Care Management Administrative Specialist

Jobtome; Saint Petersburg (FL); On-site; USD 21,000 - 40,000; Full time

Job summary

Molina Healthcare is seeking a non-clinical administrative support specialist to assist the care management function and help deliver integrated care across the continuum. This role supports case assignment, screening, scheduling, data entry, and correspondence to back care managers and the member services team.

You will coordinate member visits, screen according to policies, and help identify appropriate services within member benefit plans, contributing to quality and cost-effective care

Qualifications

• At least 1 year of experience in an administrative support role in health care.
• 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.

Responsibilities

• 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 principal 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.

Skills

Administrative support

Attention to detail

Customer service

Time management

Verbal and written communication

Education

Certified Medical Assistant (CMA)

Tools

Outlook

Word

Excel

Job description

Molina Healthcare is seeking a non-clinical administrative support specialist to assist the care management function and help deliver integrated care across the continuum. This role supports case assignment, screening, scheduling, data entry, and correspondence to back care managers and the member services team.

You will coordinate member visits, screen according to policies, and help identify appropriate services within member benefit plans, contributing to quality and cost-effective care