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BH UM Care Coordinator
Job Ref : 106285
Category : Utilization Review and Case Management
Department : BEHAVIORAL HEALTH HARP
Location : 50 Water Street, 7th Floor, New York, NY 10004
Job Type : Regular
Employment Type : Full-Time
Hire In Rate : $52,000.00
Empower. Unite. Care.
MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege.
If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.
About NYC Health Hospitals
MetroPlu sHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
As a wholly-owned subsidiary of NYC Health Hospitals, the largest public health system in the United States, MetroPlus Health network includes over 27,000 primary care providers, specialists and participating clinics.
For more than 30 years, MetroPlus Health has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
Position Overview
The Behavioral Health UM Care Coordinator provides comprehensive service and support to providers and members as needed. The primary responsibilities include but are not limited to : responding to all provider inquiries for Behavioral Health Core and HARP authorizations, documenting such contacts into the tracking clinical system, manage and maintain inbound queues for the UM work system, process complaints, conduct outreach efforts to providers and ensure all activities deliver a seamless and streamlined experience for both UM staff and providers.
This position requires that one be organized, ability to multitask, set priorities and manage time effectively.
Job Description
Minimum Qualifications
Professional Competencies
Last updated : 2024-04-29
Full Time
Insurance
$64k-84k (estimate)
05/01/2024
05/15/2024
metroplus.org
NEW YORK, NY
1,000 - 3,000
1994
TALYA SCHWARTZ
$3B - $5B
Insurance