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Molina Healthcare

Care Management Processor

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Job Description

As a Care Management Processor, you will provide essential non-clinical administrative support to the care management function. Your contributions will be vital to interdisciplinary team efforts, 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, including case assignment, member screening, and scheduling. Process correspondence, perform data entry, and offer telephone and clerical support to the care management team. Conduct initial reviews of assigned case levels and assist in assigning cases to care managers. Review data to identify primary member needs and support care plan implementation under the care manager's direction. Schedule member visits with care managers as required. Screen members according to Molina policies and assist staff in identifying appropriate services. Coordinate necessary member services in line with the member's benefit plan. Promote internal and external communication to enhance care management service 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 supportive and rewarding work environment. 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 relevant education and experience. The ideal candidate will possess strong attention to detail, excellent problem-solving abilities, and a working knowledge of Microsoft Office. You should also demonstrate outstanding customer service, time-management, and organizational skills, coupled with strong verbal and written communication. A Certified Medical Assistant (CMA) certification is a preferred qualification for this role. At least 1 year of administrative support experience in healthcare, or equivalent education and experience. Strong attention to detail. Proven problem-solving skills. Working knowledge of Microsoft Office (Outlook, Word, Excel) or comparable software. Excellent customer service skills. Effective 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 within a purpose-driven culture focused on helping underserved communities Collaborative and supportive team environment Opportunity to contribute to integrated delivery of care Support Care Management and Member Well-being Join Molina Healthcare as a Care Management Processor and provide essential administrative support to our care management team. This full-time role offers a competitive hourly wage and the chance to contribute to high-quality, cost-effective member care in a purpose-driven environment.

Benefits

  • Dental Insurance