Back to all roles

Care Management Processor

Remote-first Full-time Now hiring

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 Pay Range: $16.6 - $30.52 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply tot his job Apply To this Job

More remote roles

Reimbursement Access Manager - Southeast US

Remote-first Full-time

Manager, Healthcare Analytics – SQL/Power BI/Databricks – Georgia Remote

Remote-first Full-time

Healthcare Recruiter- Remote- unlimited opportunity

Remote-first Full-time

[Hiring] Healthcare Recruiter @Rooted Talent Solutions

Remote-first Full-time

Remote Healthcare Recruiter (ABA Therapy Focus)

Remote-first Full-time

Healthcare Recruiter (Remote | Performance-Based)

Remote-first Full-time

Clinical Reviewer (LPN, LVN, RN)

Remote-first Full-time

High-Volume Healthcare Recruiter (Remote, EST)

Remote-first Full-time

Certified Medical Assistant, Nursing Assistant, or LPN - Pottsville

Remote-first Full-time

[Hiring] LVN Case Manager @Vynca

Remote-first Full-time

Experienced Data Entry Specialist – Remote Opportunity with arenaflex

Remote-first Full-time

Registered Nurse III MC/CHC Per Diem - CHC Administration

Remote-first Full-time

Experienced Online Customer Support Representative – Remote Work Opportunity at arenaflex

Remote-first Full-time

VP, Medicare Market Operations and Business Performance

Remote-first Full-time

Remote Data Entry Specialist – Home-Based Data Management & Administrative Position

Remote-first Full-time

Experienced Remote Data Entry Clerk and Research Panelist Opportunity at arenaflex

Remote-first Full-time

V105 - Legal Administrative Assistant

Remote-first Full-time

Remote Virtual Customer Care Specialist – Work From Home Customer Service Professional Opportunities at arenaflex

Remote-first Full-time

Experienced Customer Service Representative – Remote Support for arenaflex Clients

Remote-first Full-time

Remote Customer Experience & Cloud Solutions Specialist – Aviation Service Excellence – $30/hr – Work‑From‑Home at arenaflex

Remote-first Full-time