Managed Care Coordinator

Req #:
2229
Job ID:
13758
Job Location:
New York, NY
Zip Code:
10041
Category:
Office and Administrative Support
Agency:
Medical Associates, P.C.
Status:
Regular Full-Time
Office:
Office-based
Salary:
$38,545.53 - $48,181.92 per year
MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees.
At MJHS, quality care is our mission. We are committed to creating a workforce as diverse as our community. We have a great culture; we offer great benefits that include a work/life balance and competitive rates.
MJHS attracts individuals who see their work as a calling as well as a job. Professionals in every job category have stated that they appreciate being left to make their own decisions, are encouraged to voice their opinions, and are given the necessary breathing room to do their work with minimal supervision. Yet, at the same time, they feel that management and their co-workers are solidly behind them and readily accessible.
Why work for MJHS?:
When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents and health plan members, and we will take care of the rest!
Benefits include:

• Tuition Reimbursement for all full and part-time staff
• Generous paid time off
• Affordable medical, dental and vision coverage for employee and family members
• Two retirement plans ! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

MJHS companies are qualified employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF)
Responsibilities:
Our MJHS Medical Associates, P.C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPN's who provide care to Elderplan members who are residents of assisted living and long term care facilities, as well as to those living at home.

• This position will ensure high quality, cost-effective care and services for Elderplan members through support of professional Care Management and/or Clinical Service activities
• This position will support all aspects of care coordination for our ISNP, IESNP and Elderplan Plus members in compliance with all departmental and regulatory requirements
• This postion will receive and process assignments from ISNP Case Managers and will receive and process assignments from Community staff/PCP outreach

Qualifications:

• High School Diploma or equivalent; College Degree preferred
• One-year prior managed care experience preferred
• Prior experience in a health care setting preferred
• Familiarity with utilization management/case management