Home Care Relations Liaison

Centers Plan for Healthy Living

New York (NY)

On-site

USD 47,875 - 59,875

Full time

14 days+

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Job summary

A leading healthcare provider is looking for a Home Care Relations Liaison to manage member requests for provider changes. The role involves internal coordination and documentation duties, requiring strong communication skills and a high school diploma. Ideal candidates will have some experience in home care and knowledge of relevant systems.

Qualifications

At least one year professional experience in related field required.
Phone operations and analytics experience needed.
MLTC knowledge preferred.

Responsibilities

Point person for Utilization Management regarding provider changes.
Assist delegating CDPAS documentation to departments.
Document all actions in CaseTrakker.

Skills

Excellent verbal and written communication skills

Home Care knowledge

Education

HS Diploma

Tools

Excel

Case Trakker

Job description

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Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance and plans they need for healthy living.

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.

Responsibilities

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

Excellent verbal and written communication skills
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.

Centers Plan For Healthy Living is committed to leveraging the diverse backgrounds, perspectives and experiences of our workforce to create opportunities for our employees and our business. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or any other characteristic protected by law and will not be denied employment.

Seniority level