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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.
Job Responsibility:
Insure high quality, cost-effective care and services for Elderplan/HomeFirst members through support of professional Care Management activities
Supports all aspects of care coordination for our Medicaid, and/or dual product members in compliance with all departmental and CMS/DOH regulatory requirements
To act as a liaison between the members, the care management team, and the vendors
Requirements:
High School Diploma or equivalent
One year prior managed care experience required
Prior experience in a health care setting preferred
Familiarity with utilization management/case management
Nice to have:
Prior experience in a health care setting
college degree
What we offer:
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