Managed Care Coordinator

An established health system in New York City is seeking a Managed Care Coordinator to join their team. This hybrid role supports care coordination, authorizations, and member services for Medicare and Medicaid populations in a fast-paced healthcare environment.

About the Opportunity:

• Shift: Day
• Schedule: Monday to Friday
• Hours: Standard business
• Setting: Hybrid (at least 2 days a week onsite)

Responsibilities:

• Receive and process requests for preauthorization of healthcare services and supplies
• Coordinate services and authorizations with providers and vendors
• Route cases requiring clinical review to the appropriate care management or pre-authorization team members
• Track hospital admissions and discharges
• Verify member eligibility, maintain accurate records, and complete timely data entry in internal systems

Qualifications:

• High School Diploma / GED
• Healthcare experience required
• Strong communication, customer service, and organizational skills
• Ability to work effectively with interdisciplinary healthcare teams
• Strong attention to detail and ability to manage multiple priorities

Desired Skills:

• Experience in roles such as care coordinator, patient care coordinator, medical authorization specialist, healthcare customer service representative, or case management assistant
• Managed care, care coordination, care management, or utilization management experience
• Experience with authorizations, provider or vendor coordination, member services, or healthcare operations
• Familiarity with medical terminology