Job Description

KNOWLEDGE, SKILLS & ABILITIES(Generally, the occupational knowledge and specific technical and professional skills and abilities required to perform the essential duties of this job):
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 principle 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 FUNCTION:
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.

REQUIRED EDUCATION:
HS Diploma or GED

REQUIRED EXPERIENCE:
1-3 years experience in an administrative support role in healthcare

PREFERRED EDUCATION:
Associates Degree

PREFERRED EXPERIENCE:
3+ years experience in an administrative support role in healthcare, Medical Assistant preferred.

PHYSICAL DEMANDS:
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

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.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type: Full Time Posting Date: 03/16/2021