Care Management Processor(Remote)-Must Reside In Florida

Molina Healthcare; Orlando (FL); Remote; USD 21,000 - 40,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking an administrative support specialist to assist the care management team in Orlando, FL. The role involves handling case assignments, scheduling, data entry, and frontline member interaction to support integrated care delivery.

Candidates should have healthcare admin experience, strong communication, and proficient Microsoft Office skills. A CMA is preferred. The position offers competitive benefits within Molina Healthcare’s care management operations.

Qualifications

• 1+ year of administrative support experience in healthcare.
• Strong attention to detail is essential.
• Problem-solving skills required.
• Proficient with Microsoft Office (Outlook, Word, Excel).
• Excellent customer service skills expected.
• Strong time-management and organizational abilities.
• Effective verbal and written communication skills.
• MS Office proficiency in daily tasks.

Responsibilities

• Provide non-clinical administrative support to care management teams.
• Assist in case assignment and scheduling for care management.
• Review data to identify member needs and assist in care plan implementation.
• Schedule member visits with care managers as needed.
• Screen members per Molina policies and assist in coordinating services.
• Coordinate required member services per member benefit plan.
• Promote internal and external communication to support care management.
• Process member and provider correspondence.

Skills

Administrative support

Microsoft Office

Attention to detail

Customer service

Time management

Verbal & written communication

Education

Certified Medical Assistant (CMA)

Tools

Microsoft Office Suite

Job description

JOB DESCRIPTION

Job SummaryProvides 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: $15 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.