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AtlantiCare is seeking a Care Manager to coordinate patient referrals for specialty clinics and providers. You will assist with applications for medical assistance, welfare, disability, and related forms, ensuring timely processing and follow-up.
You will also manage LOA Medicaid referrals, monitor eligibility, and perform monthly audits to ensure compliance while supporting teamwork and quality service across departments.
The Care Manager Health Plex, provides onsite patient referral services for specialty clinics, private physician, pain management and behavioral health. This position assists patients with the pharmacy assistance program, applications for medical assistance/welfare, disability, MED 1 forms and any other relevant applications necessary for patient care management. In addition, this position assists with managing and completing the LOA Medicaid referrals, follows up on eligibility and performs the monthly audits for LOA compliancy. This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.
EDUCATION: High School Diploma required; Bachelors degree social services preferred.
CERTIFICATION/LICENSE: Current New Jersey Drivers License required.
EXPERIENCE: Minimum of 2 year experience in community based social services required. Proficiency in Clinical Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.
The potential for exposure to the hazards and risk of the ambulatory environment, including exposure to infectious disease, hazardous substances, and potential injury. This position requires sitting, standing and walking a majority of the workday. Works with such equipment as computer terminal, fax machine, printer and copier. The essential functions for this position are listed on the Assessment and Evaluation Tool.
This position reports to department leadership. The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
Benefits offerings may vary based on position and are subject to eligibility requirements.
Join a team that values your well-being and invests in your future.
In order to support the Fair Compensation Strategy by the US Govt., HR Dept., clients are required to adhere to "Pay Transparency Law" in impacted states, which mandate employers to list salary ranges in job advertisements and promotions.
AtlantiCare is an Equal Opportunity Employer
Equal employment opportunity, including veterans and individuals with disabilities.
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