Support Coordinator - Utilization Management

Healthfirst New York , NY 10007

Posted 6 days ago

The Support Coordinator is responsible for assisting the care/case managers with non-clinical activities such as creating cases and events; providing telephonic outreach to members, providers and community-based organizations; handling member mailings; faxing clinical requests and Individual Health Care Plans on behalf of the care/case managers. The Support Coordinator is assigned to a specific clinical team (such as Care Management, Utilization Management, Behavioral Health, etc.) and may have additional departmental responsibilities.

  • Handles calls to and from members to assist with benefit questions/issues, schedule appointments, and screen assessments to identify risk factors which need closer intervention.

  • Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans.

  • Documents accurate member information in compliance with our internal procedures.

  • Manages an average caseload of 200 cases.

  • Timely communicates member issues or needs and monitors screening of members effectively to improve quality and cost outcomes.

  • Escalates calls as necessary

  • Additional duties as assigned.

Minimum Qualifications:

  • High School diploma or GED.

Preferred Qualifications:

  • Basic Microsoft Word and Excel skills.

  • Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese.

  • Experience in managed care or other area of the healthcare industry working in a Call Center environment or Care/Case Management Department.

  • Demonstrated ability to document calls into a computer system.

  • Knowledge of medical terminology.

Regulatory or Compliance activities: n/a

License or Certification: n/a

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement


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Support Coordinator - Utilization Management

Healthfirst