Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Care Management Processor
Location
United States
Posted
5 days ago
Salary
Not specified
No structured requirement data.
Job Description
Role Description
Provides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
- Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members.
- Facilitates initial review of assigned case levels and assists in case management assignment to care managers.
- Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan.
- Schedules member visits with care managers as needed.
- Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services.
- Coordinates required member services in accordance with member benefit plan.
- Promotes communication both internally and externally to enhance effectiveness of care management services.
- Processes member and provider correspondence.
Qualifications
- At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
- Strong attention to detail.
- Problem-solving skills.
- Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.
- Excellent customer service skills.
- Time-management and organizational skills.
- Strong verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
Requirements
- Certified Medical Assistant (CMA) (preferred).
Benefits
Molina Healthcare offers a competitive benefits and compensation package.
Company Description
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Requirements
- At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
- Strong attention to detail.
- Problem-solving skills.
- Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.
- Excellent customer service skills.
- Time-management and organizational skills.
- Strong verbal and written communication skills.
- Microsoft Office suite/applicable software program(s) proficiency.
- Certified Medical Assistant (CMA) (preferred).
Benefits
- Molina Healthcare offers a competitive benefits and compensation package.
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