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Case Management Processor (Must reside near Detroit, MI)

Molina Healthcare
Posted a day ago, valid for a year
Location

Warren, MI 48093, US

Salary

$14.9 - $29.06 per hour

Contract type

Full Time

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Sonic Summary

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  • The job involves providing non-clinical administrative support to care management functions and contributing to interdisciplinary team efforts for integrated care delivery.
  • Essential duties include case assignment, member screening, scheduling, data entry, and facilitating communication to enhance care management services.
  • Candidates must have at least 1 year of experience in an administrative support role in healthcare or a relevant combination of education and experience.
  • The position requires strong attention to detail, problem-solving skills, and proficiency in Microsoft Office applications.
  • The pay range for this role is between $14.90 and $29.06 per hour, with actual compensation varying based on location, experience, education, and skills.

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

#PJHS

Pay Range: $14.9 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.




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By applying, a Molina Healthcare account will be created for you. Molina Healthcare's Privacy Policy will apply.

SonicJobs' Terms & Conditions and Privacy Policy also apply.