Care Coordination & Utilization Liaison

MJHS; New York (NY); On-site; USD 55,000 - 75,000; Full time

Job summary

MJHS seeks a Placement & Utilization Support Coordinator in New York, NY to provide high‑quality customer service and to act as a liaison between vendors and the Care Management and Enrollment Department. You will authorize services based on medically approved plans of care for HomeFirst and MAP members, and process disenrollments while coordinating with a multidisciplinary care team across departments.

Strong communication, attention to detail, and the ability to work with diverse professionals

Qualifications

• One-year of related Customer Service Experience
• Prior experience in a health care setting preferred
• 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 an interdisciplinary health care team

Responsibilities

• Act as liaison between vendors and Care Management/Enrollment Department.
• Authorize services based on medically approved plans of care and information provided within interdepartmental system for HomeFirst and MAP members.
• Process the disenrollment of existing HomeFirst & MAP members.
• Maintain high quality of customer service and facilitate effective communication.

Skills

Customer Service

Healthcare Experience

Utilization Management

HealthRules Payor

Microsoft Word

Microsoft Excel

Typing 55 wpm

Interdisciplinary Teamwork

Communication Skills

Tools

HealthRules Payor

Microsoft Word

Microsoft Excel

Job description

MJHS seeks a Placement & Utilization Support Coordinator in New York, NY to provide high‑quality customer service and to act as a liaison between vendors and the Care Management and Enrollment Department. You will authorize services based on medically approved plans of care for HomeFirst and MAP members, and process disenrollments while coordinating with a multidisciplinary care team across departments.

Strong communication, attention to detail, and the ability to work with diverse professionals