Jobs
>
New York City

    Managed Care Coordinator III - New York, United States - Metropolitan Jewish Health System

    Default job background
    Description

    Overview:

    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.

    Why work for MJHS?:

    When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. 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

    Benefits include:

    • Sign-on Bonuses OR Student Loan Assistance for clinical staff
    • FREE Online RN to BSN and MSN degree programs
    • Tuition Reimbursement for all full and part-time staff
    • Dependent Tuition Reimbursement for clinical staff
    • Generous paid time off
    • Affordable medical, dental and vision coverage for employee and family members
    • Two retirement plans 403(b) AND Employer Paid Pension
    • Flexible spending
    • And MORE

    MJHS companies are qualified employers under the Federal Governments Paid Student Loan Forgiveness Program (PSLF)

    Responsibilities:

    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.

    Qualifications:
    • 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
    Min:
    USD $46,640.15/Yr.

    Max:
    USD $58,300.19/Yr.


  • Medtronic Inc. New York, United States

    Careers that Change Lives · The Project Coordinator III - Payments is a member of the Medtronic Clinical & Regulatory Solutions (MCRS) team responsible for executing high-quality accurate study payments in a timely manner while maintaining external and internal relationships. · A ...


  • New York City, NY New York, United States

    The Office of Labor Relations (OLR) represents the Mayor in the conduct of all labor relations between the City of New York and labor unions representing NYC employees. In addition, OLR administers procedures resulting from the negotiation of collective bargaining agreements, inc ...


  • City of New York New York, United States

    Job DescriptionThe Office of Labor Relations (OLR) represents the Mayor in the conduct of all labor relations between the City of New York and labor unions representing NYC employees. In addition, OLR administers procedures resulting from the negotiation of collective bargaining ...


  • MJHS New York, United States

    Req #: · 1399 · Job ID: · 13009 · Job Location: · New York, NY · Zip Code: · 10040 · Category: · Office and Administrative Support · Agency: · Elderplan · Status: · Regular Full-Time · Office: · Office-based · Salary: · $46, $58,300.19 per year · The challenges of afford ...


  • City of New York New York, United States

    Job Description · The Office of Labor Relations (OLR) represents the Mayor in the conduct of all labor relations between the City of New York and labor unions representing NYC employees. In addition, OLR administers procedures resulting from the negotiation of collective bargain ...

  • G-III Apparel Group

    Production Manager

    4 weeks ago


    G-III Apparel Group New York, United States

    Production Manager - Sports · Success Profile: · The ideal candidate for this Production Manager role will own the entire production process. They will strategize with other internal teams to ensure operational excellence. They will also run quality assessments to ensure customer ...


  • Rutgers University Newark, United States Full time

    Posting Summary · Rutgers, The Statue University of New Jersey is seeking a Research Associate III for NJMS-Medicine-Infectious Diseases. This position is under the direction of the Principal Investigator(s), and Senior Study Coordinator and other leadership, the Research Associ ...

  • G-III Apparel Group

    Production Manager

    4 weeks ago


    G-III Apparel Group New York, United States

    Production Manager - DKNY / Tommy Hilfiger Dresses · Success Profile: · The ideal candidate for this Production Manager role will own the entire production process. They will strategize with other internal teams to ensure operational excellence. They will also run quality assessm ...


  • G-III Apparel Group New York, United States

    Department: MIS · Location: New York · Reporting To: Applications Manager PLM/Sales · Summary: · Person would be responsible for the management and administration of the GIII PLM systems. Duties would encompass meeting with the business, IT and 3rd party vendors with day-to-day ...

  • All Star Healthcare Solutions

    Locum Physician

    2 weeks ago


    All Star Healthcare Solutions New York City, United States contract

    All Star Healthcare Solutions is seeking an OB/GYN to assist with locums coverage in New York. · Board Certified/Board Eligible · 24 hr in house shifts · as soon as credentialed - ongoing · Nursery Level III · Active NY license and DEA · All Star Healthcare Solutions benefits · F ...


  • WellSpan Health York, United States Full time

    Schedule · Hours: Monday - Friday, Day/Evening · Rotation: Weekend · General Summary · Level III Pharmacists possess the expertise and advanced knowledge to be viewed as a department expert in either the operations or clinical domain. The primary responsibility of the Level I ...


  • Rutgers University Newark, United States Full time

    Posting Summary · Rutgers, The State University of New Jersey, is seeking a Mental Health Clinician III for University Behavioral Health Care. · Under direction, the primary purpose of the Mental Health Clinician III is to provide comprehensive evaluation, assessment and therape ...

  • ChristianaCare

    Medical Caseworker

    4 days ago


    ChristianaCare Newark, DE, United States Full time

    Social Worker I - M-F - 11p-7:30a – Newark · If you are an energetic, motivated, compassionate Social Worker that understands the importance of care coordination and who is seeking a work environment filled with Love and Excellence, ChristianaCare is where you want to be. · Chr ...


  • ICF New York, United States Full time

    Position: Climate Mitigation Staff Scientist, IPCC Working Group III Technical Support Unit Intergovernmental Panel on Climate Change (IPCC) · Location: Washington DC (Hybrid) · Posting Dates: May 8, June 6, 2024 · Application Instructions: · Resume/CV/Cover letter must detai ...


  • Axelon Services Corporation New York, United States

    Senior Administrative Assistant - III · New York, NY · 6+ Month Contract · Pay range /hr, W 2 · Description: · This Senior Administrative Assistant position will provide administrative support to one or more Executive Officers and their teams in the Technology Department. The ide ...

  • ChristianaCare

    Registered Nurse

    4 days ago


    ChristianaCare Newark, DE, United States Full time

    Registered Nurse (RN) - Labor & Delivery · Full Time - 12-hour Shifts · Night shift (Hours: 7P - 7A) · Weekend & Holiday commitment · On-Call rotation · Newark, DE · ChristianaCare is seeking a full time RN for our Labor & Delivery departments at our Women's & Children's Bui ...


  • Kansas State University Manhattan, United States Full time

    About This Role: · The Department of Grain Science and Industry is seeking an experienced Office Specialist III, who, without direct supervision, performs a wide variety of administrative and program support for the department. This position will also be the Assistant Graduate Pr ...


  • NYC Health + Hospitals New York, United States

    About NYC Health + Hospitals: · Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible · NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more t ...


  • NYC Health + Hospitals New York, United States

    About NYC Health + Hospitals · Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible · NYC Health + Hospitals is the largest public health care system in the United States. We provide essential outpatient, inpatient and home-based services to more th ...

  • ChristianaCare

    RN Case Manager

    5 days ago


    ChristianaCare Newark, DE, United States Full time

    RN Case Manager - Day Shift · M-F (Hours: 8a-4:30p with call rotation every 7 weeks) No Holidays or Weekends · Wilmington, DE · 10K Sign-on Bonus · Christiana Care Hospital in Wilmington, DE is looking for a Registered Nurse (RN) Case Manager with experience in Discharge Plan ...