Care Manager Processor, Hybrid In Downers Grove IL

Molina Healthcare•Long Beach, CA

12d•Hybrid

About The Position

Molina Healthcare is hiring a Care Manager Processor. This role will report into the Molina Healthcare office in Downers Grove two to three times per week. Candidates should live within a reasonable driving distance. A CMP completes outreach to members to ensure quality healthcare services and needs are met. CMPs assist care managers with member needs identification and ensure they are connected with appropriate services. Highly qualified candidates will have the following experience- Managed care or healthcare experience Administrative experience Be highly organized, have strong attention to detail, and have strong written and verbal communication skills. Be a team player and be comfortable with learning multiple roles to provide coverage for other team members. Strong work ethic and dependable. Entry level or above Microsoft Outlook, Excel, and Teams skills. Essential Job Duties Provides non-clinical administrative support to the care management function and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members. Facilitates initial review of assigned case levels and assists in case management assignment to care managers. Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan. Schedules member visits with care managers as needed. Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services. Coordinates required member services in accordance with member benefit plan. Promotes communication both internally and externally to enhance effectiveness of care management services. Processes member and provider correspondence.

Requirements

At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
Strong attention to detail.
Problem-solving skills.
Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.
Excellent customer service skills.
Time-management and organizational skills.
Strong verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Nice To Haves

Managed care or healthcare experience
Administrative experience
Highly organized, have strong attention to detail, and have strong written and verbal communication skills.
Team player and be comfortable with learning multiple roles to provide coverage for other team members.
Strong work ethic and dependable.
Entry level or above Microsoft Outlook, Excel, and Teams skills.
Certified Medical Assistant (CMA).

Responsibilities

Provides non-clinical administrative support to the care management function and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum.
Contributes to overarching strategy to provide quality and cost-effective member care.
Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members.
Facilitates initial review of assigned case levels and assists in case management assignment to care managers.
Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan.
Schedules member visits with care managers as needed.
Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services.
Coordinates required member services in accordance with member benefit plan.
Promotes communication both internally and externally to enhance effectiveness of care management services.
Processes member and provider correspondence.