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Medical Management Care Coordinator

Overview

The Visiting Nurse Service of New York (VNSNY) is the nation's largest not-for-profit home- and community-based health care organization, serving the five boroughs of New York City, and Nassau, Suffolk, and Westchester Counties. For 125 years, VNSNY has been committed to meeting the health care needs of New Yorkers with compassionate, high-quality home health care. We offer a wide range of services, programs, and health plans to meet the diverse needs of our patients, members, and clients from before birth to the end of life.

Each day, more than 13,000 VNSNY employees- including nurses, rehabilitation therapists, social workers, other allied professionals, and paraprofessionals- deliver compassionate care, unparalleled medical expertise, and 24/7 solutions and resources to more than 48,000 patients and members, helping them to live the best lives possible in their homes and communities.

Responsibilities

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.

Experience: 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.