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Care Management Processor (Remote - Must Reside in MI)

Molina Healthcare

Grand Rapids (MI)

Remote

USD 10,000 - 60,000

Full time

Today
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Job summary

A national healthcare provider in Grand Rapids, Michigan seeks a dedicated Administrative Support professional to assist in care management services. The ideal candidate will have at least a year of experience in healthcare administration, strong attention to detail, and exceptional communication skills. This role includes responsibilities such as scheduling member visits and processing correspondence. Competitive hourly pay ranges from $14.90 to $29.06, dependent on skills and experience.

Benefits

Competitive benefits and compensation package

Qualifications

  • At least 1 year of experience in an administrative support role in health care.
  • Strong attention to detail and problem-solving skills.
  • Excellent customer service and communication skills.

Responsibilities

  • Facilitates administrative support for care management services.
  • Reviews data to identify member needs and assists care managers.
  • Processes member and provider correspondence.

Skills

Attention to detail
Problem-solving skills
Microsoft Office proficiency
Customer service skills
Time management
Organizational skills
Verbal communication
Written communication

Education

Experience in administrative support role

Tools

Microsoft Office Suite
Job description
Overview

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.

Responsibilities
  • 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).
Additional Information

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $14.9 - $29.06 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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