Remote HARP Recertification Care Management Associate

MetroPlusHealth; New York (NY); Remote; USD 55,000 - 75,000; Full time

Job summary

MetroPlusHealth is seeking a Behavioral Health HARP Recertification Care Management Associate to support eligibility maintenance recertification activities and member outreach for the HARP population. You will act as a liaison between members, care managers, providers, and community partners to ensure timely assessments, recertifications, and enrollment-related activities.

In this non-clinical role, you will create and maintain cases in care management systems, track outreach, document

Qualifications

• High school diploma or GED required.
• At least 1 year of professional experience in healthcare, managed care, customer service, care coordination, or case management preferred.
• Proficient in Word, Excel, Outlook, and Teams.
• Bilingual skills preferred (Spanish, Mandarin, Cantonese, Russian, French, Creole).
• Knowledge of NYS Medicaid eligibility, enrollment, and renewal processes preferred.

Responsibilities

• Conduct outreach to HARP members to facilitate timely completion of recertification and eligibility activities.
• Monitor and track HARP recertification due dates and maintain accurate records of member outreach and status updates.
• Support the collection and documentation of required information necessary for HARP enrollment, recertification, and continued eligibility.
• Serve as a liaison between members, providers, Health Homes, and internal departments regarding HARP eligibility and recertification requirements.
• Coordinate with Behavioral Health Care Managers to ensure that required assessments and documentation are completed within established timeframes.
• Create and maintain cases, tasks, and events within designated care management systems.
• Review and update member records to ensure documentation accuracy and regulatory compliance.
• Track and monitor member admissions, discharges, emergency room visits, and other significant events impacting HARP eligibility or service needs.
• Document outreach activities, member interactions, and enrollment-related communications in applicable systems.
• Assist members with navigation of benefits and access to healthcare and community-based services.
• Collaborate with Care Managers and leadership to identify members at risk of losing HARP eligibility and support retention efforts.

Skills

Integrity and Trust

Teamwork

Customer Service

MS Office

Education

High School Diploma

Marketplace Facilitated Enroller certification

Tools

Microsoft Office Suite

Job description

MetroPlusHealth is seeking a Behavioral Health HARP Recertification Care Management Associate to support eligibility maintenance recertification activities and member outreach for the HARP population. You will act as a liaison between members, care managers, providers, and community partners to ensure timely assessments, recertifications, and enrollment-related activities.

In this non-clinical role, you will create and maintain cases in care management systems, track outreach, document