Placement & Utilization Support Coordinator

Metropolitan Jewish Health System; New York (NY); On-site; USD 45,000 - 60,000; Full time

Job summary

Metropolitan Jewish Health System in New York is seeking a Placement & Utilization Support Coordinator to enhance customer service and support care management. This role involves liaising between vendors and departments while authorizing services for members and processing dis-enrollments.

The ideal candidate will possess experience in healthcare settings, familiarity with utilization management, and excellent communication skills, ensuring high-quality service for HomeFirst and MAP members.

Qualifications

• One year of related Customer Service Experience.
• Prior experience in a health care setting preferred.
• Familiarity with utilization management/case management.

Responsibilities

• Provide high quality of customer service as a liaison between vendors and departments.
• Authorize services based on medically approved plans.
• Process the dis-enrollment of members.

Skills

Customer service experience

Health care knowledge

Utilization management familiarity

Knowledge of HealthRules Payor, Word and Excel

Typing speed of 55 wpm

Job description

Job 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.

Responsibilities

The Placement & Utilization Support Coordinator is expected to provide a high quality of customer service. The position requires the coordinator to act as a liaison between the vendors and both the Care Management and Enrollment Department. Coordinators will authorize services based on medically approved plans of care and information provided within the interdepartmental communication system to newly enrolled and existing HomeFirst and MAP members. Coordinators will also process the dis‑enrollment of existing HomeFirst & MAP members. The position demands excellent communication skills to help facilitate excellent customer service.

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