Care Manager Processor - In Office, Downers Grove IL

Molina Healthcare; Downers Grove (IL); Hybrid; USD 23,000 - 42,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking Care Manager Processors to support care management activities in Downers Grove, with on-site work up to four days a week. The role focuses on administrative support, case coordination, and member services to ensure quality care delivery.

Ideal candidates have healthcare administrative experience, strong organizational and communication skills, and proficiency with Microsoft Office. The position offers competitive benefits in a collaborative team setting.

Qualifications

• At least 1 year of experience in an administrative support role in health care or equivalent experience.
• Strong attention to detail and organizational skills.
• Problem-solving abilities with proactive approach to tasks.
• Proficiency with Microsoft Office suite (Outlook, Word, Excel) or similar.
• Excellent customer service and communication skills.
• Effective time management and ability to multitask.

Responsibilities

• Provides non-clinical administrative support to the care management function and supports interdisciplinary team efforts.
• Facilitates case assignment, member screening, scheduling, data entry, and clerical support for care management services.
• Assists in initial review of assigned case levels and in care management assignments.
• Reviews data to identify member needs and supports execution of care plans.
• Schedules member visits with care managers and coordinates member services.
• Promotes effective internal and external communication to enhance care management services.

Skills

Administrative support

Attention to detail

Problem-solving

Customer service

Time management

Verbal and written communication

Education

Certified Medical Assistant (CMA)

Tools

Microsoft Outlook

Microsoft Excel

Microsoft Word

Microsoft Teams

Job description

Molina Healthcare is hiring several Care Manager Processors. This role will report into the Molina Healthcare office in Downers Grove up to four times per week. Candidates should live within a reasonable driving distance.

A CMP completes outreach to members to ensure quality healthcare services and needs are met. CMPs assist care managers with member needs identification and ensure they are connected with appropriate services.

Highly qualified candidates will have the following experience-

• Managed care or healthcare experience
• Administrative experience
• Be highly organized, have strong attention to detail, and have strong written and verbal communication skills.
• Be a team player and be comfortable with learning multiple roles to provide coverage for other team members. Strong work ethic and dependable.
• Entry level or above Microsoft Outlook, Excel, and Teams skills.

Essential Job Duties

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

Pay Range: $17.05 - $30.52 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.