About this opportunity
Metropolitan Jewish Health System lists this Placement & Utilization Support Coordinator opportunity in new york, New York. Review the employer’s description below for duties, qualifications and application requirements.
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
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.