Placement & Utilization Support Coordinator

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

Job summary

Metropolitan Jewish Health System, Inc. is seeking a Placement & Utilization Support Coordinator in New York, NY. This role focuses on providing excellent customer service and acting as a liaison between vendors and departments. A strong background in customer service and healthcare is preferred, as the coordinator will authorize services.

The ideal candidate will have a minimum of one year of related experience and familiarity with health rules, utilization management, and good IT skills. Join us to help improve member services in a supportive healthcare environment.

Qualifications

• Minimum one year of customer service experience, preferably in healthcare.
• Familiarity with health care settings and utilization management.
• Excellent IT skills, including Word and Excel.

Responsibilities

• Provide high-quality customer service as a liaison between vendors and departments.
• Authorize services based on approved care plans.
• Facilitate communication within the interdisciplinary team.

Skills

Customer Service Experience

Utilization Management

Knowledge of HealthRules Payor

Microsoft Word

Microsoft Excel

Interpersonal Skills

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