Home Care Relations Liaison

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

• 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
• Aid in delegating CDPAS documentation to appropriate departments
• Correspond with external providers regarding CDPAS approvals and authorizations
• Document all actions in CaseTrakker
• Other assignments and duties as needed

Education And Experience

• HS Diploma Required: At least one-year professional experience in related field
• PREFERRED: MLTC knowledge and experience

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: Stand or sit for long period of time. Constantly operates a computer and other office productivity machinery.