CrawlJobs Logo

Managed Care Specialist

mjhs.org Logo

MJHS

Location Icon

Location:
United States , New York

Category Icon
Category:
Office Administration

Job Type Icon

Contract Type:
Employment contract

Salary Icon

Salary:

31856.09 - 39820.11 USD / Year
Save Job
Save Icon
Apply Position

Job Description:

The Managed Care Specialist provides overall clerical support for the Clinical Services Department. Responsibilities include all support for chart maintenance and retention (including filing, scanning, and record processing into the case management and/or scanning database), employee record maintenance and filing, employee payroll activities, maintenance of Excel logs for employee personal time, report generation, and date entry/authorization entry as dictated by unit workflows.

Job Responsibility:

  • Provides overall clerical support for the Clinical Services Department
  • Provides support for all correspondence to and from the Clinical Services Department including physician notifications, interim orders, organization determination letters, and assessment information
  • Maintains unit supplies and processes all requests for additional equipment/supplies through purchasing department, using agency protocols
  • Maintains all member clinical records through scanning process, attachments of records into case management system, chart room filing, and off-site storage
  • Performs all other administrative tasks deemed necessary under the direction of the Supervisor UM Support

Requirements:

  • High School Diploma required
  • Experience in a health care organization preferred
  • Basic proficiency with Excel, Word and typing required
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
  • Flexible spending

Additional Information:

Job Posted:
May 05, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Icon
MJHS - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Managed Care Specialist

Quality Management Specialist

We are providing a contract for a fulltime employment opportunity for a Quality ...
Location
Location
United States , Oakland
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Possess strong management skills with the ability to oversee multiple tasks simultaneously
  • Proficiency in reporting and analytics, with a keen eye for data analysis and metric reporting
  • Demonstrated experience in strategic planning and implementation
  • Familiarity with drafting, interpreting, and implementing procedures and policies
  • Solid understanding of quality design and optimization principles
  • Knowledge in project management and the ability to handle multiple projects simultaneously
  • Excellent presentation skills with the ability to communicate complex information effectively
  • Must provide medical coverage knowledge and demonstrate understanding of clinical trial operations
  • Strong leadership skills, with the ability to inspire and motivate a team
  • Consulting experience, with the ability to provide expert advice and guidance
Job Responsibility
Job Responsibility
  • Lead the planning, coordination, and monitoring of clinical care and outcomes improvement strategies
  • Coach and consult individuals, departments, and multi-disciplinary teams on quality improvement processes and tools
  • Analyze existing care delivery models to identify opportunities for systems-based improvements
  • Oversee reporting requirements, establish guiding metrics, and benchmarks for performance improvement initiatives
  • Collaborate with medical information teams to design safe, high-quality workflows
  • Develop presentations to disseminate information and updates on improvement strategies
  • Facilitate and sustain performance improvement initiatives and activities in the healthcare setting
  • Ensure compliance with regulatory and accrediting agency requirements, maintaining a focus on data integrity, integration, and standardization
  • Assist in evaluating current and future quality initiatives within the health system
  • Advocate for best practices in patient safety, quality, and patient experience within the organization
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • Fulltime
Read More
Arrow Right

Nurse Care Manager

A unique and exciting opportunity exists for a registered nurse to progress thei...
Location
Location
Australia , Sydney
Salary
Salary:
87600.00 AUD / Year
crtprogram.com Logo
CRT Program
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Current Registered Nurse with AHPRA without conditions – essential
  • Profession Certificate in Immunisation – preferable
  • Highly organised and efficient with a strong commitment and demonstrated customer service skills
  • Excellent interpersonal skills, effective written and verbal communications
  • Ability to work autonomously, possess a mobile telephone and laptop
  • IT proficient in Microsoft Office, shared folders and online/mobile Apps
  • Proficiency with medical software eg: Best Practice or another electronic management system
  • A can-do attitude and ability to own and solve problems
  • Be flexible and accommodating when required
  • Current CPR Certificate
Job Responsibility
Job Responsibility
  • Lead a dynamic team that embrace digital tools, data analytics
  • Improve the lives of those living with Chronic Health Conditions
  • Conduct health assessments, draft care plans, ensure all preventative care is actioned according to clinical guidelines, review patients via face-to-face and/or telehealth consultations, conduct home and aged care facility visits, and liaise with specialists and other service providers
  • Practice nurse duties such as
  • triage and assessment of patients
  • wound management
  • assisting with minor procedures
  • maintaining recall and reminder system
  • cold chain management
  • infection control management
What we offer
What we offer
  • Generous Salary Packaging
  • Training and professional development opportunities included
  • Fulltime
Read More
Arrow Right

Residential Youth Care Specialist

Residential Youth Care Specialists provide comprehensive residential services th...
Location
Location
United States , Tri-Cities, rural Franklin County
Salary
Salary:
20.00 - 22.50 USD / Hour
christiancareercenter.com Logo
Christian Career
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma or equivalent
  • Must be 21 years of age or older
  • Must have the skills and the ability to assist the needs of the clients
  • Must have at least 6 months of similar work experience related to caring for vulnerable populations OR be attending classes at an accredited college related to caring for vulnerable populations
  • Must have an active and vital relationship with Jesus and be a part of a supportive faith community outside of Mirror Ministries
  • Must agree with our Statement of Faith
  • Must have reliable transportation, current auto insurance, and a clean driving record
  • Must be comfortable with a wide range of responsibilities
  • Must be professional, teachable, and a humble servant leader
  • Possess excellent interpersonal and supervisory skills as well as professional verbal and written communication skills
Job Responsibility
Job Responsibility
  • Build trust and rapport using a strengths-based approach and trauma-informed engagement practices with residents who have experienced sexual exploitation
  • Work cooperatively and collaboratively with all site staff, partners, and volunteers to create a nurturing, dynamic, and constructive environment for residents
  • take ownership for fostering a trauma-informed, home-like atmosphere where residents can feel safe and stable
  • Provide on-site resident supervision
  • support residents with crisis intervention and behavioral redirection
  • Maintain awareness of resident whereabouts (and line-of-sight supervision as necessary)
  • complete related documentation as required
  • Engage, support, and coach residents on healthy participation in the life of the home
  • educate residents on independent living skills, including but not limited to personal care and food preparation
  • Model positive behavior, communication, and coping skills using de-escalation, mediation, and problem-solving skills
What we offer
What we offer
  • 9 paid holidays
  • local health club membership
  • accrued sick leave per WA State law
  • Parttime
Read More
Arrow Right

Care Coordinator Specialist

CareGivers America - NEPA, a Modivcare Personal Care Service, is looking for a C...
Location
Location
United States , Lewistown
Salary
Salary:
20.00 - 25.00 USD / Hour
caregiversamerica.com Logo
CareGivers America
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High school diploma or equivalent
  • 3+ years of Customer Service experience required
  • 3+ years of Home Care experience preferred
  • Scheduling experience strongly preferred
  • HHAeXchange experience strongly preferred
Job Responsibility
Job Responsibility
  • Oversee and manage the care coordination process for a caseload of patients, ensuring continuity and quality of care
  • Monitor patient progress, evaluate outcomes, and modify care plans as necessary to achieve optimal health outcomes
  • Manage the intake process, including reviewing referrals, verifying insurance coverage, and obtaining necessary authorizations for services
  • Ensure timely and accurate completion of required documentation, including patient assessments, consent forms, and care plans
  • Collaborate with referral sources, healthcare providers, and internal teams to ensure smooth transitions and facilitate the start of care
  • Serve as a primary point of contact for patients, families, and healthcare professionals, providing ongoing communication and support throughout the care coordination process
  • Facilitate effective communication and information sharing among the care team, ensuring all members are informed of pertinent patient information and updates
  • Act as a resource and mentor to Care Coordinator Associates, providing guidance and support in complex care coordination cases
  • Advocate for patients and their families to ensure their needs, preferences, and rights are respected and met throughout the care process
  • Monitor and evaluate the quality-of-care coordination services provided, ensuring adherence to regulatory standards and best practices
What we offer
What we offer
  • Medical, Dental & Vision Insurance
  • 401(k) with a 6% match
  • Paid Time Off
  • 10 Paid Holidays
  • Employee Assistance Program
  • Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!)
  • Voluntary Term Life and AD&D Insurance
  • Legal Services Insurance
  • Short-Term and Long-Term Disability
  • Accident, Critical Illness & Hospital Indemnity Insurance
  • Fulltime
Read More
Arrow Right

Customer Care Specialist

Join Our Team as a Customer Care Specialist! Are you ready to embark on an excit...
Location
Location
United Kingdom , Farnborough
Salary
Salary:
25000.00 - 30000.00 GBP / Year
https://www.office-angels.com Logo
Office Angels
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Computer Literate: Proficiency in Microsoft Excel is a plus!
  • Confident & organised: You can manage your time and tasks effectively.
  • Enthusiastic & Willing to Learn: You have a passion for developing your skills.
  • Flexible & Adaptable: You thrive in a dynamic team environment.
  • Educated: Minimum GCSE or equivalent, including Math and English.
  • authorised to Work in the UK: You have the eligibility to live and work in the UK.
  • Detail-Oriented: You pay attention to the little things that make a big difference!
Job Responsibility
Job Responsibility
  • Answering phone calls, taking messages, and forwarding essential information.
  • Issuing accurate quotations using the correct part numbers and pricing systems.
  • Inputting and placing customer orders with precision.
  • Keeping up-to-date records of customer orders and quotations.
  • utilising Microsoft Excel, Word, and SAP to manage data effectively.
  • Processing customer invoices and handling filing, scanning, and e-invoicing tasks.
  • Liaising with our colleagues in Germany to prioritise urgent orders.
  • Providing general administrative support to the team to enhance operational efficiency.
What we offer
What we offer
  • Permanent Contract: Enjoy the security of a full-time position.
  • Training Provided: We believe in investing in our people, and you will receive training tailored to your career aspirations.
  • Career Development: With us, you have the opportunity to learn new skills and progress within an administration career.
  • Supportive Team Environment: Join a friendly team where collaboration and communication are key.
  • Fulltime
Read More
Arrow Right

Property Cleaning & Care Specialist

Our Cleaning and care Specialist team plays a vital role in ensuring the cleanli...
Location
Location
United States , Boston
Salary
Salary:
Not provided
groma.com Logo
Groma (MA)
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of one year of professional cleaning experience
  • Knowledge of cleaning techniques and equipment
  • Proficient in English (written and spoken)
  • Strong attention to detail and ability to follow instructions
  • Ability to work independently and efficiently
  • Candidates need to be able to stand, walk, and/or sit for extended periods of time and bend, stoop, climb ladders, reach, carry objects, and crawl in confined areas
  • Must be comfortable driving around Boston
  • Must have their own vehicle and maintain the proper license, insurance and preventative maintenance
  • Basic computer skills, including the ability to navigate project management tools
Job Responsibility
Job Responsibility
  • Maintain a clean and presentable environment in common areas, including the foyer, staircase, and laundry room
  • Conduct regular, thorough cleanings of common areas in each property, which includes vacuuming, dusting, mopping, cleaning glass doors, wiping down staircase railings, and removing trash and mail
  • Ensure that all Groma brand cleanliness and safety standards are consistently met at each property
  • Conduct regular inspections of property exteriors to identify and report any issues, such as broken items, trash, or debris
  • Maintain clean and organized trash areas
  • Perform weekly or bi-weekly trash valet services at select properties
  • Complete cleaning checklists with photographs after each visit and submit them to our reporting software
  • Inform the team of any issues discovered during inspections and report necessary repairs or replacements
  • Maintain and upkeep all cleaning equipment, supplies, and products
  • Provide unscheduled and unit turn cleanings as needed
What we offer
What we offer
  • Medical, dental, and vision insurance
  • 401(k) with company match
  • Paid time off
  • 5% 401k match
  • High-quality health and dental insurance plans
  • Mileage reimbursement for all personal vehicle use
  • Competitive paid time off policy
  • Competitive compensation package
  • 13 official company holidays
  • 1 floating holiday
  • Fulltime
Read More
Arrow Right

Office Manager & Employee Experience Specialist

We are looking for a proactive and people-oriented Office & Employee Experience ...
Location
Location
Israel
Salary
Salary:
Not provided
novidea.com Logo
Novidea
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 2+ years of experience of operational and preferably HR related roles (HR operations, Employee Experience Specialist, Talent Acquisition etc)
  • High-level English, both written and spoken - Must
  • Strong organizational and multitasking abilities, with a hands-on approach
  • Excellent interpersonal and communication abilities
  • Passionate about creating an outstanding employee experience with a deep understanding of the importance of care, detail, and personal touch in making people feel valued
  • Creative thinking with a can-do approach from initiative to execution
  • Self motivated, independent and proactive team player
  • Proficiency in office software (e.g., Google Workspace, Excel skills, Canva, Microsoft Office Suite)
  • Ability to thrive in a fast-paced environment and manage multiple priorities
  • Problem-solving mindset with attention to detail
Job Responsibility
Job Responsibility
  • Oversee the day-to-day operations of the office in Israel, ensuring a smooth, efficient and a welcoming work environment
  • Plan and execute the annual employee experience program and budget — including company events, holidays, happy hours, employee recognition, and personal milestones
  • Add a personal touch to the employee journey, making sure small details and office needs are taken care of, while also surprising and delighting employees
  • Be the welcoming face of the office: greet visitors and ensure new employees have a welcoming and organized onboarding experience
  • Manage office logistics and supplies, including kitchen and office equipment
  • Build and maintain strong relationships with external vendors and service providers (e.g., building services, cleaning, food providers, etc.)
  • Collaborate with our global offices to align employee experience activities worldwide
  • Combine the company’s employee experience program with our employer branding initiatives
  • Manage community relations and volunteering activities
  • Track and report office and experience-related expenses, and work with Finance on budget management
  • Fulltime
Read More
Arrow Right

Safety Specialist II – Construction Management

Assists the Senior Construction Safety Project Manager to ensure a safe and heal...
Location
Location
United States , Needham
Salary
Salary:
37.76 - 60.41 USD / Hour
childrenshospital.org Logo
Boston Children's Hospital
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • A high school degree and 3 years of relatable experience and technical training in Life Safety is required
  • A Bachelor’s degree in Industrial Hygiene, Safety, Occupational Health, or a related scientific field and 1 yr is preferred
  • Communication skills to effectively deal with conflicting views or issues and mediate fair solutions
  • Very strong writing and math background for writing policy and compiling/collecting data
  • OSHA 500 Authorized Trainer, CIC-Certificate in Infection Control is required
  • Certifications in life safety, emergency response, hazardous materials management and safety management, is preferred
Job Responsibility
Job Responsibility
  • Conduct regular inspections of patient and non-patient areas helping to maintain a safe and compliant environment in the hospital
  • Work tactfully with client depts to ensure that non-compliant situations are addressed
  • Provide assistance and direction to Safety Specialist I
  • Assist Sr PM with routine admin tasks
  • Conduct routine reports, drills, and training for hospital staff
  • Support existing Construction Safety operations focused on construction permitting (PCRA), ICRA Assessments, contractor eForm submission reviews, Life Safety Compliance (ILSM Alerts), and Fire Stopping Policy compliance
  • Represent the Environmental Health & Safety (EHS) Department at committee meetings as assigned by the PM and present, take minutes and report back at the request of the PM
  • Respond to emergencies as a Safety On-Call Officer
  • Supports existing ICRA 2.0 compliance working with facilities project management, contractors and engineering department management personnel, including providing regular training on policy updates
  • Assist the Sr PM with high priority projects such as: hazardous drugs training and sampling, hazard assessments, exposure assessments, Environment of Care risks, and maintenance at Hospital satellite locations
What we offer
What we offer
  • flexible schedules
  • affordable health, vision and dental insurance
  • child care and student loan subsidies
  • generous levels of time off
  • 403(b) Retirement Savings plan
  • Pension
  • Tuition and certain License and Certification Reimbursement
  • cell phone plan discounts
  • discounted rates on T-passes
  • Fulltime
Read More
Arrow Right