Manager of Behavioral Health OperationsAmida Care, a leading Medicaid HIV Special Needs Plan in NY, is seeking a highly motivated and experienced leader to join our team as the Manager of Behavioral Health Operations.This is a unique opportunity to work with a team that delivers a comprehensive care model that has become a benchmark for...
-
Behavioral Health Director
2 months ago
New York, New York, United States VNS Health Full timeAbout the RoleVNS Health is seeking a highly skilled and experienced Behavioral Health Director to lead our team in Manhattan, New York.Key ResponsibilitiesStrategic PlanningDevelop and execute strategic plans for Behavioral Health services, identifying opportunities for differentiation and enhanced service delivery.Drive the development of clinical-medical...
-
Behavioral Health Care Manager
2 weeks ago
New York, New York, United States PM Pediatric Care Full timeJob SummaryWe are seeking a highly skilled Behavioral Health Care Manager to join our team at PM Pediatric Care. As a key member of our primary care team, you will provide brief, immediate behavioral health interventions as part of integrated primary care services.Key ResponsibilitiesProvide quick and accurate clinical assessments for patients using...
-
Behavioral Health Outreach Coordinator
3 days ago
New York, New York, United States Network Temp Inc Full timeEmpowering recovery, one connection at a time.Network Temp Inc seeks a highly motivated and compassionate Behavioral Health Outreach Coordinator to join our team. In this critical role, you will play a vital part in connecting members with clinical care and community resources, driving their behavioral health recovery forward.Your day will be filled with...
-
Behavioral Health Care Specialist
12 hours ago
New York, New York, United States Haven Behavioral Healthcare Full timeHaven Behavioral Healthcare is seeking a skilled Behavioral Health Care Specialist to join our team.Job Summary:We are looking for a dedicated and compassionate individual to provide direct patient care to patients under the supervision of the Registered Nurse. This role is ideal for those who are passionate about delivering quality care and making a...
-
Behavioral Health Operations Manager
2 weeks ago
New York, New York, United States Amida Care Full timeJob SummaryAmida Care, a leading Medicaid HIV Special Needs Plan in NY, seeks a highly motivated and experienced leader to join our team as the Manager of Behavioral Health Operations.This role supports the Integrated Care and Behavioral Health area of health services through oversight and organization of administrative efforts, including vendor relations,...
-
Behavioral Health Director
2 months ago
New York, New York, United States VNS Health Full timeAbout the RoleVNS Health is seeking a highly skilled and experienced Behavioral Health Director to join our team. As a key member of our leadership team, you will be responsible for driving the strategic planning process for Behavioral Health services, identifying opportunities for differentiation and enhanced service delivery.Key ResponsibilitiesDevelop and...
-
Behavior Therapist
6 days ago
New York, New York, United States Akoya Behavioral Health Full timeAbout the Role:Akoya Behavioral Health is seeking a dedicated and compassionate Behavior Technician/Registered Behavior Technician (RBT) to join our team. As a Behavior Technician, you will play a vital role in providing 1:1 care to children with autism using the principles of applied behavior analysis (ABA) in the comfort of their own homes.Key...
-
Care Manager Utilization Specialist
2 weeks ago
New York, New York, United States Cynet Health Full timeJob Title: Care ManagerJob Specialty: Utilization Management and Care CoordinationJob Duration: 9 monthsShift: Hybrid 9-5Guaranteed Hours: 40 hours per weekResponsibilities:- Provide care management and coordination services to patients and families.- Conduct utilization reviews and plan discharges to ensure optimal patient outcomes.- Collaborate with...
-
Behavioral Health Technician
1 month ago
New York, New York, United States Ponessa Behavioral Health Full timeJob SummaryPonessa Behavioral Health is seeking a highly motivated and compassionate Behavioral Health Technician to join our team. As a Behavioral Health Technician, you will play a vital role in providing direct assistance to clients in learning, using, and practicing skills that are being developed.Key ResponsibilitiesProvide direct assistance to clients...
-
Care Manager
1 month ago
New York, New York, United States Care Collab Full timeJob SummaryCareCollab is seeking a skilled Care Manager to lead the engagement and coordination of comprehensive care and services for high-utilization Medicaid members with chronic medical and behavioral health conditions. This role is crucial in addressing the holistic needs of our members, including behavioral, medical, and social aspects.Key...
-
Care Management Coordinator
1 month ago
New York, New York, United States The Institute for Family Health Full timeCare Management Coordinator Job SummaryThe Institute for Family Health is seeking a highly skilled Care Management Coordinator to oversee the implementation and management of our care management programs. This role requires a strong leader who can supervise program staff, ensure key performance indicators are met, and drive quality improvement...
-
Behavioral Health Operations Manager
3 weeks ago
New York, New York, United States Jobot Full timeJob Title: Manager of Behavioral Health OperationsWe are seeking an experienced Operations leader to join our Behavioral Health team at a top NYC Health Plan. As a Manager of Behavioral Health Operations, you will be responsible for leading a team in an office environment and utilizing your strong MS Office Suite skills to drive success.About the Role:Lead a...
Care Coordinator for Behavioral Health Utilization Management
2 months ago
**Job Summary**
The NYC Health + Hospitals Behavioral Health Utilization Management (BH UM) Care Coordinator plays a vital role in ensuring seamless and streamlined experiences for both UM staff and providers. This position requires strong organizational skills, ability to multitask, set priorities, and manage time effectively.
Key Responsibilities:
- Manage Inbound Calls: Respond promptly to large amounts of inbound provider calls, record and respond to all BH UM customer contacts, and update the tracking system.
- Provider and Member Support: Manage and ensure appropriate follow-up and closure for all provider/member contacts, and enter prior approvals in the authorization system (CareConnect).
- Authorization and Notification: Manage calls to and from providers regarding inpatient and outpatient BH authorizations, notify vendors of service start dates, and monitor assigned queues in the authorization system.
- Quality Monitoring and Reporting: Track and monitor key information identified by the UM Team Leaders for quality purposes, maintain clinical work queues, and ensure tasks are sent timely to UM team members.
- Complaint Resolution and Escalation: Process and resolve complaints, record given information in the clinical management system, and handle provider inquiries and escalate to the Call Center Supervisor as needed.
- Claim Billing and Member Support: Respond to claim billing inquiries from providers and members, direct them to the correct teams, and cross-cover the Member ACD line.
Requirements:
- Education: Associate's Degree required; Bachelor's Degree preferred.
- Experience: A minimum of 3 years' experience in customer service, with 1 year in a UM medical management call center setting.
- Skills: Excellent customer service skills, ability to multitask, and proficiency in Microsoft Word, Teams, and Excel.
- Language: Bilingual (English/Spanish) written and verbal skills preferred.
