Case Management Processor

Molina Healthcare; Cleveland (OH); On-site; USD 10,000 - 60,000; Full time

Job summary

A healthcare organization in Cleveland is seeking an administrative support specialist to assist care management functions. The role involves various support tasks including scheduling, data entry, and communication. The ideal candidate has at least one year of relevant experience, strong organizational skills, and proficiency in Microsoft Office. This position offers a competitive hourly wage ranging from $21.16 to $34.88.

Benefits

Competitive benefits and compensation package

Qualifications

• 1+ year of administrative support experience in health care or equivalent.
• Strong organizational skills and time-management abilities.
• Excellent verbal and written communication skills.

Responsibilities

• Provide administrative support for care management.
• Assist in case management assignments.
• Schedule visits with care managers.
• Process member correspondence.

Skills

Attention to detail

Problem-solving skills

Customer service skills

Time-management

Organizational skills

Verbal communication

Written communication

Microsoft Office proficiency

Education

Relevant education or equivalent experience

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: $21.16 - $34.88 / HOURLY. *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.