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Managed Care Coordinator

Job Details

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Req #:
3765

Job ID:
15190

Job Location:
New York, NY

Zip Code:
10041

Category:
Office and Administrative Support

Agency:
Medical Associates, P.C.

Status:
Regular Full-Time

Office:
Hybrid

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.

The MJHS Difference

At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.


Benefits include:

  • Tuition Reimbursement for all full and part-time staff
  • Generous paid time off, including your birthday!
  • Affordable and comprehensive 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.

In this role you 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 supports all aspects of care coordination for
our ISNP, IESNP and Elderplan Plus members in compliance with all departmental and regulatory requirements.

  • You will receive and process assignments from our ISNP Case Managers and Community staff/PCP outreach
  • Accurate and timely data entry support as defined by departmental workflows
  • Participates in scheduled team meetings
  • Research, updates, and maintains integrity of team’s files
  • Coordinates all Nurse Practitioner activities including updating/maintaining schedules, on call calendar and billing
    sheets

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

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