Care Management Processor (In Office, Downers Grove IL)

Molina Healthcare•Downers Grove, IL

13h•$17 - $31•Hybrid

About The Position

Molina Healthcare is hiring several Care Management Processors for its Downers Grove, Illinois office. The role requires reporting to the office up to four to five times per week, and candidates must live within a reasonable commuting distance. Care Management Processors conduct member outreach to help ensure quality healthcare services and needs are met, assist care managers in identifying member needs, and help connect members with appropriate services. They provide non-clinical administrative support to care management and contribute to interdisciplinary efforts supporting integrated care across the continuum, with a focus on quality and cost-effective member care.

Requirements

At least 1 year of experience in an administrative support role in healthcare, or an equivalent combination of relevant education and experience.
Strong attention to detail.
Problem-solving skills.
Working knowledge of Microsoft Office, including Outlook, Word, and Excel, or comparable software.
Excellent customer service skills.
Time-management and organizational skills.
Strong verbal and written communication skills.
Proficiency with the Microsoft Office suite or applicable software programs.

Nice To Haves

Certified Medical Assistant (CMA).
Managed care or healthcare experience.
Administrative experience.
Microsoft Outlook, Excel, and Teams skills at entry level or above.
Ability to work as a team player, learn multiple roles to provide team coverage, and demonstrate a strong work ethic and dependability.

Responsibilities

Provide non-clinical administrative support to the care management function and contribute to interdisciplinary team efforts supporting integrated delivery of care across the continuum.
Support the strategy of providing quality and cost-effective member care.
Facilitate case assignment, member screening and scheduling, correspondence processing, data entry, and telephone and clerical support for care management services.
Facilitate initial review of assigned case levels and assist in assigning cases to care managers.
Review data to identify principal member needs and work under the direction of the care manager to implement care plans.
Schedule member visits with care managers as needed.
Screen members according to Molina policies and processes and assist care management staff in identifying appropriate member services.
Coordinate required member services in accordance with the member benefit plan.
Promote internal and external communication to enhance the effectiveness of care management services.
Process member and provider correspondence.
Conduct outreach to members to help ensure their healthcare service needs are met and assist care managers with member needs identification and service connections.