Care Management Processor(Remote)-Must Reside In Florida

Molina Healthcare; Town of Florida (NY); Remote; USD 21,000 - 40,000; Full time

Job summary

Molina Healthcare is seeking an administrative professional to support care management activities within our team in the United States. The role involves non-clinical administrative tasks, scheduling, data entry, correspondence processing, and ensuring efficient coordination of care services for members.

Ideal applicants have at least 1 year of healthcare administrative experience, strong attention to detail, excellent customer service, and solid communication skills.

Qualifications

• At least 1 year of administrative support experience in health care.
• Strong attention to detail.
• Problem-solving skills.
• Proficient in Microsoft Office (Outlook, Word, Excel) or similar.
• Excellent customer service skills.
• Strong time-management and organizational abilities.
• Strong verbal and written communication skills.

Responsibilities

• Provides non-clinical administrative support to care management teams.
• Assists in case management assignment and scheduling.
• Reviews data to identify member needs and supports care plans.
• Schedules member visits with care managers.
• Screens members per Molina policies and assists services identification.
• Coordinates member services per benefit plan.
• Promotes internal and external communication to enhance care management.
• Processes member and provider correspondence.

Skills

Administrative support

Attention to detail

Problem-solving

Customer service

Time management

Verbal communication

Written communication

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.