Care Management Processor (REMOTE) - NE

Molina Healthcare; Alaska; Remote; USD 21,000 - 40,000; Full time

Job summary

Molina Healthcare is seeking a Care Management Processor to join our remote team. This role provides non-clinical administrative support to the care management function and contributes to interdisciplinary efforts supporting integrated delivery of care for members.

Key duties include case assignment, member screening, scheduling, data entry, and handling correspondence while coordinating services per member benefit plans.

Qualifications

• 1+ year in administrative support in health care or equivalent
• Strong attention to detail and problem-solving abilities
• Proficiency with Outlook, Word, Excel or similar software
• Excellent customer service and communication skills

Responsibilities

• Provide non-clinical admin support to the care management team
• Assist in case assignment, member screening and scheduling
• Enter data and handle correspondence for care management services
• Assist in initial review of case levels and care manager assignments
• Schedule member visits with care managers as needed
• Coordinate member services per benefit plan
• Support effective internal and external communication for care management

Skills

Attention to detail

Problem solving

Microsoft Office

Customer service

Time management

Communication skills

Organizational skills

Verbal communication

Tools

Microsoft Office

Job description

Care Management Processor (REMOTE) - NE ONLY

Molina Healthcare all cities,AK

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.