Handles both incoming and outgoing calls on the MLTC/PCS ACD Schedule appointments for Care management staff Maintain files on members and tracks status of membership Liaison between MetroPlus and ...
Quick apply
Handles both incoming and outgoing calls on the MLTC/PCS ACD Schedule appointments for Care management staff Maintain files on members and tracks status of membership Liaison between MetroPlus and ...
Quick apply
Handles both incoming and outgoing calls on the MLTC/PCS ACD Schedule appointments for Care management staff Maintain files on members and tracks status of membership Liaison between MetroPlus and ...
Manhattan, NY · On-site
$40 - $43/hr
Assists in Pharmacy case management programs to improve quality of care and monitoring of MetroPlus members. * Assists in organizational and departmental quality improvement initiatives. Skills
Manhattan, NY · On-site
$40 - $43/hr
Assists in Pharmacy case management programs to improve quality of care and monitoring of MetroPlus members. * Assists in organizational and departmental quality improvement initiatives. Skills
Manhattan, NY · On-site
$20 - $23/hr
Attend trainings to maintain up-to-date skills and knowledge Location of job: 50 Water Street, FL 7, Metroplus Health Plan - 50 Water Street Shift Notes: ATTACHED Shift Time - 9 AM to 5 PM, required ...
Manhattan, NY · On-site
$20 - $23/hr
Attend trainings to maintain up-to-date skills and knowledge Location of job: 50 Water Street, FL 7, Metroplus Health Plan - 50 Water Street Shift Notes: ATTACHED Shift Time - 9 AM to 5 PM, required ...
Manhattan, NY · Hybrid
$124K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · Hybrid
$124K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · On-site
$124K - $124K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · On-site
$124K - $124K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
New York, NY · On-site
$74K/yr
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
New York, NY · On-site
$74K/yr
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · On-site
$112K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · On-site
$112K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
New York, NY · On-site
$44K/yr
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
New York, NY · On-site
$44K/yr
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
New York, NY · On-site
$74K/yr
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
New York, NY · On-site
$74K/yr
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · On-site
$124K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · On-site
$124K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · Hybrid
$124K - $124K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · Hybrid
$124K - $124K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · On-site
$49.50 - $64/hr
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
Manhattan, NY · On-site
$49.50 - $64/hr
We are a home care agency and a health plan, MetroPlus. Our health system provides essential services to 1.4 million New Yorkers every year in more than 70 locations across the city's five boroughs.
Manhattan, NY · Hybrid
$112K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
Manhattan, NY · Hybrid
$112K/yr
Unite. Care. MetroPlus Health is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a ...
About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of ...
About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of ...
$5.29 - $6.80
0% of jobs
$6.80 - $8.30
0% of jobs
$8.30 - $9.81
0% of jobs
$9.81 - $11.32
0% of jobs
$11.32 - $12.83
0% of jobs
$12.83 - $14.34
0% of jobs
$14.34 - $15.84
0% of jobs
$15.84 - $17.35
0% of jobs
$17.35 - $18.86
0% of jobs
$18.86 - $20.37
17% of jobs
$20.51 is the 25th percentile. Wages below this are outliers.
$20.37 - $21.88
83% of jobs
$5
$20
$21
A MetroPlus job typically refers to a position at MetroPlusHealth, a health insurance provider serving New York City residents. Jobs at MetroPlusHealth span various roles, including customer service, healthcare management, administration, and IT. Employees work to provide affordable, quality healthcare solutions to individuals, families, and businesses. Positions may require experience in healthcare, insurance, or customer support, depending on the role.
To thrive at MetroPlus Health, professionals typically need a background in healthcare administration, insurance, or case management, often supported by a relevant degree or credential. Familiarity with health plan management systems, regulatory compliance tools, and electronic records is important in this environment. Excellent communication, problem-solving skills, and the ability to work collaboratively help team members excel. These competencies are crucial for ensuring quality service delivery, regulatory compliance, and efficient support for members and providers.
At MetroPlus Health, employees often navigate challenges such as managing a high volume of member inquiries, adhering to evolving healthcare regulations, and ensuring accurate coordination among providers, members, and internal teams. The organization provides robust training, cross-functional support, and up-to-date resources to help team members stay informed and equipped to handle these demands. Colleagues work collaboratively to share expertise and resolve complex cases, and management fosters a culture of continuous improvement and open communication. This supportive environment helps employees grow professionally while maintaining high standards of service and care.

Full-time
Posted 26 days ago
Duties:
The Care Management Associate, under the direction of the CMA Supervisor, is responsible for the daily activities of the member case intake functions and associated work flow, as well as for performing other duties associated with the coordination of member care as outlined for the MLTC/PCS Team.
Handles both incoming and outgoing calls on the MLTC/PCS ACD
Schedule appointments for Care management staff
Maintain files on members and tracks status of membership
Liaison between MetroPlus and HHA/PCA vendors re: communication about service to members
Assist members in scheduling necessary medical visits.
Enter prior approvals in the authorization System (CareConnect).
Use CareConnect system to enter authorization or services as per benefit of the program.
Notifies vendors of the start date of the services to member.
Notifies vendors of end of or cancellation of services for member.
Monitors the assigned queues in the authorization system (Care Connect) to ensure timely processing of service authorization requests
Tracks and monitors key information identified by the Team Lead for quality purposes.
Track and monitor members admission to hospitals, nursing home facilities, ER visits and unexpected outcomes
Track and monitor members documentation required for authorization and re-authorization of Personal Care Services. This includes coordinating the completion of Doctors orders or M11qs
Print and mail Home Health Aide/Personal Care Aide Plan of Care
Track members short-term absence from geographic areas.
Coordinate the completion of Occupational Therapy Evaluations
Notifies Care Manager if a member cannot be contacted.
Complete missing information from documentation received
Confirm conflicting information accuracy in the documentation
All other tasks assigned by the Team Lead or the management team.
Skills:
One year of satisfactory full time experience.
Understanding of Medical terminology preferred.
Knowledge of ICD-9 and CPT-4 codes preferred.
Prior managed care experience preferred.
Prior experience customer services/call center experience preferred.
Integrity and Trust
Customer Service Focus
Functional/Technical skills
Written/Oral Communications
Education:
High School graduation or evidence of having satisfactory passed a High School Equivalency Program
Languages:
English - Read, Write, Speak
Schedule Notes:
Work Schedule: Full time
Hours Per Week: 35
Days: Monday, Tuesday, Wednesday, Thursday, Friday
Shift time: 9am - 5pm
Work location: Hybrid
Patient Facing: No
Minimum education level: High school
Language competencies: English/Spanish
License/Registration required: No
Sourced by ZipRecruiter
We understand that attracting, qualifying, placing, and retaining the best candidates for our clients requires exceptional talent. That’s why our highly skilled and dedicated recruitment team works tirelessly to develop lifelong associations with all candidates and clients. We prioritize helping our employees achieve their career goals while providing effective staffing solutions to our clients and candidates. At Apidel, we believe in simple yet established core values that are ingrained within each member of our team. These values are time and again illustrated in our approach to employees, candidates, and clients. Our unwavering belief that our core values of integrity, client satisfaction, innovation, and intellect distinguish us from our competitors is what drives us forward. We remain focused on improving and sustaining a measurable client satisfaction program that has created an organizational culture where our associates provide world-class service every day.
Recruiting and staffing services
501 - 1,000 Employees
Plainfield, IL, US
2012