Case Management Processor - Remote

Job Description

Job Summary... reputed company 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 reputed company 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. • Schedules member visits with team members as needed. • 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 reputed company. Preferred Education Associate degree Preferred Experience 3+ years’ experience in an administrative support role in reputed company, Medical Assistant preferred. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $19.36 - $29.06 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level Apply Job!