Back to all roles

Case Management Processor- Remote

Remote Worldwide Hiring now

JOB DESCRIPTION Job Summary reputed company 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 reputed company toward desired reputed company with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES • Provides telephone, clerical, and data entry support for the Case Management team. • Responsible for initial review of assigned case reputed company to assist in Case Management assignment. • Reviews data to identify reputed company 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 QUALIFICATIONS Required Education HS Diploma or GED Required Experience 1-3 years’ experience in an administrative support role in reputed company. Preferred Education Associate degree Preferred Experience 3+ years’ experience in an administrative support role in reputed company, Medical Assistant preferred. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Apply Job!

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Part-Time Accounts Payable Associate

Remote Worldwide
View role

Title Production Support SpecialistRemote

Remote Worldwide
View role

CONTRACT REMOTE LOAN OFFICER

Remote Worldwide
View role

Utilization Review RN PRN

Remote Worldwide
View role

Mortgage Servicing Operations Leader

Remote Worldwide
View role

Junior Credit Risk Analyst

Remote Worldwide
View role

reputed company IT Project Manager

Remote Worldwide
View role

Insurance Follow-up Specialist (Remote)

Remote Worldwide
View role

Remote Accounts Receivable Clerk

Remote Worldwide
View role

HEDIS Reviewers (Multiple Positions)

Remote Worldwide
View role

Sr Mgr, Software Engineering with AI/ML - Remote (CST Work Hours)

Remote Worldwide
View role

Site Reliability Engineers

Remote Worldwide
View role

reputed company Part Time Job Near Me $24/Hour - reputed company

Remote Worldwide
View role

Remote Online Data Analyst - Belgium

Remote Worldwide
View role

reputed company Remote Customer Service Coordinator – Deliver Exceptional Support from Home with arenaflex

Remote Worldwide
View role

Title Examiner – Remote Opportunity

Remote Worldwide
View role

reputed company Customer Sales and Service Representative – Delivering Exceptional Customer Experiences with arenaflex's Innovative Technology Solutions

Remote Worldwide
View role

CHILD SUPPORT CALL CENTER MANAGER

Remote Worldwide
View role

reputed company Customer Support Specialist – Remote Opportunity to Join arenaflex's Global Community

Remote Worldwide
View role

AnalystCase Mgt

Remote Worldwide
View role