Care Management Processor at Molina Healthcare

Long Beach, California, United States -

Full Time

Start Date

Immediate

Expiry Date

26 Jun, 26

Salary

0.0

Posted On

28 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Administrative Support, Case Assignment, Member Screening, Scheduling, Correspondence Processing, Data Entry, Telephone Support, Clerical Support, Case Management Assignment, Care Plan Implementation, Member Services Coordination, Communication, Attention To Detail, Problem-Solving, Microsoft Office, Customer Service

Industry

Hospitals and Health Care

Description

JOB DESCRIPTION Job SummaryProvides 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). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Responsibilities

This role provides non-clinical administrative support for care management functions, contributing to integrated care delivery and quality, cost-effective member care strategies. Key duties involve facilitating administrative tasks such as case assignment, scheduling, correspondence processing, data entry, and screening members to support care managers.