MLTC Care Coordinator
ProKatchers
Job Title : MLTC Care Coordinator Location : Manhattan, NY - 10004 Duration : 02+ months Education : High School graduation or evidence of having satisfactory passed a High School Equivalency Program Shift Details : 9:00 AM-5:00 P, 35hrs/week General Description: Handles both incoming and outgoing calls on the MLTC/PCS ACD. Liaison between MetroPlus and HHA/PCA vendors re: communication about service to members. Monitors the assigned queues in the authorization system (Care Connect) to ensure timely processing of service authorization requests. Track and monitor members’ admission to hospitals, nurse home facilities, ER visits and unexpected outcomes. Use Application system to enter authorization or services as per benefit of the program.
Vacancy posted 2 days ago
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