Care Management Processor

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

Job summary

Molina Healthcare is hiring for a non-clinical administrative support role in care management in the United States. You will assist in case management, scheduling, and coordinating member services to deliver integrated care.

The role emphasizes data review, communication, and adherence to policies. 1+ year experience and MSP Office proficiency are preferred, with a focus on quality member care.

Qualifications

• 1+ year of administrative support in health care or equivalent.
• Strong attention to detail and problem-solving skills.
• Proficient with Microsoft Office (Outlook, Word, Excel).
• Excellent customer service and communication skills.
• Good time-management and organization.

Responsibilities

• Provide admin support for care management teams incl. case assignment and scheduling.
• Assist in initial review of case levels and assignments to care managers.
• Review data to identify member needs and help implement care plans.
• Schedule member visits with care managers as needed.
• Screen members per Molina policies and identify services.
• Coordinate required member services per member benefit plan.
• Promote internal/external communication to enhance care management.
• Process member and provider correspondence.
• Handle 100% inbound call center calls.

Skills

Administrative support

Attention to detail

Problem solving

Customer service

Time management

Verbal & written comms

Microsoft Office

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.