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Case Management Processor

Molina Healthcare

Provides non-clinical administrative support to the care management function and supports interdisciplinary team efforts that help deliver integrated care across the continuum. Contributes to the organization’s goal of providing quality, cost-effective member care.

Responsibilities include:

  • Facilitating administrative support such as case assignment, member screening, scheduling, correspondence processing, data entry, and telephone/clerical support for the care management team.
  • Performing initial review of assigned case levels and assisting with case management assignment to care managers.
  • Reviewing data to identify member needs and working under the direction of the care manager to implement care plans.
  • Scheduling member visits with care managers as needed.
  • Screening members according to company policies and helping care management staff identify appropriate member services.
  • Coordinating required member services in accordance with the member benefit plan.
  • Promoting communication internally and externally to improve care management services.
  • Processing member and provider correspondence.
Requirements & Qualifications

Required qualifications:

  • At least 1 year of experience in an administrative support role in health care, or an equivalent combination of relevant education and experience.
  • Strong attention to detail.
  • Problem-solving skills.
  • Working knowledge of Microsoft Office (Outlook, Word, Excel) or comparable software.
  • Excellent customer service skills.
  • Time management and organizational skills.
  • Strong verbal and written communication skills.
  • Proficiency with Microsoft Office suite and applicable software programs.

Preferred qualifications:

  • Certified Medical Assistant (CMA).

Location

Florida, US

Employment Type

Full-time

Experience Level

Entry Level

Remote work allowed

No

Posted

1 week ago

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