Care Management Processor (Remote) - Tx Only

Molina Healthcare; San Antonio (TX); Remote; USD 21,000 - 40,000; Full time

Job summary

Molina Healthcare is seeking an administrative support professional to assist the care management function. You will help with case assignments, scheduling, data entry, and member communications to support integrated care delivery.

The role emphasizes accuracy, strong customer service, and collaboration with care managers to meet member needs. The position supports ongoing care management initiatives and helps ensure services align with member benefit plans, contributing to quality and

Qualifications

• At least 1 year of administrative support experience in health care.
• Strong attention to detail.
• Problem-solving skills.
• Proficiency with Microsoft Office (Outlook, Word, Excel).
• Excellent customer service.
• Time-management and organizational skills.
• Strong verbal and written communication.

Responsibilities

• Provides non-clinical administrative support to the care management function.
• Supports interdisciplinary team efforts for integrated care delivery.
• Contributes to strategy to provide quality and cost-effective member care.
• Facilitates case assignment, scheduling, correspondence processing, and data entry.
• Assists in initial review and assignment of cases to care managers.
• Schedules member visits with care managers as needed.
• Screens members and assists in identifying appropriate member services per policies.
• Coordinates required member services per benefit plan.

Skills

Attention to detail

Problem solving

MS Office

Customer service

Time management

Communication skills

Education

CMA certification

Tools

Microsoft Office - Outlook, Word, Excel

Job description

Job Summary

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: $14.9 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.