Home Care Relations Liaison

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.

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.

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.