Job description
Our client, a large non-profit healthcare facility is seeking a qualified candidate to work a 3 MONTH TEMPORARY assignment as a managed care coordinator. This role starts ASAP.
Location: Lower Manhattan
Hourly pay: $21.00 per hour
Hours: Monday-Friday 9am-5pm
Description:
The Tier 1 Managed Care Coordinator (MCC) is expected to ensure high quality, cost-effective care and services for Home First and/or Elderplan members through support of professional Care Management and/or Medical Management activities.
The position supports all aspects of care coordination for our Medicare, Medicaid and/or dual members in compliance with all departmental and CMS/DOH regulatory requirements.
The position requires excellent communication, organizational skills, and attention to detail to facilitate superior care coordinator and to act as a liaison between the Care & Case Management, Utilization Management, Members, Providers, Hospitals, and vendors.
The Ideal candidate and job responsibilities:
- Receives and coordinates notification of all inpatients (planned and unplanned) acute admissions and discharges.
- Receive and process initial requests and inquiries regarding preauthorization of services/supplies.
- Vendor communication, coordination and/or authorization.
- 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
