Medicaid Managed Care Navigator

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

Job summary

Metropolitan Jewish Health System, Inc. is seeking a Managed Care Coordinator to ensure high-quality, cost-efficient care for Elderplan/HomeFirst members. The role supports care management activities and coordinates between members, the care management team, and external vendors.

The ideal candidate has a year of managed care experience and familiarity with utilization/case management, with a preference for healthcare setting exposure. This on-site position is based in New York.

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

• Coordinate high-quality, cost-effective care and services for Elderplan/HomeFirst members.
• Support care management activities and serve as liaison between members, care management team, and vendors.

Skills

Managed care experience

Utilization management

Communication skills

Organizational skills

Education

High School Diploma or equivalent

College degree preferred

Job description

Metropolitan Jewish Health System, Inc. is seeking a Managed Care Coordinator to ensure high-quality, cost-efficient care for Elderplan/HomeFirst members. The role supports care management activities and coordinates between members, the care management team, and external vendors.

The ideal candidate has a year of managed care experience and familiarity with utilization/case management, with a preference for healthcare setting exposure. This on-site position is based in New York.