Managed Care Coordinator

Metropolitan Jewish Health System • New York, NY

1d • $38,546 - $48,182

About The Position

The Managed Care Coordinator (MCC) is expected to insure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities. The position supports all aspects of care coordination for our Medicaid, and/or dual product members in compliance with all departmental and CMS/DOH regulatory requirements. The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.

Requirements

• High School Diploma or equivalent
• One year prior managed care experience required
• Familiarity with utilization management/case management

Nice To Haves

• College degree preferred
• Prior experience in a health care setting preferred

Responsibilities

• Insure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities.
• Support all aspects of care coordination for Medicaid, and/or dual product members in compliance with all departmental and CMS/DOH regulatory requirements.
• Act as a liaison between the members, the care management team, and the vendors.

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
• Qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED