Managed Care Coordinator
$20 - $25 per hourPride Health
Job Description
Job Title: Care Management Associate / Care Coordination Associate
Location: New York, NY 10004
Shift: Monday – Friday | 9:00 AM – 5:00 PM
Contract Duration: 2 Months with a strong possibility of extension
Pay Rate: $20 – $25/hr
Key Responsibilities:
• Manage daily member intake workflow and maintain accurate membership records
• Handle inbound and outbound calls regarding member services and care coordination
• Schedule appointments for care management staff and assist members with medical appointments
• Enter authorizations and prior approvals into healthcare application systems
• Coordinate with HHA/PCA/PCS/CDPAP vendors regarding member services and care updates
• Monitor authorization queues to ensure timely processing of requests
• Track hospital admissions, ER visits, nursing home stays, and member status updates
• Review documentation for completeness, accuracy, and resolve discrepancies
• Process faxes, update member records, and maintain organized files
Required Qualifications:
• Experience in managed care, MLTC, or healthcare coordination
• Knowledge of ICD-9 and CPT-4 codes
• Experience with authorization systems or healthcare applications
• High School Diploma or GED
• 1+ year of customer service, call center, or healthcare experience
• Basic understanding of medical terminology
“Pride Health offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.”
Vacancy posted 9 days ago
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