Care Management Processor (Remote)-Must reside in Iowa

Molina Healthcare; Des Moines (IA); Hybrid; USD 19,000 - 40,000; Full time

Job summary

Molina Healthcare is seeking a detail-oriented administrative assistant to support care management operations in Des Moines, IA. You will handle case assignment, scheduling, data entry and compliant correspondence to help deliver coordinated member care.

In this role you will review cases, assist care managers with assignments, coordinate member visits and services, and maintain clear communication with providers and internal teams to ensure timely support and quality service for members.

Qualifications

• Administrative support experience in health care or equivalent.
• Strong attention to detail and problem-solving abilities.
• Excellent customer service and communication skills.

Responsibilities

• Provides administrative support for care management including case assignment and scheduling.
• Assists in initial review of case levels and assigns to care managers.
• 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 per benefit plan.
• Promotes internal and external communication to enhance care management.
• Processes member and provider correspondence.

Skills

Attention to detail

Customer service

Time management

Written and verbal communication

Data entry

Microsoft Office proficiency

Tools

Microsoft Office

Outlook

Excel

Job description

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.