Care Management Processor

Jobtome; Fort Lauderdale (FL); On-site; USD 21,000 - 40,000; Full time

Job summary

Jobtome is seeking a non-clinical administrative support specialist to bolster the care management function. The role supports interdisciplinary teams delivering integrated care and contributes to strategies for quality and cost-effective member care.

Responsibilities include scheduling, data entry, and processing correspondence while ensuring alignment with Molina Healthcare policies. The position emphasizes strong communication, organizational skills, and customer service in a healthcare

Qualifications

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

Responsibilities

• Provide administrative support including case assignment, scheduling, data entry, and clerical support for care management services.
• Assist in case management assignment to care managers.
• Review data to identify member needs and support care plans under supervision of care managers.
• Schedule member visits with care managers.
• Screen members per Molina policies and assist in identifying appropriate member services.
• Coordinate required member services per member benefit plan.
• Promote internal and external communication to enhance care management effectiveness.
• Process member and provider correspondence.

Skills

Administrative support

Time management

Organizational skills

Verbal communication

Written communication

Attention to detail

Problem-solving

Customer service

Education

Certified Medical Assistant (CMA)

Tools

Microsoft Office

Job description

JOB DESCRIPTION Job SummaryProvides 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.

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: $15 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.