Care Management Processor

Jobtome; El Paso (TX); On-site; USD 21,000 - 40,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Jobtome in El Paso, Texas, seeks an administrative support specialist for the care management function. You will handle non-clinical duties, support interdisciplinary teams, and contribute to delivering integrated care across the continuum.

The role emphasizes accurate data entry, scheduling, and communication to ensure quality, cost-effective member care. Experience in healthcare admin and CMA is preferred.

Qualifications

• At least 1 year of experience in an administrative support role in health care.
• Strong attention to detail.
• Problem-solving skills.
• Proficient with 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

• Provides non-clinical administrative support to the care management function.
• Contributes to interdisciplinary team efforts supporting integrated delivery of care.
• Supports quality and cost-effective member care.
• Facilitates administrative support including case assignment, screening, scheduling, correspondence processing, data entry, and clerical support for care management services.
• Assists in initial review of case levels and assignment to care managers.
• Reviews data to identify member needs and helps implement care plans.
• Schedules member visits with care managers.
• Screens members per Molina policies and helps identify appropriate member services.
• Coordinates required member services per member benefit plan.
• Promotes internal and external communication to enhance care management effectiveness.
• Processes member and provider correspondence.
• Handles 100% inbound calls in call center.

Skills

Attention to detail

Problem-solving

Customer service

Time management

Verbal and written communication

Education

Certified Medical Assistant (CMA)

Tools

Microsoft Office

Job description

Job Summary

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.

Essential Job Duties

• 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.
• Call center, 100% inbound calls

Required 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.

Preferred Qualifications

• Certified Medical Assistant (CMA).

Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $14.9 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.