What are the responsibilities and job description for the Case Management Processor Remote with travel in Waltham MA position at Molina Healthcare?
JOB 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.
This position will support our Senior Whole Health business. Senior Whole Health by Molina Healthcare (“SWH”) is a community-based health care organization with national operations support delivering government funded health plans for members who reside in Massachusetts. We are looking for a Case Management Processor candidate with prior experience in a medical office or order coordination role. The Candidate must have experience documenting in a medical record system, ability to multitask, work efficiently in a fast-paced environment, and problem-solving skills with the ability to escalate concerns appropriately This position will coordinate with vendors and medical offices via telephone to process and track DME orders. Medical Assistants are encouraged to apply.
Remote position with travel to the Waltham office location.
Hours: Monday - Friday 8:00AM to 4:30PM EST
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 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: $21.16 - $34.88 / HOURLY
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.
This position will support our Senior Whole Health business. Senior Whole Health by Molina Healthcare (“SWH”) is a community-based health care organization with national operations support delivering government funded health plans for members who reside in Massachusetts. We are looking for a Case Management Processor candidate with prior experience in a medical office or order coordination role. The Candidate must have experience documenting in a medical record system, ability to multitask, work efficiently in a fast-paced environment, and problem-solving skills with the ability to escalate concerns appropriately This position will coordinate with vendors and medical offices via telephone to process and track DME orders. Medical Assistants are encouraged to apply.
Remote position with travel to the Waltham office location.
Hours: Monday - Friday 8:00AM to 4:30PM EST
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 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: $21.16 - $34.88 / HOURLY
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Salary : $21 - $35
