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Case Management Processor - Remote Based In Florida
Company | Molina Healthcare |
Address | Doral, FL, United States |
Employment type | FULL_TIME |
Salary | |
Category | Hospitals and Health Care |
Expires | 2023-05-22 |
Posted at | 1 year ago |
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
- Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services.
- Promotes communication, both internally and externally to enhance effectiveness of case management services.
- Schedules member visits with team members as needed.
- Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan.
- Coordinates required services in accordance with member benefit plan.
- Processes member and provider correspondence.
- Responsible for initial review of assigned case levels to assist in Case Management assignment.
- Provides telephone, clerical, and data entry support for the Case Management team.
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.
Pay Range: $14.90 - $29.06 an hour*
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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