Care Management Processor (REMOTE) - NE ONLY

Molina Healthcare; Lincoln (NE); Remote; USD 23,000 - 40,000; Full time

Job summary

Molina Healthcare in Lincoln, NE seeks an administrative support professional to back the care management function. You will handle case assignment, scheduling, data entry, and correspondence while ensuring alignment with member benefit plans and care plans.

Ideal candidates have at least 1 year in healthcare admin, strong communication, and proficiency in Microsoft Office. CMA is preferred. This is an equal opportunity employer offering competitive benefits.

Qualifications

• 1 year of experience in an administrative support role in health care or equivalent
• Strong attention to detail and problem-solving skills
• Working knowledge of Microsoft Office (Outlook, Word, Excel) or equivalent software
• Excellent customer service skills
• Strong verbal and written communication skills

Responsibilities

• Provide administrative support for the care management function, including case assignment, scheduling, and data entry
• Assist in initial review of case levels and assignment to care managers
• Review data to identify member needs and assist in implementing care plans
• Schedule member visits with care managers
• Screen members according to Molina policies and assist in identifying appropriate member services
• Coordinate required member services according to member benefit plans
• Promote internal and external communication to enhance care management effectiveness
• Process member and provider correspondence

Skills

Data entry

Customer service

Communication

Time management

Organizational skills

Attention to detail

Education

Certified Medical Assistant (CMA)

Tools

Microsoft Office

Job 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.