Managed Care Coordinator

MJHS•New York, NY

About The Position

MJHS Medical Associates, P.C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPN's who provide care to Elderplan members who are residents of assisted living and long term care facilities, as well as to those living at home. 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.

Requirements

  • High School Diploma or equivalent
  • Familiarity with utilization management/case management

Nice To Haves

  • College Degree preferred
  • One-year prior managed care experience preferred
  • Prior experience in a health care setting preferred

Responsibilities

  • Ensure high quality, cost-effective care and services for Elderplan members through support of professional Care Management and/or Clinical Service activities.
  • This position supports all aspects of care coordination for our ISNP, IESNP and Elderplan Plus members in compliance with all departmental and regulatory requirements.
  • The position requires excellent communication and organizational skills.

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)
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