Case Management Processor
Molina Healthcare United States; Bowling Green, KY; Louisville, KY; Lexington, KY; Owensboro, KY; Georgetown, KY; Richmond, KY; Florence, KY; Nicholasville, KY Job ID 2028085JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
KNOWLEDGE/SKILLS/ABILITIES
- Provides telephone, clerical, and data entry support for the Case Management team.
- Responsible for initial review of assigned case levels to assist in Case Management assignment.
- Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan.
- Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services.
- Coordinates required services in accordance with member benefit plan.
- Promotes communication, both internally and externally to enhance effectiveness of case management services.
- Processes member and provider correspondence.
JOB QUALIFICATIONS
Required Education
HS Diploma or GED
Required Experience
1-3 years’ experience in an administrative support role in healthcare.
Preferred Education
Associate degree
Preferred Experience
3+ years’ experience in an administrative support role in healthcare, Medical Assistant preferred.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $13.41 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 09/30/2024ABOUT OUR LOCATION
View Map- Senior Specialist, Provider Network Admin Kentucky, Lexington-Fayette Kentucky, Louisville Kentucky, Bowling Green Kentucky, Florence Kentucky, Georgetown Kentucky, Nicholasville Kentucky, Owensboro Kentucky, Richmond Kentucky 10/08/2024
- Lead Provider Relations Rep HP (NEW MEXICO - LTSS or Behavioral Health) Albuquerque New Mexico, Rio Rancho New Mexico, Santa Fe New Mexico, Roswell New Mexico, Farmington New Mexico, Las Cruces New Mexico 10/11/2024
- Program Manager, Healthcare Services United States, Bowling Green Kentucky, Louisville Kentucky, Owensboro Kentucky, Covington Kentucky, Georgetown Kentucky, Richmond Kentucky, Florence Kentucky, Nicholasville Kentucky, Lexington-Fayette Kentucky 10/08/2024
- Mgr, Provider Configuration Management United States, Lexington-Fayette Kentucky, Louisville Kentucky, Bowling Green Kentucky, Owensboro Kentucky, Covington Kentucky, Georgetown Kentucky, Richmond Kentucky, Florence Kentucky, Nicholasville Kentucky 10/09/2024
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs