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Molina Healthcare
Edinburg, TX | Full Time
$74k-89k (estimate)
3 Days Ago
Molina Healthcare
Edinburg, TX | Full Time
$74k-89k (estimate)
3 Days Ago
Molina Healthcare
Edinburg, TX | Full Time
$74k-89k (estimate)
3 Days Ago
Case Management Processor-Office based-Edinburg, TX,
Molina Healthcare Edinburg, TX
$74k-89k (estimate)
Full Time | Insurance 3 Days Ago
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Molina Healthcare is Hiring a Case Management Processor-Office based-Edinburg, TX, Near Edinburg, TX

Job DescriptionJob SummaryMolina 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.
  • 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.
  • Excel experience
Job QualificationsRequired EducationHS Diploma or GED
Required Experience1-3 years’ experience in an administrative support role in healthcare.
Preferred EducationAssociate degree
Preferred Experience3 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.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Insurance

SALARY

$74k-89k (estimate)

POST DATE

06/27/2024

EXPIRATION DATE

06/28/2024

WEBSITE

molinahealthcare.com

HEADQUARTERS

ALBUQUERQUE, NM

SIZE

7,500 - 15,000

FOUNDED

1980

TYPE

Public

CEO

MARIO MOLINA

REVENUE

$10B - $50B

INDUSTRY

Insurance

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About Molina Healthcare

Molina is a managed care organization providing health care to individuals and families in 13 states & Puerto Rico via Medicaid & Medicare programs.

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