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Care Management Processor
Job Description
As a Care Management Processor, you will play a crucial role in supporting the care management function by providing essential non-clinical administrative assistance. Your contributions will be vital to the interdisciplinary team, ensuring the integrated delivery of care and supporting the overarching strategy for quality and cost-effective member care. What You'll Do as a Care Management Processor Provide administrative support for care management functions, including case assignment and member screening. Facilitate initial review of assigned case levels and assist in case management assignment. Review data to identify principle member needs and implement care plans under the care manager's direction. Schedule member visits with care managers as needed. Screen members according to Molina policies and assist care management staff in identifying appropriate services. Coordinate required member services in line with benefit plans. Promote internal and external communication to enhance care management effectiveness. Process member and provider correspondence. Handle 100% inbound calls in a call centre environment. Why Join Our Team? Competitive benefits package Competitive compensation package Why Join Our Team? Molina Healthcare offers a competitive benefits and compensation package to its employees, ensuring a rewarding work experience. Who We're Looking For We are seeking a dedicated Care Management Processor with at least one year of administrative support experience in a healthcare setting, or an equivalent combination of education and experience. The ideal candidate will possess strong attention to detail, excellent problem-solving abilities, and a solid working knowledge of Microsoft Office applications such as Outlook, Word, and Excel. Exceptional customer service, time-management, and organizational skills are crucial for this role, alongside strong verbal and written communication. While not essential, a Certified Medical Assistant (CMA) certification is a preferred qualification. At least 1 year of administrative support experience in healthcare, or equivalent. Strong attention to detail. Excellent problem-solving skills. Working knowledge of Microsoft Office (Outlook, Word, Excel) or comparable software. Excellent customer service skills. Strong time-management and organizational skills. Strong verbal and written communication skills. Proficiency in Microsoft Office suite/applicable software programs. Certified Medical Assistant (CMA) is preferred. What's in It for You? Work in a purpose-driven culture focused on helping underserved communities Collaborative and supportive team environment Opportunity to contribute to integrated delivery of care across the continuum Support Care Management in a Dynamic Role Join Molina Healthcare as a Care Management Processor and provide essential administrative support to our care management team. This full-time role offers competitive hourly pay and the chance to contribute to quality, cost-effective member care in Corpus Christi, Texas.
Benefits
- Dental Insurance