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    Community Based LTC Support Supervisor - New York, United States - MJHS

    MJHS
    MJHS New York, United States

    3 weeks ago

    Default job background
    Description
    Req #:
    1809

    Job ID:
    13357

    Job Location:
    New York, NY

    Zip Code:
    10040

    Category:
    Management - Non-Clinical

    Agency:

    Status:
    Regular Full-Time

    Office:
    Hybrid

    Salary:
    $61, $73,755.75 per year

    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:
    • Tuition Reimbursement for all full and part-time 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 Government's Paid Student Loan Forgiveness Program (PSLF)

    Responsibilities:

    Provides daily oversight of the Placement and Utilization Support Department.Responsibilities include but not limited to staffing, call monitoring, quality assurance/process monitoring, customer problem resolution, enrollment, and provider relations. Assist Manager of Clinical Support in creation and implementation of all projects, policies, and workflows to ensure full compliance. Responsible for outcomes of all service authorizations and documentation processing and assisting in problem solving as new duties arise and volumes fluctuate.Ongoing monitoring of staff punctuality, attendance, and quality of work.

    Qualifications:
    • Baccalaureate Degree preferred, 3 to 4 years' experience in healthcare.
    • 4-5 years experience in business, human services, or a health-related field. 2-3 years experience in provider relations and/or member services in managed care.Prior experience with Medicaid managed care. Knowledge of the service delivery needs of the elderly, chronically ill or disabled.
      Demonstrates knowledge/ability of: Institutional goals and changing trends in health care and Cost factors in delivering patient care.
    • Proficiency in MS Word and Excel. Knowledge of Telephony systems and Windows operating systems. Must be knowledgeable of new trends in clinical management and information systems and be able to apply data processing technology for the clinical and physician services areas.
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