Care Management Processor (Remote)-Must reside in Iowa

Molina Healthcare; Des Moines (IA); Remote; USD 20,000 - 40,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare in Des Moines, IA seeks an experienced administrative professional to support the care management function. This non-clinical role contributes to team-based delivery of integrated care and helps implement cost-effective member services.

Responsibilities include data entry, scheduling, member screening, and correspondence processing; you will coordinate care-management activities under the supervision of care managers and ensure strong communication with members and providers.

Qualifications

• At least 1 year of administrative support in health care.
• Attention to detail and problem-solving skills.
• Working knowledge of Microsoft Office and data entry.

Responsibilities

• Provides administrative support for case assignment and scheduling.
• Supports initial review of case levels and assignment to care managers.
• Reviews data to identify member needs and assists in care plans.
• Schedules member visits with care managers as needed.
• Screens members per Molina policies and assists in identifying services.
• Coordinates member services per member benefit plan.
• Promotes internal and external communication to support care management.
• Processes member and provider correspondence.

Skills

Attention to detail

Problem-solving

MS Office

Customer service

Time management

Communication

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

Pay Range: $14.16 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.