Care Management Processor (Must Reside In Wi)

Molina Healthcare; Kenosha (WI); On-site; USD 21,000 - 40,000; Full time

Job summary

Molina Healthcare is seeking an experienced administrative professional to support the care management function in Wisconsin. You will assist with case assignment, member screening, scheduling, data entry, and correspondence to facilitate integrated care across the continuum.

Ideal candidates will have 1+ year in health-care admin, strong MS Office skills, customer service excellence, and solid communication abilities.

Qualifications

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

Responsibilities

• Provide non-clinical administrative support to the care management function.
• Assist with case assignment, scheduling, screening, and data entry for team.
• Review data to identify member needs and help implement care plans.
• Schedule member visits with care managers as needed.
• Coordinate member services per benefit plan and process correspondence.

Skills

Administrative support

Attention to detail

Problem-solving

Microsoft Office

Customer service

Time-management

Verbal communication

Written communication

Data entry

Scheduling

Education

Certified Medical Assistant (CMA)

Tools

Outlook

Excel

Word

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.

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.