Care Management Processor (Must Reside In Wi)

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

Job summary

Molina Healthcare in Madison, WI is seeking an administrative support professional to assist the care management function and contribute to integrated delivery of care. This role supports the care management team and assists in implementing care plans to provide quality, cost-effective member care.

The position requires strong attention to detail, excellent communication, and proficiency with Microsoft Office.

Qualifications

• At least 1 year of experience in an administrative support role in health care.
• Strong attention to detail.
• Proficient in Microsoft Office suite.
• Excellent customer service and communication skills.

Responsibilities

• Facilitates administrative support including case assignment, scheduling, data entry, and clerical support for care management services.
• Assists in case management assignment and initial review of case levels.
• Reviews data to identify member needs and supports care plan implementation.
• Schedules member visits with care managers.
• Screens members per Molina policies and assists in identifying member services.
• Coordinates member services per benefit plan.
• Promotes internal and external communication to enhance care management effectiveness.
• Processes member and provider correspondence.

Skills

Administrative support

Attention to detail

Problem solving

MS Office

Customer service

Time management

Communication skills

Office software proficiency

Education

Certified Medical Assistant (CMA)

Tools

Outlook

Word

Excel

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.