Care Management Processor

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

Benefits offered by this job

Competitive benefits

Job summary

Jobtome in Jacksonville, FL is seeking an administrative support professional to assist the care management team in delivering integrated member care. The role emphasizes accurate data entry, scheduling, and coordination of services to support care managers and enhance care quality.

Preferred CMA certification with strong Microsoft Office skills, exemplary communication, and a detail-oriented approach. This position reports to the care management function within Molina Healthcare's broader team.

Qualifications

• 1+ year of administrative support experience in health care or equivalent.
• Strong attention to detail and problem-solving skills.
• Proficient in Microsoft Office (Outlook, Word, Excel) or similar software.
• Excellent customer service, time-management, and organizational abilities.
• Strong verbal and written communication skills.

Responsibilities

• Provides non-clinical administrative support to care management.
• Assists with case assignment and scheduling for care management.
• Reviews data to identify member needs and supports care plan implementation.
• Schedules member visits with care managers.
• Screens members per Molina policies and assists in identifying services.
• Coordinates required member services per member benefit plan.
• Promotes internal and external communication to support care management.
• Processes member and provider correspondence.

Skills

Attention to detail

Problem solving

Customer service

Time management

Verbal communication

Written communication

Education

High school diploma or equivalent

Certified Medical Assistant (CMA)

Tools

Microsoft Office (Outlook, Word, Excel)

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.