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:
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.