Care Coordination & Utilization Liaison

Metropolitan Jewish Health System; New York (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

Metropolitan Jewish Health System in New York is seeking a Placement & Utilization Support Coordinator to enhance customer service and support care management. This role involves liaising between vendors and departments while authorizing services for members and processing dis-enrollments.

The ideal candidate will possess experience in healthcare settings, familiarity with utilization management, and excellent communication skills, ensuring high-quality service for HomeFirst and MAP members.

Qualifications

• One year of related Customer Service Experience.
• Prior experience in a health care setting preferred.
• Familiarity with utilization management/case management.

Responsibilities

• Provide high quality of customer service as a liaison between vendors and departments.
• Authorize services based on medically approved plans.
• Process the dis-enrollment of members.

Skills

Customer service experience

Health care knowledge

Utilization management familiarity

Knowledge of HealthRules Payor, Word and Excel

Typing speed of 55 wpm

Job description

Metropolitan Jewish Health System in New York is seeking a Placement & Utilization Support Coordinator to enhance customer service and support care management. This role involves liaising between vendors and departments while authorizing services for members and processing dis-enrollments.

The ideal candidate will possess experience in healthcare settings, familiarity with utilization management, and excellent communication skills, ensuring high-quality service for HomeFirst and MAP members.