Care Management Processor

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

Job summary

Molina Healthcare in Orlando, FL is seeking an organized administrative support professional to assist the care management team. This role focuses on case assignment, scheduling, data entry, and correspondence to support integrated delivery of care.

The ideal candidate has at least 1 year in health care admin, strong attention to detail, and proficiency with Microsoft Office. The position offers competitive benefits and opportunities to contribute to cost-effective member care.

Qualifications

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

Responsibilities

• Provide administrative support for care management activities.
• Assist in case management assignment and initial review.
• Review data to identify member needs and support care plans.
• Schedule member visits with care managers.
• Coordinate member services per benefit plan.
• Facilitate internal and external communication for care services.
• Process member and provider correspondence.

Skills

Administrative support

Microsoft Office

Customer service

Time management

Communication skills

Education

High school diploma

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.