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Care Management Processor
Job Description
As a Care Management Processor, you will provide essential non-clinical administrative support to the care management function. Your role is crucial in contributing to interdisciplinary team efforts, ensuring the integrated delivery of care across the continuum, 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 case assignment, member screening, and scheduling. Process correspondence, perform data entry, and offer telephone and clerical support. Facilitate initial review of assigned case levels and assist in case management assignments. Review data to identify member needs and implement care plans under care manager direction. Schedule member visits with care managers as needed. Screen members according to Molina policies and identify appropriate services. Coordinate required member services based on benefit plans. Promote internal and external communication to enhance care management services. Process member and provider correspondence. Handle 100% inbound calls in a call center environment. What We Offer Competitive benefits and compensation package What We Offer Molina Healthcare offers a competitive benefits and compensation package to its employees. Who We're Looking For We are seeking a detail-oriented and organised individual to join our team as a Care Management Processor. The ideal candidate will have at least one year of administrative support experience within a healthcare setting, demonstrating strong problem-solving and customer service skills. Proficiency in Microsoft Office suite, including Outlook, Word, and Excel, is essential. You should possess excellent time-management and organisational abilities, coupled with strong verbal and written communication skills to effectively support our care management services. A Certified Medical Assistant (CMA) certification is a preferred qualification for this role. At least 1 year of administrative support experience in healthcare. 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. Why Join Our Team? Purpose-driven culture focused on helping underserved communities Strong sense of meaning and purpose in your work Values integrity, absolute accountability, and supportive teamwork Collaborative and supportive colleagues Support Integrated Care as a Care Management Processor Join Molina Healthcare as a Care Management Processor and play a vital role in supporting integrated care delivery. This full-time position offers competitive compensation and the chance to contribute to quality, cost-effective member care within a purpose-driven organisation.
Benefits
- Dental Insurance