Managed Care Authorization Specialist

MJHS • Brooklyn, NY

14d

About The Position

The Managed Care Authorization Specialist has overall responsibility for communicating and coordinating with managed care providers to ensure appropriate reimbursement services rendered to Menorah residents. This includes but is not limited to obtaining ongoing authorizations for services, submitting clinical documentation to support level of care and facilitating the appeal process and supporting the case management department. The MJHS Difference At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve. Benefits include: Tuition Reimbursement for all full and part-time staff Generous paid time off, including your birthday! Affordable and comprehensive 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 Government’s Paid Student Loan Forgiveness Program (PSLF)

Requirements

• One-year prior managed care experience preferred
• Prior experience in a health care setting preferred
• Familiarity with utilization management/case management
• Microsoft Office
• Ability to present well, both verbally and written

Responsibilities

• Maintain ongoing communication with Case Managers to resolve any issues which may impact service delivery
• Coordinates with Menorah staff to ensure that all needed documentation is submitted timely.
• Maintains continued authorization for Menorah residents while covered by Managed Care plans and as needed.
• Participates in Case Management Rounds and collaborates in the discharge planning process.

Benefits

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans ! 403(b) AND Employer Paid Pension
• Flexible spending
• MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees