M
Not Specified Permanent

Waukesha, Wisconsin · USA job

Care Management Processor (must reside in WI)

Molina Healthcare

Waukesha, Wisconsin

Job description

Overview

In this role you will provide non-clinical administrative support to the care management function, enabling integrated care delivery and contributing to cost-effective, high-quality member care. You will work with the interdisciplinary team to manage case assignment, scheduling, data entry, and correspondence, helping care managers identify needs and coordinate services. The position supports communication and process efficiency within the care management workflow. This opportunity offers a chance to impact member experience through dependable administrative and coordination efforts.

Compensation / Benefits
  • competitive benefits and compensation package
Responsibilities
  • Facilitate administrative support for care management, including case assignment, member screening, scheduling, data entry, and clerical tasks.
  • Assist in initial review of case levels and allocate cases to care managers.
  • Review data to identify member needs and support care managers in implementing care plans.
  • Schedule member visits with care managers as needed.
  • Screen members per Molina policies and assist in identifying appropriate member services.
  • Coordinate required member services aligned with member benefit plans.
  • Promote internal and external communication to enhance care management effectiveness.
  • Process member and provider correspondence.
Key requirements
  • Minimum 1 year of administrative support experience in healthcare or equivalent education/experience
  • Strong attention to detail
  • Problem-solving skills
  • Working knowledge of Microsoft Office (Outlook, Word, Excel) or comparable software
  • Excellent customer service
  • Time-management and organizational skills
  • Strong verbal and written communication skills
  • Proficiency in Microsoft Office suite or applicable software
  • Strong communication
  • Customer service orientation
  • Detail-oriented
  • Time management
  • Microsoft Office (Outlook, Word, Excel)
  • Data entry

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