Remote Case Management Processor - MUST RESIDE IN TEXAS

Lensa; Fort Worth (TX); Remote; USD 10,000 - 60,000; Full time

Job summary

A leading company in healthcare services is seeking a Remote Case Management Processor to provide support for the Case Management team. The role involves coordinating care plans, scheduling member visits, and processing correspondence. Ideal candidates will have experience in administrative roles within healthcare and possess strong communication skills. This is a full-time position with competitive hourly pay, and applicants must reside in Texas.

Qualifications

• 1-3 years’ experience in an administrative support role in healthcare.
• 3+ years’ experience in an administrative support role preferred.

Responsibilities

• Provides telephone, clerical, and data entry support for the Case Management team.
• Coordinates required services in accordance with member benefit plan.

Skills

Data Entry

Communication

Education

HS Diploma or GED

Associate degree

Job description

Remote Case Management Processor - MUST RESIDE IN TEXAS

1 day ago. Be among the first 25 applicants.

Get AI-powered advice on this job and access more exclusive features.

Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

Job Summary
Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

Knowledge/Skills/Abilities

• Provides telephone, clerical, and data entry support for the Case Management team.
• Responsible for initial review of assigned case levels to assist in Case Management assignment.
• Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan.
• Schedules member visits with team members as needed.
• Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services.
• Coordinates required services in accordance with member benefit plan.
• Promotes communication, both internally and externally to enhance effectiveness of case management services.
• Processes member and provider correspondence.

Job Qualifications
Required Education
HS Diploma or GED

Required Experience
1-3 years’ experience in an administrative support role in healthcare.

Preferred Education
Associate degree

Preferred Experience
3+ years’ experience in an administrative support role in healthcare, Medical Assistant preferred.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $14.9 - $29.06 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level.

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Other

Industries

• IT Services and IT Consulting

Referrals increase your chances of interviewing at Lensa by 2x.

Set job alerts for roles like “Processor”.