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16 Mycenters Jobs Hiring Near You

mycenters

UM Care Coordinator

Staten Island, NY

$19.50 - $26.50/hr

JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate ...

mycenters

Claims Auditor

Staten Island, NY

Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with ...

mycenters

Training Coordinator

Staten Island, NY · On-site

JOB SUMMARY: The Training Coordinator works directly with Trainer/Auditors and reports to the Director of Training and Development. The primary objective is to provide overall support to the Training ...

mycenters

Field Coordinator

New York, NY · On-site

JOB SUMMARY: The Field Coordinator is an essential team member of Centers Plan for Healthy Living's Care Management department and assists with the care of all members enrolled in CPHL's managed care ...

mycenters

Home Care Relations Liaison

Staten Island, NY · On-site

$59K - $78K/yr

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 ...

mycenters

Medicare MAP Advisor

Staten Island, NY

JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and Medicare Line of Business, maintains relationships, services our existing customers and secures new customers by consultative ...

mycenters

UM Clinical Reviewer

Pompano Beach, FL

One of the fastest growing Managed Long-Term Care company in New York, Centers Plan For Healthy Living is currently accepting applications for Full Time Registered Nurse without experience. The ...

mycenters

Intake RN

Pompano Beach, FL · On-site

JOB SUMMARY: The Intake RN is responsible for conducting UAS-NY assessments, determining when individuals are appropriate for membership and developing plans of cares for prospective CPHL members.

mycenters

UM Coordinator

Pompano Beach, FL · On-site

JOB SUMMARY: The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate ...

mycenters

Trainer/Auditor

Staten Island, NY · On-site

JOB SUMMARY: The objective is to ensure ongoing compliance, provide support and training by monitoring the field staff on a monthly basis. The Trainer/Auditor will provide oversight of the field ...

mycenters

UAS Coordinator

Staten Island, NY · On-site

$19.50 - $26.50/hr

JOB SUMMARY: The Care Coordinator works within a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate ...

mycenters

UAS Coordinator

Jamaica, NY

$20.25 - $27.25/hr

JOB SUMMARY: The Care Coordinator works within a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate ...

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UM Care Coordinator

mycenters

Staten Island, NY

$19.50 - $26.50/hr

Other

Posted 25 days ago

Job description

JOB SUMMARY:

 

The Utilization Management Care Coordinator works within a multidisciplinary care team to assist with the care of members enrolled in our Managed Long Term Care program and facilitate authorization requests for eligible members.
 

PRIMARY RESPONSIBILITIES:

  • Assists in the prior authorization of services and ongoing authorization requests
  • Assists in completing authorization updates as needed based on the care plan of the member
  • Coordinates with providers regarding authorization activities
  • Coordinates communication between authorization clinical staff, members and providers as needed
  • Act as liaison and member advocate between the member/family, physician(s) and the care team to ensure timely and effective communication in regards to the member’s care
  • Participates in case round meetings and on-going education activities
  • Ensures that all job responsibilities are carried out in compliance with CPHL and State and Federal regulations
  • Other assigned duties 

EDUCATION AND EXPERIENCE:

 

Education

Required: HS Diploma

Preferred: Bachelor’s Degree
 

Type of Experience

Required:

  • Strong written and verbal communication skills
  • Computer proficiency
  • Strong multi-tasking abilities 

Preferred:

  • Experience working within a managed care environment

Specific Technical Skills
 

Preferred: Computer proficiency in Microsoft Office applications
 

Certifications/Licensure:

Required: None
 

SCOPE INFORMATION

# Direct Reports: 0
 

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.

  • Must be able to operate a computer and telephone

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.

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