Care Coordination Specialist — Managed Care
MJHS
MJHS in New York, NY is seeking a Managed Care Coordinator to ensure high quality, cost-effective care for Elderplan/HomeFirst members. This role involves supporting care coordination in compliance with regulatory requirements and acting as a liaison between members and care teams. The ideal candidate should have a High School Diploma or equivalent, with college education preferred, and at least one year of managed care experience. Strong communication and organizational skills are essential to succeed in this position. #J-18808-Ljbffr MJHS
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Care Coordination Specialist — Managed Care in New York, NY vacancy
- Centers Plan for Healthy Living is seeking a Utilization Management Care Coordinator to assist members in their Managed Long Term Care program. The role involves managing prior authorization requests and ensuring effective communication between members, physicians, and...Suggested
- A healthcare organization in New York is seeking a Care Coordinator to support care management and clinical service activities for Medicare and Medicaid members. The ideal candidate will process enrollment cases, handle service requests, and ensure high-quality care through...Suggested
- Spear Physical and Occupational Therapy is seeking a qualified Care Coordinator for our Battery Park clinic to welcome patients, manage appointment flow, and respond to calls and emails within 2 hours and within 24 hours. You will guide patients through the out-of-network...Suggested
- Humana is seeking a Patient Services Coordinator to manage visit schedules and coordinate with field staff, patients, and physicians to ensure continuity of care. The role also supports day-to-day office and staff activities, emphasizing clear communication and efficient...SuggestedWork at office
- ...City of Lincoln is seeking a full-time administrative support role in Brooklyn, NY to assist with care management tasks and vaccine appointment coordination. The candidate will register members, schedule appointments, gather documentation, and help with outreach and administrative...SuggestedFull timeWork at office
City of Lincoln
New York, NY3 days ago - RadNet, Inc. seeks a Care Manager Specialist to coordinate all aspects of a health home member's care in a fast-paced setting. You will track appointments, educate members, assist with consent forms, and engage with the care management team, providers, and families. This...Work at office
- Foundations Recovery Network is seeking a Utilization Management Coordinator at Black Bear Lodge in northern Georgia. This role focuses on reviewing... ...with the treatment team to ensure effective, evidence-based care. Responsibilities include documenting authorizations,...
- ...Northwell Health is seeking a Care Management professional to coordinate activities related to care for family members and caregivers, with a focus on high-risk patients and continuity of care. You will work with the primary care team, hospitals, and community resources...
Northwell Health
New York, NY13 hours ago $59k - $62k
...leading specialty substance use care provider, built on the belief... ...voice-first AI Mental Health Specialist, Pelago now applies that same... ...than 750,000 members better manage their substance use. If you'... ..., welcome calls, and care coordination. The remaining 30% focuses on...Full timeTemporary workRemote workHome officeFlexible hoursPelago
New York, NY3 days ago$37k - $42k
...Description Job Description Description: Title: Care Coordination Outreach Engagement Specialist Department: Health Care Coordination Reports... ...the needs of persons through team-based care management. The program goals include prompt linkage and ongoing...Full timeCommunity Health Action of Staten
New York, NYmore than 2 months ago- ...EmblemHealth is seeking an experienced administrative support professional to assist the Foster Care program. You will coordinate with OCFS, LDSS, and VFCA to ensure timely assessments and continuous care for members in foster care, acting as a subject matter expert on...
EmblemHealth
New York, NY1 day ago $19 - $24 per hour
...of a world where everyone has the care infrastructure they need to manage their own health and the health and... ...by pairing care navigation and coordination with on‑site and near‑site employer... ...join us. As a Part Time Backup Care Specialist , you'll play a pivotal role in...Temporary workPart timeLocal areaImmediate startRemote workShift workNight shiftWeekend workDay shiftAfternoon shift- Institute for Community Living Inc. in Brooklyn seeks a Substance Abuse Specialist to conduct community outreach, engagement, care coordination, and recovery support for individuals facing behavioral health and substance use challenges. The role partners with treatment...
- ...individual to perform clerical and receptionist duties essential to patient care. The ideal candidate has a high school diploma and experience in a hospital setting. Responsibilities include coordinating patient admissions and transfers, maintaining records, and providing...Hourly pay
- Saint Peter's Healthcare System is seeking a Managed Care Specialist in the Department of Medicine to oversee pediatric managed care matters. You will coordinate referrals, pre-authorizations, and provider credentialing while maintaining clear documentation and timely...
$17.75 - $24.73 per hour
Serve as a contact for all managed care related issues in the Pediatric Subspecialty unit.... ...Ensures that all referrals are completed. Coordinate appeal efforts with each physician, as... ...of Medicine The Managed Care Specialist will: Serve as a contact for all managed...Full timeWork experience placementImmediate startShift work- Rendr, located in New York, is seeking a Patient Care Navigator who will ensure patients receive comprehensive and personalized care through coordination of services. The ideal candidate will have a strong background in medical terminology and excellent communication skills...
- A private acute care hospital in New Jersey is seeking a qualified professional responsible for assisting in discharge planning and coordination. The role involves documentation of patient interventions, maintaining positive relationships with community agencies, and ensuring...
- Healthfirst is seeking a Care Coordinator to support NorthStar Members by performing care management services and coordinating with interdisciplinary teams to improve health outcomes and reduce costs. You will handle member calls, document in the PHI system, manage a caseload...
- The Care Coordinator at Children's Aid Society in New York coordinates services for an assigned caseload, assisting families to access medical... ...Supervisor, the role focuses on comprehensive care management, HIPAA-compliant documentation, and collaboration with diverse...Afternoon shift
- FountainRx Specialty Pharmacy is seeking a remote Patient Care Coordinator to support patients with retail, compounded, and specialty medications. You will manage inquiries, coordinate with providers and payors, and ensure accurate documentation across the care continuum...Remote job
- ...across Upstate New York. The SCN Member Services Specialist will be the primary contact for members... ...updates on referrals, services, authorizations, and care coordination, bridging communication between members, care managers, providers, and community partners. The role...
$17 - $31.61 per hour
Mount Sinai Morningside in New York City is looking for a Patient Services Coordinator to play a crucial role in delivering healthcare services. This position involves coordinating patient care activities, educating patients on their care plans, and ensuring quality during...Hourly pay- ...POSITION SUMMARY: The HR Coordinator plays a vital role in managing the human resources functions to ensure the agency operates smoothly and efficiently... ...compliance Assist with HR event planning for the care givers Assist with HHA/PCA classes **IN PERSON-MUST...Full timeWork at officeLocal area
Xtreme Care Inc
New York, NY13 hours ago - ...States May 13, 2026 Job Family: Grants Management Analysis Travel Required: Up to 25% Clearance... ...and approval of applications for child care funds by states, territories, and tribes... ...of adopting various options. Coordinate, carry out, and monitor special projects...Contract workTemporary workWork at officeFlexible hours
Guidehouse
New York, NY4 days ago - UnitedHealth Group is seeking a remote Customer Service Associate to support TRICARE beneficiaries via phone, chat and video, with full‑time hours and rotating 8‑ or 10‑hour shifts. Training is virtual from home, and U.S. citizenship plus the ability to obtain a security...Full timeRemote workRotating shift
Effizotech
New York, NY4 days ago - ...Requirements of Scheduler/Client Service Coordinator Must possess strong customer service... ...required Two years of Healthcare or home care experience is preferred Two years of Scheduling... ...the Clinical Supervisor and case manager via CCNF or MIF when verbal orders are needed...
- ElderServe Health is a mission-driven nonprofit managed care organization serving the New York metropolitan area. The Social Worker on... ...outcomes and independence. The role involves counseling, care coordination, and navigation of entitlement programs, with regular collaboration...
- ...POSITION SUMMARY The HR Coordinator plays a vital role in managing the human resources functions to ensure the agency operates smoothly and efficiently.... ...role is essential for maintaining a well-functioning home care agency and ensuring that both staff and clients are...Work at officeLocal area
X-Treme Care
New York, NY1 day ago - ...Street Home Job Description: Shift Supervisor-Personal Care Specialist Under the supervision of the personal care program... ...Charge in the absence of Administrator/Director, Clinical Coordinator, or including directing the implementation of emergency procedures...Hourly payImmediate startAll shiftsShift workNight shiftDay shiftAfternoon shift
WEST SIDE FEDERATION FOR SENIOR AND SUPPORTIVE HOUSING, INC.
New York, NY18 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Care Coordination Specialist — Managed Care. Be the first to apply!
Related searches
- caregiver home care New York, NY
- adult caregiver New York, NY
- home care specialist New York, NY
- private live in caregiver New York, NY
- caregiver- paid training New York, NY
- caregiver for elderly New York, NY
- live in caregiver New York, NY
- caregiver New York, NY
- morning caregiver New York, NY
- hourly caregiver New York, NY