Member Care Coordination Specialist

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

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