Case Management Processor
Company: Molina Healthcare
Location: Bothell
Posted on: January 15, 2021
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Job Description:
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.
Knowledge/Skills/Abilities * 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 Qualifications
Required Education HS Diploma or GED Required Experience 1-3 years
experience in an administrative support role in healthcare.
Required License, Certification, Association n/a Preferred
Education Associate's Degree Preferred Experience 3+ years
experience in an administrative support role in healthcare, Medical
Assistant preferred. Preferred License, Certification, Association
n/a 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.
Keywords: Molina Healthcare, Seattle , Case Management Processor, Executive , Bothell, Washington
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