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Metropolitan Jewish Health System
New York, NY, United States
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 li
Job Source: Metropolitan Jewish Health SystemNorthwell Health
New Hyde Park, NY, United States
Req Number 126177 Job Description Coordinates and participates in activities related to Care Management services to family members and caregivers. Job Responsibility Utilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health. Supports the primary care team by providing panel managemen
Job Source: Northwell HealthMJHS
New York, NY, United States
Req #: 1457 Job ID: 13050 Job Location: New York, NY Zip Code: 10040 Category: Office and Administrative Support Agency: Elderplan Status: Regular Full-Time Office: Office-based Salary: $38,545.53 - $48,181.92 per year The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Me
Job Source: MJHSNorthwell Health
Great Neck, NY, United States
Req Number 125543 Job Description Coordinates and participates in activities related to Care Management services to family members and caregivers. Job Responsibility Utilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health. Supports the primary care team by providing panel managemen
Job Source: Northwell HealthNorthwell Health
Glen Oaks, NY, United States
Req Number 122965 Job Description Coordinates and participates in activities related to Care Management services to family members and caregivers. Job Responsibility Utilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health. Supports the primary care team by providing panel managemen
Job Source: Northwell HealthNorthwell Health
Mineola, NY, United States
Req Number 126510 Job Description Coordinates and participates in activities related to Care Management services to family members and caregivers. Job Responsibility Utilizes patient-centered motivational interviewing techniques to build rapport and help patients improve their health. Supports the primary care team by providing panel managemen
Job Source: Northwell HealthNorthwell Health
Manhasset, NY, United States
Req Number 125650 Job Description Guides staff in the performance of duties. Handles complex patient care coordination cases. Performs all functions of a resource coordinator. Job Responsibility Provides guidance to team members in the performance of duties; performs all functions of a resource coordinator. Serves as a resource for difficult o
Job Source: Northwell HealthHACKENSACK UNIVERSITY MED CNTR
Hackensack, NJ, United States
Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one a
Job Source: HACKENSACK UNIVERSITY MED CNTRNew York, NY, United States
Overview
Collects specific data in the medical management information system for the clinical staff. Resolves authorization issues as well as troubleshoots, researches and resolves related issues in a timely and efficient manner. Works under general supervision.
Compensation Range:$20.98 - $26.23 Hourly
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do Obtains information from doctors and/or providers and enters data into the medical management information system to enable clinical staff to correctly apply assessment tools.
Creates case files for services that require authorization and maintains accurate data in all applicable systems to ensure prompt decision-making and accurate claims adjudication.
Delivers strong customer service and problem solving while providing triage and management of calls with accuracy of data collection and ensuring established call performance targets are consistently achieved.
Tracks and monitors customer complaints concerning service requests. Reports any unusual or complex issues/trends to management; recommends corrective actions.
Provides triage and management of calls ensuring that established call performance targets are consistently achieved.
Provides feedback to leadership regarding training needs
Collaborates with management to determine the best approach to service customers, handle repeat vendor issues and other job-related matters to maximize and improve delivery, billing and payment of goods and services.
Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
Participates in special projects and performs other duties as assigned.
Qualifications
Education: High School Diploma or equivalent Required
Work Experience: Minimum of two years of experience in a customer service role Required
Excellent oral and written communication skills Required
Advanced personal computer skills, including Word, Excel or Access Required
Utilization Management experience Preferred
Medical Management Care Coordinator jobs in New York, NY, United States
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