Care Management Associate

Busy New York Hospital is seeking a Care Management Associate to join their team. Responsibilities include : Handle incoming / outgoing calls on the MLTC / PCS ACD. Schedule appointments for Care Management staff and assist members with scheduling medical visits. Maintain member files, track membership status, and support daily workflow. Serve as a liaison between MetroPlus and HHA / PCA vendors regarding member services. Enter and process authorizations in CareConnect, including prior approvals and service updates. Monitor authorization queues to ensure timely processing. Track member hospital / ER admissions, nursing home placements, and other key outcomes. Coordinate required documentation such as Doctor’s Orders and M11Qs. Print and mail Plans of Care and track member absences. Notify Care Managers when members cannot be reached and resolve missing or conflicting documentation. Complete additional tasks as assigned by leadership. Qualifications : High School Diploma / GED required. At least 1 year of relevant experience; managed care or call center experience preferred. Medical terminology and ICD-9 / CPT-4 knowledge preferred. Strong communication, customer service, and organizational skills. Proficiency in Microsoft Office. Please note that the salary range and / or hourly rate range of $20.00–$25.00 per hour is a good faith determination of potential base compensation offered to applicants at the time of this job advertisement and may be subject to modification in the future. When determining a team member's base salary and / or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). For consideration to this and / or other roles suitable for your background, please submit your most up-to-date resume to join our talent pool. At ATRIA Consulting, LLC, we are a woman-owned business that is fully committed to promoting, cultivating, and maintaining a culture of diversity, equity, and inclusion. We pledge to continue the fight against racism and any other form of bias. We embrace and celebrate our employees' differences in age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make us all unique. We are the collective sum of individual differences, life experiences, knowledge, innovation, self-expression, inventiveness, and talent. We encourage everyone to apply!