Care Management Processor (Remote)-Must reside in Iowa

Molina Talent Acquisition; Des Moines (IA); À distance; USD 25 000 - 33 000; Plein temps

Résumé du poste

Molina Healthcare is seeking a non-clinical administrative support specialist to back the care management function and help drive integrated care delivery. You will contribute to strategy for quality and cost-effective member care, and support interdisciplinary teams across the continuum.

The role emphasizes detail-oriented administration, data entry, scheduling, and strong customer service to aid care managers and members alike.

Qualifications

• At least 1 year of administrative support in health care.
• Strong attention to detail and problem-solving skills.
• Proficient with Microsoft Office (Outlook, Word, Excel).
• Excellent customer service and communication skills.
• Strong time-management and organizational abilities.
• Experience with data entry and clerical tasks.

Responsabilités

• Provides administrative support for case assignment, scheduling and data entry.
• Assists in initial review of case levels and care management assignments.
• Reviews data to identify member needs and supports care plan implementation.
• Schedules member visits with care managers as needed.
• Screens members per Molina policies and assists in identifying services.
• Coordinates required member services according to benefits.
• Facilitates internal and external communication to support care management.
• Processes member and provider correspondence.

Connaissances

Administrative support

Attention to detail

Problem-solving

Customer service

Time-management

Organizational skills

Verbal and written communication

Formation

Certified Medical Assistant CMA

Outils

Microsoft Office

Description du poste

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