Coordinator, Intake Support

Molina Healthcare•Long Beach, OH

20h

About The Position

Provides support for member intake activities and in support of the functional processes, programs and/or services for population health management and improvement. Responsible for intake support center/care coordination portal operations/utilization, while conjunctively fostering partnerships and relationships with community-based organizations and providers - supporting the care centered home and a fully integrated and accountable system of care. Contributes to overarching strategy to improve and provide quality and cost-effective member care. Essential Job Duties: Provides daily monitoring and management of the intake support center/care coordination portal. Ensures that internal/external key stakeholders and members have access to pertinent care coordination portal information. Ensures that member inquiries and concerns are addressed timely with appropriate triage to assigned department(s). Represents as point of contact to external care coordination entities (CCEs), care management entities (CMEs) and individual members and other key providers and stakeholders as needed. Facilitates member referrals as needed. Attends training specific to care coordination portal use and access. Assists with monitoring required reporting requirements to ensure that members’ needs are addressed timely and appropriately. Assists in planning, organization, and design/development of program components by coordinating work efforts across internal or external partners and stakeholders to execute against program requirements. Monitoring of program/project metrics and ongoing process improvement May conduct training, project scheduling, and reporting as required. Identifies and reports operational issues and needs to appropriate leadership. Local travel may be required (based upon state/contractual requirements).

Requirements

At least 2 years of health care experience in care management, utilization management, behavioral health, and/or managed care setting, or equivalent combination of relevant education and experience.
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN).
Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
Strong customer service and interpersonal skills.
Attention to detail and organizational abilities.
Strong systems and technical skills.
Home office with high-speed internet connectivity.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Nice To Haves

2+ years of project or program coordination experience or quality improvement experience

Responsibilities

Provides daily monitoring and management of the intake support center/care coordination portal.
Ensures that internal/external key stakeholders and members have access to pertinent care coordination portal information.
Ensures that member inquiries and concerns are addressed timely with appropriate triage to assigned department(s).
Represents as point of contact to external care coordination entities (CCEs), care management entities (CMEs) and individual members and other key providers and stakeholders as needed.
Facilitates member referrals as needed.
Attends training specific to care coordination portal use and access.
Assists with monitoring required reporting requirements to ensure that members’ needs are addressed timely and appropriately.
Assists in planning, organization, and design/development of program components by coordinating work efforts across internal or external partners and stakeholders to execute against program requirements.
Monitoring of program/project metrics and ongoing process improvement
May conduct training, project scheduling, and reporting as required.
Identifies and reports operational issues and needs to appropriate leadership.
Local travel may be required (based upon state/contractual requirements).