Care Management Associate

Shift - Day
Pay - $25/hr - $30/hr.

Summary :
Client 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 collaborative spirit, work with us. You can come to work being proud of what you do every day.
The Behavioral Health Care Management Associate (BH CMA), under the direction of the BH CMA Supervisor, is responsible for the daily activities of the member case intake functions and associated workflow, as well as for performing other duties associated with the coordination of member care as outlined for the Behavioral Health Team. The BH CMA is responsible for assisting the BH Care Managers with non-clinical activities such as creating cases and events; providing telephonic outreach to members, providers and community-based organizations; handling member mailings; faxing clinical requests and individual Care Plans on behalf of the BH team.

Product of Role & Responsibilities:

• Receives incoming calls from the Behavioral Health (BH) Automatic Call Distribution (ACD) line, conducting warm transfers between members and the clinical behavioral health case manager
• Handles calls to and from members to assist with benefits questions/issues and help schedule necessary medical appointments as identified by Care Management staff and/or members
• Manages calls to and from providers regarding both inpatient and outpatient BH authorizations, HCBS referrals, specialty (PCP) visits, tests, and faxed care plans
• Serve as a conduit for communication regarding service to members between other departments
• Document calls received from client regarding high-risk members who have been discharged from the Emergency Room
• Notifies members of end of or cancellation of services
• Tracks and monitors key information identified by the Team Lead for quality purposes
• Tracks and monitors members admission to hospitals, nursing home facilities, ER visits and unexpected outcomes
• Tracks members short-term absence from geographic areas
• Notifies Care Manager if a member cannot be contacted
• Assist the BH Care Managers with case management by conducting in-network provider searches for members.
• Timely communicates member issues or needs and monitors screening of members effectively to improve quality and cost outcomes
• Review the daily Heath and Hospitals and non-Health and Hospitals census sent via email to track the admissions/discharges of Medicare participants Analyze and update daily reports.

Schedule Start Date:
03/16/2026

Schedule Start Date:
03/16/2026

Schedule Hours Per Week:
35.00

Schedule Hours Per Day:
7.00

Schedule Notes:


Schedule Days Per Week:
5.00