Care Management Processor-Must reside in Florida
- Location
- Florida, United States
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
About Molina Healthcare
Molina Healthcare is a managed care organization that provides health insurance and care management services, primarily serving Medicaid members.
The company operates health plans and delivers integrated care coordination across the continuum of care, combining medical management with behavioral health, long-term services and supports (LTSS), and community resources.
Molina employs advanced claims processing systems, risk adjustment methodologies, and quality performance management to ensure cost-effective, high-quality member outcomes.
The company supports various health plans and regulatory requirements while managing complex operations including provider contracting, benefits configuration, and HEDIS audit compliance.
Healthcare
Explore the company
United States
Guatemala
Mexico