Care Management Associate

A leading public healthcare organization who is seeking a Care Management Associate to support its Clinical Services Administration team. This role plays a critical part in coordinating member services, managing intake workflows, and ensuring timely authorization and communication related to care services. The ideal candidate is detail-oriented, customer-focused, and experienced in managed care or healthcare operations. Responsibilities: Manage daily member case intake functions and associated workflow Handle incoming and outgoing calls through the MLTC/PCS ACD system Schedule appointments for Care Management staff and assist members with medical visit scheduling Maintain and track member files and membership status Serve as liaison between the health plan and HHA/PCA vendors regarding member services Enter prior approvals and authorizations into the CareConnect system Monitor authorization queues to ensure timely processing of service requests Notify vendors of service start dates, cancellations, or terminations Track member admissions, ER visits, nursing home stays, and unexpected outcomes Coordinate documentation for authorization and re-authorization of Personal Care Services, including physician orders and M11Q forms Print and mail Home Health Aide/Personal Care Aide Plans of Care Coordinate Occupational Therapy evaluations Verify documentation accuracy and resolve conflicting information Escalate cases when members cannot be contacted Perform additional duties as assigned by leadership Qualifications: High School diploma or High School Equivalency required Minimum one year of satisfactory full-time work experience Understanding of medical terminology preferred Knowledge of ICD-9 and CPT-4 codes preferred Prior managed care experience preferred Customer service or call center experience preferred Strong written and verbal communication skills High level of integrity and customer service focus Strong organizational and technical skills If you are interested in learning more, please reply back with your resume and a good time for us to speak. Please note that the salary range and/or hourly rate range of $20.00 - $24.00/hr is a good faith determination of potential base compensation offered to applicants at the time of this job advertisement and may be subject to modification in the future. When determining a team member's base salary and/or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). For consideration to this and/or other roles suitable for your background, please submit your most up-to-date resume to join our talent pool. At ATRIA Consulting, LLC, we are a woman-owned business fully committed to promoting, cultivating, and maintaining a culture of diversity, equity, and inclusion. We embrace and celebrate differences across all demographics and backgrounds. We encourage everyone to apply.