Remote Care Management Processor - MUST reputed company IN IOWA

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.

Originally posted on Himalayas