Care Coordinator

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.