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.At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.Benefits include:Tuition Reimbursementfor all full and part-time staffGenerous paid time off, including your birthday!Affordable and comprehensivemedical, dental and vision coverage for employee and family membersTwo retirement plans! 403(b) AND Employer Paid PensionFlexible spendingAnd MORE!MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)The Placement & Utilization Support Coordinator is expected to provide a high quality of customer service. The position requires the coordinator to act as a liaison between the vendors and both the Care Management and Enrollment Department. Coordinators will authorize services based on medically approved plans of care and information provided within the interdepartmental communication system to newly enrolled and existing HomeFirst and MAP members. Coordinators will also process the dis-enrollment of existing HomeFirst & MAP members. The position demands excellent communication skills to help facilitate excellent customer service.One-year of related Customer Service ExperiencePrior experience in a health care setting preferredFamiliarity with utilization management/case managementKnowledge of HealthRules Payor, Word and ExcelType an average of 55 wpmGood customer service skillsAbility to work closely with different professionals as part of a interdisciplinary health care teamUSD $41,000.00/Yr.USD $45,000.00/Yr.
Job Title
Placement & Utilization Support Coordinator