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 Managed Care Coordinator (MCC) is expected to insure high quality, cost-effective care and services for Elderplan / HomeFirst members through support of professional Care Management activities.
The position supports all aspects of care coordination for our Medicaid, and / or dual product members in compliance with all departmental and CMS / DOH regulatory requirements.
The position requires excellent communication and organizational skills to facilitate superior care management and to act as a liaison between the members, the care management team, and the vendors.
- High School Diploma or equivalent; college degree preferred
- One year prior managed care experience required
- Prior experience in a health care setting preferred
- Familiarity with utilization management / case management
Managed Care Coordinator - Behavioral Health
A company is looking for a Managed Care Coordinator I in Behavioral Health. Key Responsibilities:Perform medical or behavioral review/authorization processAssess service needs, develop action plans, and monitor servicesEnsure accurate documentation of clinical information and communicate with health...
Managed Care Coordinator
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. This position will ensure high quality, cost-effective care ...
RN Managed Care Coordinator I
A company is looking for a Managed Care Coordinator I. ...
Managed Care Coordinator II
The Managed Care Coordinator (MCC) is expected to insure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples o...
Managed Care Coordinator
Managed care coordinators facilitate communications between Schulman and Schachne Institute for Nursing and. Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Coordinates utilization reviews of managed care contracts using established guide...
Managed Care Coordinator
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. Do you receive a paid day off for your birthday now? No? Yo...
Managed Care Coordinator II
The Managed Care Coordinator (MCC) is expected to insure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the traini...
Managed Care Coordinator
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!...
Travel Registered Nurse - Labor/Delivery - $2,325 to $2,578 per week in Syracuse, NY
Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24/7 support, and a responsive, traveler-first culture.What are you waiting for? Apply today!.Valid license and/or certification in state of practice, if applicable .Demonstrated ability to maintain high l...
Travel Registered Nurse - ICU/Critical Care - $2,239 to $2,468 per week in Flushing, NY
Critical care nurse, CCU RN, intensive care nurse, ICU nurse, ICU nursing, ICU, intensive care, critical care, registered nurse, RN, R. Registered Nurse – Intensive Care - ICU - Travel - (ICU RN). ...