Medical Management Care Coordinator, Brooklyn location
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POST DATE 10/12/2017
END DATE 12/8/2017
Visiting Nurse Service Of New York
Created in 1998, VNSNY CHOICE is the managed care affiliate of the Visiting Nurse Service of New York and shares its mission of compassion and care for the poor, the chronically ill and elderly. Our guiding principle is to help the most vulnerable among us live safely and independently for as long as possible in their own homes and communities. VNSNY CHOICE has 700 employees, including 227 care management staff. On any given day, VNSNY CHOICE coordinates care for more than 40,000 members through its array of Medicare and Medicaid health plans, including Medicaid Long Term Care, Medicare Advantage, and a HIV/Special Needs Plan. With offices in Manhattan, Brooklyn and upstate New York, VNSNY CHOICE health plans are available in the New York City metropolitan area as well as on a plan basis in selected counties throughout New York State.
Responsible for implementing the review screening process while providing administrative support for the Clinical Evaluation Manager with inpatient and discharge planning coordination and coordination of care for high risk members. Position requires constant interaction with providers and members. Also assists with ensuring compliance with VNSNY CHOICE Medicare Advantage policies and procedures as well as CMS regulations. Works under general supervision.
Licensure: Valid drivers license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs.
Education: High School degree or equivalent required. Associate Degree in a healthcare related field preferred.
Minimum of two years of experience in customer service, preferably in health care, required. Demonstrated ability to work in a high-volume, fast-paced environment providing excellent service to customers required. Excellent interpersonal skills and phone etiquette required. Ability to work independently and as a team member required. Good communication and problem-solving skills; strong attention to detail required. Strong computer skills required. Bilingual skills preferred. Experience/knowledge of ICD/CPT codes preferred.
VNSNY is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, national origin, disability or protected veteran status. If you would like more information about your EEO rights, then please visit: