Coordinator, Intake Support

Molina Healthcare; Ohio; Remote; USD 55,000 - 75,000; Full time

Job summary

Molina Healthcare in Ohio is seeking an experienced care coordination support professional to assist member intake and portal operations. The role emphasizes timely triage, effective communication, and collaboration with care teams to ensure coordinated, quality member care.

You will monitor the intake center, facilitate referrals, and support population health initiatives while working with external care coordination entities and community partners.

Qualifications

• 2+ years in care management, utilization management, behavioral health, or managed care.
• LPN/LVN license required only if state contract mandates; license must be active in state of practice.
• Strong customer service and interpersonal skills.

Responsibilities

• Monitor the intake support center and care coordination portal daily.
• Ensure stakeholders and members have access to portal information.
• Triage member inquiries and route to appropriate departments.
• Serve as point of contact to external care coordination entities and providers.
• Facilitate member referrals as needed.
• Attend training on care coordination portal use and access.
• Support population health management and related processes and services.
• Identify operational issues and report to leadership.
• Collaborate with internal/external partners to execute program requirements.

Skills

Care management

Utilization management

Customer service

Attention to detail

Organizational skills

Verbal and written communication

Microsoft Office

Job description

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