Senior Managed Care Coordinator — Elevate Patient Care

MJHS; New York (NY); On-site; USD 60,000 - 90,000; Full time

Job summary

MJHS Health System seeks a Care Manager to support Elderplan members through coordination of ISNP, IESNP and Elderplan Plus services, ensuring high quality, cost-effective care in line with regulatory requirements.

The role emphasizes strong communication and organizational skills, with experience in managed care and utilization management preferred, and a focus on coordinating care between facilities and home settings in the New York area.

Qualifications

• High School Diploma or equivalent required; college degree preferred.
• One-year prior managed care experience preferred.
• Prior experience in a health care setting preferred.
• Familiarity with utilization management and case management.

Responsibilities

• Coordinate care for Elderplan members in ISNP, IESNP and Elderplan Plus programs in compliance with departmental and regulatory requirements.
• Support care management and clinical services to deliver high-quality, cost-effective member care.

Skills

Managed care experience

Healthcare experience

Utilization management

Case management

Education

High School Diploma or equivalent

College Degree preferred

Job description

MJHS Health System seeks a Care Manager to support Elderplan members through coordination of ISNP, IESNP and Elderplan Plus services, ensuring high quality, cost-effective care in line with regulatory requirements.

The role emphasizes strong communication and organizational skills, with experience in managed care and utilization management preferred, and a focus on coordinating care between facilities and home settings in the New York area.