ProKatchers LLC
Job Title :
Care Coordinator – Managed Care Location :
New York, NY 10004 Duration :
3 Months Education :
High School diploma or equivalent (GED) Shift Details :
9:00 AM – 5:00 PM Specific Skills : Complete missing or conflicting information from member documentation. Handle incoming calls on the MLTC and MAP ACD phone lines and place outbound calls as necessary. Maintain and track member files and membership status. Serve as liaison and HHA/PCS/CDPAS vendors regarding member benefits. Enter prior approvals, authorizations, and services into system according to program benefits. Notify vendors of member service start dates. Track and monitor key information identified by team leads for quality purposes. Track member admissions to hospitals, nursing homes, ER visits, and unexpected outcomes. Monitor short-term absences of members from geographic areas. Report common trends identified during member contact. Notify Care Manager if a member cannot be reached. Perform additional tasks as assigned by the Team Lead or management team. General Description: The
Care Management Associate
provides coordinator support to members in the MLTC and MAP lines of business. The role includes managing in-bound member calls, processing requests received via fax, and supporting the coordination of member care in collaboration with other MLTC/MAP team members.
Care Coordinator – Managed Care Location :
New York, NY 10004 Duration :
3 Months Education :
High School diploma or equivalent (GED) Shift Details :
9:00 AM – 5:00 PM Specific Skills : Complete missing or conflicting information from member documentation. Handle incoming calls on the MLTC and MAP ACD phone lines and place outbound calls as necessary. Maintain and track member files and membership status. Serve as liaison and HHA/PCS/CDPAS vendors regarding member benefits. Enter prior approvals, authorizations, and services into system according to program benefits. Notify vendors of member service start dates. Track and monitor key information identified by team leads for quality purposes. Track member admissions to hospitals, nursing homes, ER visits, and unexpected outcomes. Monitor short-term absences of members from geographic areas. Report common trends identified during member contact. Notify Care Manager if a member cannot be reached. Perform additional tasks as assigned by the Team Lead or management team. General Description: The
Care Management Associate
provides coordinator support to members in the MLTC and MAP lines of business. The role includes managing in-bound member calls, processing requests received via fax, and supporting the coordination of member care in collaboration with other MLTC/MAP team members.