Care Coordination Specialist - Managed Care

MJHS; New York (NY); On-site; USD 50,000 - 65,000; Full time

Job summary

A healthcare organization in New York is seeking a Care Coordinator to support care management and clinical service activities for Medicare and Medicaid members. The ideal candidate will process enrollment cases, handle service requests, and ensure high-quality care through efficient coordination. A High School Diploma is required, with preference given to candidates with a college degree and prior managed care experience. This position offers an opportunity to impact patient care positively.

Qualifications

• One year prior managed care experience required.
• Prior experience in a health care setting preferred.
• Familiarity with utilization management/case management.

Responsibilities

• Process newly enrolled cases according to established workflows.
• Receive and process requests regarding covered/non-covered services.
• Coordinate and provide service authorizations to vendors.
• Participate in scheduled team meetings.

Skills

Managed care experience

Utilization management knowledge

Communication skills

Education

High School Diploma or equivalent

College degree (preferred)

Job description

A healthcare organization in New York is seeking a Care Coordinator to support care management and clinical service activities for Medicare and Medicaid members. The ideal candidate will process enrollment cases, handle service requests, and ensure high-quality care through efficient coordination. A High School Diploma is required, with preference given to candidates with a college degree and prior managed care experience. This position offers an opportunity to impact patient care positively.