Care Management Processor

Molina Healthcare, Inc.; Jacksonville (FL); On-site; USD 21,000 - 40,000; Full time

Job summary

Molina Healthcare, Inc. in Jacksonville, FL is seeking a non-clinical administrative support specialist for the care management function. You will help with case assignment, scheduling, data entry, and coordinating member services to support integrated care delivery.

The role emphasizes attention to detail, strong communication, and proficiency with Microsoft Office to support care managers and ensure timely, quality member care that aligns with Molina policies.

Qualifications

• At least 1 year of administrative support experience in health care.
• Strong attention to detail.
• Problem-solving skills.
• Proficiency with Microsoft Office (Outlook, Word, Excel) or similar software.
• Excellent customer service skills.
• Strong time-management and organizational abilities.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office suite or similar programs.

Responsibilities

• Provide non-clinical administrative support to the care management team.
• Assist in case management assignment and scheduling.
• Review data to identify member needs and support care planning.
• Schedule member visits with care managers.
• Coordinate member services per benefit plan.
• Process member and provider correspondence.

Skills

Attention to detail

Problem solving

Microsoft Office proficiency

Customer service

Time management

Organizational skills

Verbal and written communication

Education

Certified Medical Assistant (CMA)

Tools

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.