Managed Care Coordinator

Metropolitan Jewish Health System, Inc.; New York (NY); On-site; USD 55,000 - 75,000; Full time

Job summary

MJHS Health System is seeking a care coordination professional to support Elderplan members (ISNP/IESNP/Elderplan Plus) through comprehensive coordination and adherence to regulatory requirements. The role emphasizes clear communication, organization, and collaboration with care teams.

The position contributes to high-quality, cost-effective care across the Elderplan continuum, leveraging prior managed care and health care experience to optimize patient outcomes in a structured, compliant

Qualifications

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

Responsibilities

• Support care coordination for ISNP, IESNP and Elderplan Plus members.
• Ensure compliance with departmental and regulatory requirements.
• Demonstrate excellent communication and organizational skills.

Skills

Care coordination

Utilization management

Healthcare experience

Communication

Education

High School Diploma or equivalent

College degree preferred

Job description

Rooted in Jewish values and traditions, and consistent with the highest standards of quality care, MJHS Health System is a premier provider of health services in the greater metropolitan area and beyond, ensuring access to health, supportive and community-based services across the continuum of need. Our MJHS Medical Associates, P.C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPN's who provide care to Elderplan members who are residents of assisted living and long term care facilities, as well as to those living at home.

Ensure high quality, cost-effective care and services for Elderplan members through support of professional
Care Management and/or Clinical Service activities. This position supports all aspects of care coordination for
our ISNP, IESNP and Elderplan Plus members in compliance with all departmental and regulatory requirements.
The position requires excellent communication and organizational skills.

• High School Diploma or equivalent; College Degree preferred

• One-year prior managed care experience preferred

• Prior experience in a health care setting preferred

• Familiarity with utilization management/case management