Coordinator, Intake Support

Molina Healthcare Inc; Kentucky; Remote; USD 42,000 - 66,000; Full time

Job summary

Molina Healthcare is seeking a Care Coordination Intake Specialist to support member intake and care portal activities. You will monitor the care coordination portal daily, triage member inquiries, and coordinate referrals with internal teams to ensure timely access to services.

The role requires 2+ years in care management or related fields, plus an LPN/LVN license if required by state contract. A home office with reliable internet, strong communication, and attention to detail are essential

Qualifications

• At least 2 years of experience in care management, utilization management, behavioral health, or a managed care setting.
• Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) license active and unrestricted if required by state contract or licensing mandates.
• Strong customer service and interpersonal skills.
• Excellent attention to detail and organizational abilities.
• Home office with high-speed internet connectivity.

Responsibilities

• Monitor and manage the intake support center and care coordination portal daily.
• Ensure stakeholders and members have access to pertinent care coordination information.
• Address member inquiries with timely triage to appropriate departments.
• Serve as point of contact to external care coordination entities and providers.
• Assist with member referrals and portal training as needed.
• Attend training on care coordination portal use and access.
• Support reporting requirements to address member needs timely.
• Contribute to population health management and related processes.
• Coordinate components across partners to meet program requirements.
• Monitor program metrics and drive ongoing process improvements.
• Build partnerships with community-based organizations and providers.
• Identify and report operational issues to leadership.
• May conduct training, scheduling, and reporting.
• Travel may be required based on state/contractual requirements.

Skills

Care management experience

Customer service

Attention to detail

Verbal and written communication

Microsoft Office proficiency

Education

LPN or LVN license

Tools

Microsoft Office

Job description

Job Summary

Provides support for member intake and care portal activities. Responsible for member intake and care coordination portal operations/utilization. Supports the care-centered home and fully integrated/accountable system of care, and contributes to overarching strategy to improve and provide quality and cost-effective member care.

Essential Job Duties

• Provides daily monitoring and management of the intake support center/care coordination portal.
• Ensures that internal/external key stakeholders and members have access to pertinent care coordination portal information.
• Ensures that member inquiries and concerns are addressed timely with appropriate triage to assigned department(s).
• Represents as point of contact to external care coordination entities (CCEs), care management entities (CMEs) and individual members and other key providers and stakeholders as needed.
• Facilitates member referrals as needed.
• Attends training specific to care coordination portal use and access.
• Assists with monitoring required reporting requirements to ensure that members needs are addressed timely and appropriately.
• Supports the care-centered home and fully integrated/accountable system of care through population health management, and related processes, programs and services.
• Assists in planning, organization, and design/development of program components by coordinating work efforts across internal or external partners and stakeholders to execute against program requirements.
• Monitors program/project metrics and ongoing process improvements.
• Builds partnerships and relationships with community-based organizations and providers.
• Identifies and reports operational issues and needs to appropriate leadership.
• May conduct training, project scheduling, and reporting as required.
• Local travel may be required (based upon state/contractual requirements).

REQUIRED QUALIFICATIONS:

• At least 2 years of experience in care management, utilization management, behavioral health, and/or a managed care setting, or equivalent combination of relevant education and experience.
• Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
• Customer service and interpersonal skills.
• Attention to detail and organizational skills.
• Home office with high-speed internet connectivity.
• Effective verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.

PREFERRED QUALIFICATIONS:

• Project or program coordination experience.
• Quality improvement experience.

Molina offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.