Care Coordination & Utilization Liaison

Metropolitan Jewish Health System, Inc.; New York (NY); On-site; USD 42,000 - 56,000; Full time

Job summary

Metropolitan Jewish Health System, Inc. seeks a Placement & Utilization Support Coordinator to deliver high-quality customer service and coordinate between vendors and Care Management and Enrollment.

You will authorize services based on plans of care and information provided, and support newly enrolled and existing HomeFirst and MAP members. Coordination will also include processing dis-enrollments while collaborating with a multidisciplinary health care team to ensure seamless access to

Qualifications

• At least 1 year of related Customer Service Experience.
• Prior health care setting experience preferred.
• Familiarity with utilization management and case management.
• Proficient with Word and Excel.
• Type at an average of 55 wpm.
• Excellent customer service and communication skills.

Responsibilities

• Serve as liaison between vendors and Care Management and Enrollment Department.
• Authorize services based on medically approved plans of care.
• Process dis-enrollment for HomeFirst and MAP members.
• Provide high-quality customer service to members and providers.

Skills

Customer service

Health care experience

Utilization management

Case management

Typing speed 55 wpm

Communication

Team collaboration

Tools

HealthRules Payor

Word

Excel

Job description

Metropolitan Jewish Health System, Inc. seeks a Placement & Utilization Support Coordinator to deliver high-quality customer service and coordinate between vendors and Care Management and Enrollment.

You will authorize services based on plans of care and information provided, and support newly enrolled and existing HomeFirst and MAP members. Coordination will also include processing dis-enrollments while collaborating with a multidisciplinary health care team to ensure seamless access to