Care Management Processor

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

Benefits offered by this job

Competitive benefits

Job summary

Jobtome is seeking an administrative support specialist to assist the care management function in Houston, TX. The role supports non-clinical coordination across the care continuum and contributes to delivering quality, cost-effective member care.

Responsibilities include scheduling, data entry, member screening, and coordinating services per member benefit plans, with a focus on strong communication and organizational skills.

Qualifications

• At least 1 year of administrative support in health care or equivalent.
• Strong attention to detail and problem-solving skills.
• Proficient in Microsoft Office (Outlook, Word, Excel) or comparable software.
• Excellent customer service and written/verbal communication skills.

Responsibilities

• Facilitates administrative support including case assignment, scheduling, data entry and clerical tasks for care management teams.
• Assists in case management assignment and initial review of case levels.
• Reviews data to identify member needs and supports care plan implementation.
• Schedules member visits with care managers as needed.
• Screens members per Molina policies to identify appropriate member services.
• Coordinates required member services according to member benefit plans.
• Promotes internal and external communication to enhance care management effectiveness.
• Handles member and provider correspondence; supports 100% inbound call center operations.

Skills

Customer service

Attention to detail

Problem-solving

Communication skills

Time management

Microsoft Office

Education

CMA (preferred)

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.