Care Management Coordinator

Metropolitan Jewish Health System, Inc.; New York (NY); On-site; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare provider seeks a professional to ensure high-quality, cost-effective care for its Medicare and Medicaid members. This role involves supporting Care Management and Clinical Service activities, ensuring compliance with regulatory requirements. Ideal candidates should have managed care experience and familiarity with care coordination.

Qualifications

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

Responsibilities

• Insure high quality, cost-effective care for Elderplan members.
• Support professional Care Management and Clinical Service activities.
• Coordinate all aspects of care for Medicare/Medicaid members.

Skills

Managed Care Experience

Care Coordination

Utilization Management

Education

High School Diploma

College Degree

Job description

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

We are seeking a professional to insure high quality, cost-effective care and services for Elderplan members through support of professional Care Management and/or Clinical Service activities. The position supports all aspects of care coordination for our Medicare, Medicaid, and/or dual product members in compliance with all departmental and regulatory requirements.

• High School Diploma or equivalent; college degree preferred.
• One year prior managed care experience required.
• Prior experience in a healthcare setting preferred.
• Familiarity with utilization management/case management.