Care Management Processor

Molina Healthcare; Northern (KY); Hybrid; USD 21,000 - 40,000; Full time

Job summary

Molina Healthcare is seeking an administrative support professional to assist the care management function in Kentucky. The role focuses on non-clinical tasks, case assignment, scheduling, and data entry to support integrated care delivery.

Ideal candidates have health care admin experience, strong MS Office skills, and excellent communication. Compensation includes a pay range, with equal opportunity employment noted by Molina Healthcare.

Qualifications

• 1+ year of administrative support in health care or equivalent.
• Attention to detail required.
• Problem-solving skills needed.
• Proficiency in Microsoft Office and customer service.
• Time-management and organization skills.
• Strong verbal and written communication skills.
• Proficient with Microsoft Office suite.

Responsibilities

• Provide non-clinical administrative support to care management.
• Assist in case assignment and scheduling.
• Review data to identify member needs and support care plans.
• Schedule member visits with care managers.
• Screen members per Molina policies and assist in identifying services.
• Coordinate member services per benefit plan.
• Facilitate internal and external communications for care management.
• Process member and provider correspondence.
• Handle 100% inbound call center inquiries.

Skills

Administrative support

Healthcare experience

MS Office

Customer service

Data entry

Communication

Time management

Education

Certified Medical Assistant (CMA)

Tools

MS Outlook

MS Word

MS Excel

Data entry systems

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.