Home Care Relations Liaison

Centers Plan for Healthy Living; New York (NY); On-site; USD 60,000 - 80,000; Full time

Job summary

Centers Plan for Healthy Living is seeking a Home Care Relations Liaison in New York. The role collaborates with internal departments and external providers to address member provider-change requests and assist with CDPAS documentation and authorizations.

Responsibilities include coordinating with Utilization Management, Case Management, and G&A, communicating with current providers, and documenting actions in CaseTrakker, along with other duties as assigned.

Qualifications

• At least one year of professional experience in related field.
• MLTC knowledge and experience preferred.

Responsibilities

• Serve as the point of contact for Utilization Management, Case Management and G&A to resolve member provider change requests.
• Communicate with current provider regarding stabilizing services.
• Communicate with providers regarding staffing new cases.
• Assist delegating CDPAS documentation to appropriate departments.
• Correspond with external providers regarding CDPAS approvals and authorizations.
• Documentation of all actions in CaseTrakker.
• Other assignments and duties as needed.

Skills

Phone operations

Analytics

Excel

Home Care knowledge

Education

HS Diploma

Tools

CaseTrakker knowledge

Job description

JOB SUMMARY:

The Home Care Relations Liaison position is responsible for working with internal departments and external providers regarding existing members request for provider change.

This position will assist with CDPAS documentation and authorizations.

PRIMARY RESPONSIBILITIES:

• Point person for Utilization Management, Case Management and G&A regarding resolution to members request for a change in provider
• Communicate with current provider regarding stabilizing services
• Communicate with providers regarding staffing new cases
• Assist delegating CDPAS documentation to appropriate departments
• Correspond with external providers regarding CDPAS approvals and authorizations
• Documentation of all actions in CaseTrakker
• Other assignments and duties as needed

Education and Experience:

Education HS Diploma

Required: At least one-year professional experience in related field

Preferred: MLTC knowledge and experience preferred

Type of Experience

Required: Phone operations and analytics

Preferred: Healthcare administration experience

Specific Technical Skills

Required: Excel

Preferred: Case Trakker knowledge

Certifications/Licensure

Required: NA

Knowledge and Skills:

1. Excellent verbal and written communication skills
2. Home Care knowledge

SCOPE INFORMATION

# Direct Reports:

VP of Strategic Partnership

Director of Pre-Enrollment and Home Care Relations

Physical Requirements

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Stand or sit for long period of time.
• Constantly operates a computer and other office productivity machinery.

The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification. They should not be construed as an exhaustive list of all responsibilities, duties and skills required.