UM Care Coordinator
90-27 Sutphin Blvd, Jamaica, NY 11435, USA
Req #1183
Monday, April 1, 2024
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 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.
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.
Other details
Pay Type Hourly
Min Hiring Rate $17.95
Max Hiring Rate $20.51
Apply Now
Receive real-time job alerts and never miss the right job again
United States - NY - NY - New York
February 2, 2024
We are looking for professional, income-driven Over-the-Road Class A Truck Drivers! We are a national carrier based in Canton, Michigan with all dry vans and 99% no-touch freight. Most of the loads are drop and hook. We keep a combination of automatic and manualtransmissions to accommodate everyone....
United States - NY - NY - Canisteo
May 2, 2024
Flatbed Truck Driver Benefits: • Gross annual Drivers Average between $80,000 - $100,000+ • Avg Weekly Gross of $1,540 - $1,925+ • All positions pay $170 daily rate PLUS mileage for ALL miles (loaded and empty) • Guaranteed orientation pay of $1,400/week for 1st month • Home...
United States - NY - NY - Elbridge
April 29, 2024
Novo Building Products is an industry-leading manufacturer and distributor of stair parts, mouldings, doors, and specialty millwork, along with a variety of board products. Based in Zeeland, Michigan, Novo Building Products operates Ornamental Decorative Millwork, L.J. Smith Stair Systems, and Novo...
United States - NY - NY - Millbrook
December 21, 2023
First for a reason • First Student is the largest school transportation provider in North America with more than a century of experience providing safe and reliable transportation. We work with 1,250 school districts in 39 states and 8 Canadian provinces carrying approximately five million students...
United States - NY - NY - Schenectady
March 25, 2024
CDL-A Teams: TOP TEAM PAY IN THE NATION & UP TO $15,000 SIGN ON BONUS/SPLIT! • Your team can average $200,000 or more! • Team Drivers: Up to $15,000 Sign-On Bonus/split with average 5,500 miles per week! Don't have a team partner? We will help you find the right partner with our TEAM match program!...
United States - NY - NY - Sandusky
May 2, 2024
Flatbed Truck Driver Benefits: • Gross annual Drivers Average between $80,000 - $100,000+ • Avg Weekly Gross of $1,540 - $1,925+ • All positions pay $170 daily rate PLUS mileage for ALL miles (loaded and empty) • Guaranteed orientation pay of $1,400/week for 1st month • Home...
United States - NY - NY - Pleasant Valley
December 21, 2023
First for a reason • First Student is the largest school transportation provider in North America with more than a century of experience providing safe and reliable transportation. We work with 1,250 school districts in 39 states and 8 Canadian provinces carrying approximately five million students...
United States - NY - NY - Cherry Creek
May 2, 2024
Flatbed Truck Driver Benefits: • Gross annual Drivers Average between $80,000 - $100,000+ • Avg Weekly Gross of $1,540 - $1,925+ • All positions pay $170 daily rate PLUS mileage for ALL miles (loaded and empty) • Guaranteed orientation pay of $1,400/week for 1st month • Home...
United States - NY - NY - Memphis
April 29, 2024
Novo Building Products is an industry-leading manufacturer and distributor of stair parts, mouldings, doors, and specialty millwork, along with a variety of board products. Based in Zeeland, Michigan, Novo Building Products operates Ornamental Decorative Millwork, L.J. Smith Stair Systems, and Novo...
United States - NY - NY - Basom
May 2, 2024
Flatbed Truck Driver Benefits: • Gross annual Drivers Average between $80,000 - $100,000+ • Avg Weekly Gross of $1,540 - $1,925+ • All positions pay $170 daily rate PLUS mileage for ALL miles (loaded and empty) • Guaranteed orientation pay of $1,400/week for 1st month • Home...
United States - NY - NY - Pattersonville
May 3, 2024
Martin Brower is Now Hiring CDL-A Drivers in Harriman, NY! • Average $88,000-$115,000 per Year + $10,000 Sign-On Bonus • Local Routes - Get Home Daily - Excellent Benefits Martin Brower is a global supply chain leader that provides smart, sustainable solutions for customers across 18 countries. We...
United States - NY - NY - Marcellus
April 29, 2024
Novo Building Products is an industry-leading manufacturer and distributor of stair parts, mouldings, doors, and specialty millwork, along with a variety of board products. Based in Zeeland, Michigan, Novo Building Products operates Ornamental Decorative Millwork, L.J. Smith Stair Systems, and Novo...
United States - NY - NY - Scipio Center
April 29, 2024
Novo Building Products is an industry-leading manufacturer and distributor of stair parts, mouldings, doors, and specialty millwork, along with a variety of board products. Based in Zeeland, Michigan, Novo Building Products operates Ornamental Decorative Millwork, L.J. Smith Stair Systems, and Novo...
United States - NY - NY - Buffalo
February 2, 2024
We are looking for professional, income-driven Over-the-Road Class A Truck Drivers! We are a national carrier based in Canton, Michigan with all dry vans and 99% no-touch freight. Most of the loads are drop and hook. We keep a combination of automatic and manual transmissions to accommodate...
United States - NY - NY - Brooklyn
April 25, 2024
Ready for a Rewarding Career Opportunity? Become a Nurse Practitioner Supervisor with RSC Healthcare! Earn $70-$75 Per Hour - Monday-Friday- 8:30am-5:30pm Why Choose Us? At RSC Healthcare, were not just offering a job; were inviting you to join a community dedicated to excellence in healthcare. With...
United States - NY - NY - Mechanicville
May 1, 2024
DAIM Logistics is Hiring CDL A Regional Truck Drivers! Hiring out of: Saratoga, NY & Albany, NY & Fultonville, NY Work Hard For Us - We Work Hard For You! $80,000 - $90,000 PerYear Up to $0.68 CPM - More For Doubles Safety Bonus, Performance Bonus, and Extra Pay Minimum of 1 Year Experience...
United States - NY - NY - Gloversville
March 25, 2024
CDL-A DEDICATED COMPANY TRUCK DRIVERS OPPORTUNITIES • GREAT HOME TIME AND PAY! • DEDICATED DRIVERS: Choose U.S. Xpress.Great Home Time & Pay: Earn up to $70,000+ annually! Call and ask for details of routes available in your area. • Benefits: • Home time varies per location • Unloading and Stop Pay...
United States - NY - NY - Elizabethtown
April 29, 2024
Looking for advancement opportunities while still getting time at home daily? Look no further! BlueLinx is hiring Flatbed and Curtain Side drivers out of Burlington, VT! Earn Up to $1700 weekly while being home EVERY NIGHT. BlueLinx drivers enjoy a full suite of benefits such as a 401k program,...
United States - NY - NY - Glenwood
May 2, 2024
Flatbed Truck Driver Benefits: • Gross annual Drivers Average between $80,000 - $100,000+ • Avg Weekly Gross of $1,540 - $1,925+ • All positions pay $170 daily rate PLUS mileage for ALL miles (loaded and empty) • Guaranteed orientation pay of $1,400/week for 1st month • Home...
United States - NY - NY - Auburn
April 29, 2024
Novo Building Products is an industry-leading manufacturer and distributor of stair parts, mouldings, doors, and specialty millwork, along with a variety of board products. Based in Zeeland, Michigan, Novo Building Products operates Ornamental Decorative Millwork, L.J. Smith Stair Systems, and Novo...
United States - NY - NY - Little Valley
May 2, 2024
Flatbed Truck Driver Benefits: • Gross annual Drivers Average between $80,000 - $100,000+ • Avg Weekly Gross of $1,540 - $1,925+ • All positions pay $170 daily rate PLUS mileage for ALL miles (loaded and empty) • Guaranteed orientation pay of $1,400/week for 1st month • Home...
United States - NY - NY - Seneca Falls
April 29, 2024
Novo Building Products is an industry-leading manufacturer and distributor of stair parts, mouldings, doors, and specialty millwork, along with a variety of board products. Based in Zeeland, Michigan, Novo Building Products operates Ornamental Decorative Millwork, L.J. Smith Stair Systems, and Novo...
United States - NY - NY - Holland
May 2, 2024
Flatbed Truck Driver Benefits: • Gross annual Drivers Average between $80,000 - $100,000+ • Avg Weekly Gross of $1,540 - $1,925+ • All positions pay $170 daily rate PLUS mileage for ALL miles (loaded and empty) • Guaranteed orientation pay of $1,400/week for 1st month • Home...
United States - NY - NY - Poplar Ridge
April 29, 2024
Novo Building Products is an industry-leading manufacturer and distributor of stair parts, mouldings, doors, and specialty millwork, along with a variety of board products. Based in Zeeland, Michigan, Novo Building Products operates Ornamental Decorative Millwork, L.J. Smith Stair Systems, and Novo...
United States - NY - NY - Queensbury
May 3, 2024
What YouWill Be Doing • Providing superiorguest service at a variety ofwaterpark attractions with a focus on guest safety • Ensuring thatall Guests meet all rider requirements for each attraction • Ensuring thatall Guests ride the attraction appropriately and are dispatchedproperly • Calculating the...
United States - NY - NY - Binghamton
March 11, 2024
CDL-A Truck Drivers: Recruiters Standing by 24/7CALL NOW! • GREAT ROUTES AVAILABLE! • Top-Paying CDL A Job Opportunities: DEDICATED ROUTES • Great Home Time & Pay: Earn up to $70,000+ annually! OTR OPPORTUNITIES • Find your freedom with us. You can count on consistent miles and paycheck! TEAM...
United States - NY - NY - Poughkeepsie
December 21, 2023
First for a reason • First Student is the largest school transportation provider in North America with more than a century of experience providing safe and reliable transportation. We work with 1,250 school districts in 39 states and 8 Canadian provinces carrying approximately five million students...