Placement & Utilization Support Coordinator

Metropolitan Jewish Health System, Inc.; New York (NY); On-site; USD 42,000 - 56,000; Full time

Job summary

Metropolitan Jewish Health System, Inc. seeks a Placement & Utilization Support Coordinator to deliver high-quality customer service and coordinate between vendors and Care Management and Enrollment.

You will authorize services based on plans of care and information provided, and support newly enrolled and existing HomeFirst and MAP members. Coordination will also include processing dis-enrollments while collaborating with a multidisciplinary health care team to ensure seamless access to

Qualifications

• At least 1 year of related Customer Service Experience.
• Prior health care setting experience preferred.
• Familiarity with utilization management and case management.
• Proficient with Word and Excel.
• Type at an average of 55 wpm.
• Excellent customer service and communication skills.

Responsibilities

• Serve as liaison between vendors and Care Management and Enrollment Department.
• Authorize services based on medically approved plans of care.
• Process dis-enrollment for HomeFirst and MAP members.
• Provide high-quality customer service to members and providers.

Skills

Customer service

Health care experience

Utilization management

Case management

Typing speed 55 wpm

Communication

Team collaboration

Tools

HealthRules Payor

Word

Excel

Job description

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 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.

• 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 a interdisciplinary health care team