Care Management Coordinator

Metropolitan Jewish Health System; New York (NY); On-site; USD 38,545 - 48,181; Full time

Benefits offered by this job

Tuition Reimbursement

Generous paid time off

Medical, dental, and vision coverage

403(b) and Employer Paid Pension

Flexible spending

Job summary

A community health organization in New York is hiring for a position that focuses on managed care coordination, regulatory compliance, and delivering high-quality, cost-effective care. The ideal candidate has prior experience in managed care and familiarity with healthcare settings. The role offers comprehensive benefits, including tuition reimbursement and generous paid time off.

Qualifications

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

Responsibilities

• Ensure high quality, cost-effective care for Elderplan members.
• Support all aspects of care coordination for members.
• Comply with all departmental and regulatory requirements.

Skills

managed care experience

knowledge of utilization management

strong communication skills

Education

High School Diploma

College degree (preferred)

Job description

Overview

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.

The MJHS Difference

At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.

Benefits include:

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities

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.

Qualifications

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

Salary

Min USD $38,545.53/Yr.

Max USD $48,181.92/Yr.