Placement & Utilization Support Coordinator

Metropolitan Jewish Health System • New York, NY

10d • $41,000 - $45,000

About The Position

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
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

• One-year of related Customer Service Experience
• Familiarity with utilization management/case management
• Knowledge of HealthRules Payor, Word and Excel
• Type an average of 55 wpm
• Good customer service skills
• Ability to work closely with different professionals as part of a interdisciplinary health care team

Nice To Haves

• Prior experience in a health care setting preferred

Responsibilities

• Provide a high quality of customer service.
• Act as a liaison between vendors and both the Care Management and Enrollment Department.
• Authorize services based on medically approved plans of care and information provided within the interdepartmental communication system to newly enrolled and existing HomeFirst and MAP members.
• Process the dis-enrollment of existing HomeFirst & MAP members.
• Facilitate excellent customer service through excellent communication 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)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed