Care Coordination & Utilization Specialist

MJHS; New York (NY); On-site; USD 55,000 - 65,000; Full time

Job summary

MJHS in New York, NY is seeking a Placement & Utilization Support Coordinator to deliver high-quality customer service. The role acts as a liaison between vendors and the Care Management and Enrollment departments, supporting Medicare and MAP member needs.

You will review plans of care, authorize services, and help ensure timely enrollment and dis-enrollment processing. Strong communication and teamwork are essential to coordinate across professional teams.

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 a liaison between the 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 HomeFirst and MAP members.
• Process the dis-enrollment of existing HomeFirst & MAP members.
• Demonstrate excellent communication skills to help facilitate excellent customer service.

Skills

Customer Service

Healthcare Experience

Utilization Management

Case Management

HealthRules Payor

Microsoft Word

Microsoft Excel

Typing 55 wpm

Interdisciplinary Teamwork

Job description

MJHS in New York, NY is seeking a Placement & Utilization Support Coordinator to deliver high-quality customer service. The role acts as a liaison between vendors and the Care Management and Enrollment departments, supporting Medicare and MAP member needs.

You will review plans of care, authorize services, and help ensure timely enrollment and dis-enrollment processing. Strong communication and teamwork are essential to coordinate across professional teams.