Case Management Processor (Remote in Iowa)
Company: Molina Healthcare
Posted on: January 18, 2023
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.
- 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
- Coordinates required services in accordance with member benefit
- 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: -$14.90 - $29.06 an hour* *Actual compensation may vary from
posting based on geographic location, work experience, education
and/or skill level. #PJHPO
Keywords: Molina Healthcare, Ankeny , Case Management Processor (Remote in Iowa), Executive , Ankeny, Iowa
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