Care Management Processor (must reside in WI)

Molina Healthcare; Milwaukee (WI); On-site; USD 42,000 - 54,000; Full time

Job summary

Molina Healthcare in Milwaukee, WI seeks an administrative support professional to bolster the care management function. You will handle case assignment, schedule visits, process correspondence, and maintain data and records to support integrated care delivery.

This role emphasizes attention to detail, customer service, and proficiency with Microsoft Office. 1+ year healthcare admin experience preferred; CMA a plus.

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.

Responsibilities

• Provides non-clinical administrative support to the care management function.
• Facilitates case assignment, member screening and scheduling, and clerical support for team.
• Assists in initial review of case levels and care management assignment.
• Reviews data to identify principal member needs and supports care plans.
• Schedules member visits with care managers as needed.
• Screens members according to Molina policies and identifies appropriate services.
• Coordinates required member services in line with member benefit plans.
• Promotes communication to enhance care management effectiveness.
• Processes member and provider correspondence.

Skills

Customer service

Attention to detail

Problem solving

Time management

Organizational skills

Communication skills

Education

Certified Medical Assistant (CMA)

Tools

Microsoft Office Suite

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