Full-time
Care Management Associate
Athari
New York, new york
- Handles both incoming and outgoing calls on the MLTC/PCS ACD
- Schedule appointments for Care management staff
- Maintain files on members and tracks status of membership
- Liaison between Health and HHA/PCA vendors re: communication about service to members
- Assist members in scheduling necessary medical visits.
- Enter prior approvals in the authorization System (CareConnect).
- Use CareConnect system to enter authorization or services as per benefit of the program.
- Notifies vendors of the start date of the services to member.
- Notifies vendors of end of or cancellation of services for member.
- Monitors the assigned queues in the authorization system (Care Connect) to ensure timely processing of service authorization requests
- Tracks and monitors key information identified by the Team Lead for quality purposes.
- Track and monitor members’ admission to...