Care Management Processor (REMOTE) - NE ONLY

Molina Healthcare; Omaha (NE); Remote; USD 21,000 - 40,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking an administrative support professional to back the care management team. Responsibilities include case assignment, scheduling, and data entry to support integrated care delivery.

The role emphasizes attention to detail, customer service, and strong communication. Candidates should be proficient in Microsoft Office and able to manage time effectively in a healthcare setting.

Qualifications

• 1 year of administrative support experience in health care or equivalent
• Strong attention to detail and problem-solving skills
• Excellent customer service and communication abilities
• Proficiency with Microsoft Office (Outlook, Word, Excel)
• Time-management and organizational skills required
• Proficiency with MS Office suite/applicable software programs

Responsibilities

• Provide non-clinical administrative support to the care management function and assist care management team
• Assist in case management via case assignment, screening, and scheduling
• Review data to identify member needs and support care plan implementation
• Schedule member visits with care managers as needed
• Coordinate member services in line with benefit plans
• Support internal and external communication to enhance care management effectiveness
• Process member and provider correspondence

Skills

Attention to detail

Problem solving

Customer service

Time management

Communication

Oral and written communication

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.