Care Management Processor (Must Reside In Wi)

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

Job summary

Molina Healthcare is seeking an administrative support professional to assist care management by handling case assignments, scheduling, data entry, and member correspondence. This role contributes to integrated delivery of care and supports the care management team.

The ideal candidate has at least 1 year in healthcare admin, strong MS Office skills, excellent communication, and attention to detail. CMA certification is preferred.

Qualifications

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

Responsibilities

• Facilitates administrative support including case assignment, scheduling, data entry, and clerical tasks.
• Assists in initial review and assignment of cases to care managers.
• Reviews data to identify member needs and supports care plan implementation.
• Schedules member visits with care managers and coordinates services.
• Screens members per Molina policies and supports care management staff.
• Promotes internal and external communication to enhance care management services.

Skills

Attention to detail

Problem-solving

Customer service

Time-management

Verbal and written communication

Organizational skills

Education

Certified Medical Assistant (CMA)

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.

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.