ProKatchers LLC
Job Title
Care Coordinator – Managed Care
Location New York, NY 10004
Duration 3 Months
Education High School diploma or equivalent (GED)
Base Pay Range $30.00/hr - $32.00/hr
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.
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.
Seniority level Mid-Senior level
Employment type Contract
Job function Health Care Provider
Industries Hospitals and Health Care
#J-18808-Ljbffr
Location New York, NY 10004
Duration 3 Months
Education High School diploma or equivalent (GED)
Base Pay Range $30.00/hr - $32.00/hr
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.
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.
Seniority level Mid-Senior level
Employment type Contract
Job function Health Care Provider
Industries Hospitals and Health Care
#J-18808-Ljbffr