Talent.com
Case Management Processor (Must reside near Detroit, MI)
Case Management Processor (Must reside near Detroit, MI)Molina Healthcare • CINCINNATI, OH, United States
No longer accepting applications
Case Management Processor (Must reside near Detroit, MI)

Case Management Processor (Must reside near Detroit, MI)

Molina Healthcare • CINCINNATI, OH, United States
11 days ago
Job type
  • Full-time
Job description

JOB DESCRIPTION Job SummaryProvides non-clinical administrative support to the care management function, and contributes to interdisciplinary team efforts supporting provision of integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties

  • Facilitates administrative support including case assignment, member screening and scheduling, correspondence processing, data entry and telephone and clerical support for team facilitating care management related services for members.
  • Facilitates initial review of assigned case levels and assists in case management assignment to care managers.
  • Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan.
  • Schedules member visits with care managers as needed.
  • Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services.
  • Coordinates required member services in accordance with member benefit plan.
  • Promotes communication both internally and externally to enhance effectiveness of care management services.
  • Processes member and provider correspondence. Required Qualifications
  • At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience.
  • Strong attention to detail.
  • Problem-solving skills.
  • Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software.
  • Excellent customer service skills.
  • Time-management and organizational skills.
  • Strong verbal and written communication skills.
  • Microsoft Office suite / applicable software program(s) proficiency. Preferred Qualifications
  • Certified Medical Assistant (CMA). To all current Molina employees : If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V PJHS Pay Range : $21.16 - $34.88 / HOURLY
  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
Create a job alert for this search

Case Management • CINCINNATI, OH, United States

Related jobs
Claims Processor

Claims Processor

Cynet Systems • Mason, OH, US
Full-time
Processing - Efficiently and accurately processes standard claims or adjustments.Consistently achieves key internals with respect to production, cycle time, and quality. May participate on non-compl...Show more
Last updated: 30+ days ago • Promoted
Medical Claims Processor

Medical Claims Processor

Russell Tobin • Mason, OH, United States
Full-time
Shift : M-F / Full-Time; 8-4 : 30 (30-Minute lunch).Characteristics of an ideal candidate : .Ability to learn and adopt new processes quickly and with ease. Ability to work remotely and autonomously.Accust...Show more
Last updated: 24 days ago • Promoted
Targeted Case Manager

Targeted Case Manager

BayMark Health Services Careers • Ft Mitchell, KY, United States
Full-time
The Case Manager’s primary job function is to enhance the overall treatment process by assisting counselors in meeting the overall treatment needs of the patients. The Case Manager will provide reco...Show more
Last updated: 26 days ago • Promoted
Physician (MD / DO) - Internal Medicine - General / Other in Ohio, OH

Physician (MD / DO) - Internal Medicine - General / Other in Ohio, OH

LocumJobsOnline • Ohio, OH, US
Full-time
LocumJobsOnline is working with Healthcare Connections to find a qualified Internal Medicine MD in Ohio, Ohio, 45874!.Internist needed north of Columbus. A well-established health system is seeking ...Show more
Last updated: 30+ days ago • Promoted
Claims Processor

Claims Processor

Mindlance • Mason, Ohio, United States
Temporary
Quick Apply
Title : Data Entry - Claims Processor.Work hours : 8 - 5pm with hour lunch, or 8-4.Duration : 4 months contract to begin with, possibilities of extension according to performance.Onsite for first fe...Show more
Last updated: 30+ days ago
Medical Billing / Invoicing Processor

Medical Billing / Invoicing Processor

Objectwin Technology Inc. • Mason, Ohio, United States
Temporary
Quick Apply
Job Title : Medical Billing / Invoicing Processor.Location : Mason OH 45040 (Hybrid - 2 days onsite (Tuesday - Thursday on site) ). Duration : 5 Months contract to hire.The Medical Billing / Invoicing C...Show more
Last updated: 30+ days ago
Quality Case Manager (RN or LSW Preferred)

Quality Case Manager (RN or LSW Preferred)

CommuniCare Corporate • Cincinnati, OH, US
Full-time
CommuniCare Advantage is currently recruiting a Quality Case Manager for our Medicare Advantage Plan.The Quality Case Manager position is a support role, reporting to the Director of Health Plan Qu...Show more
Last updated: 7 days ago • Promoted
Physician (MD / DO) - Family Practice in Ohio, OH

Physician (MD / DO) - Family Practice in Ohio, OH

LocumJobsOnline • Ohio, OH, US
Full-time
LocumJobsOnline is working with Healthcare Connections to find a qualified Family Practice MD in Ohio, Ohio, 45874!.Family Medicine Physicians – 45 Minutes from Cleveland!.Physician-owned and led m...Show more
Last updated: 30+ days ago • Promoted
Physician (MD / DO) - Internal Medicine - General / Other in Ohio, OH

Physician (MD / DO) - Internal Medicine - General / Other in Ohio, OH

LocumJobsNetwork • Ohio, OH, US
Full-time +1
LocumJobsNetwork is working with Healthcare Connections to find a qualified Internal Medicine MD in Ohio, Ohio, 45874!.Internist needed north of Columbus. A well-established health system is seeking...Show more
Last updated: 30+ days ago • Promoted
Case Manager

Case Manager

Northern Kentucky Area Development District • Florence, Kentucky, United States
Full-time
Quick Apply
Northern Kentucky Area Development District.PDS Service Advisor / Case Manager.This is specialized and technical work in providing assessment and case management services to Participant Directed Serv...Show more
Last updated: 21 days ago
HIV Case Manager - Unlicensed

HIV Case Manager - Unlicensed

Caracole Inc • Cincinnati, OH, United States
Full-time
REPORTS TO : Clinical Supervisor .This position provides intervention and case management services for HIV+ individuals and their family members. Case Managers must adhere to standards of care as se...Show more
Last updated: 1 day ago • Promoted
Student Processor - Office of the University Registrar

Student Processor - Office of the University Registrar

Northern Kentucky University • Highland Heights, Kentucky, United States
Full-time
Student Processor - Office of the University Registrar.Office of the University Registrar.Office Hours are Monday through Friday 8 : 15 a. Applicants should be able to work 25 hours per week during Fa...Show more
Last updated: 30+ days ago • Promoted
Mortgage Processor

Mortgage Processor

Staffing • Cincinnati, OH, US
Full-time
The Mortgage Loan Processor position exists to provide comprehensive support and assists in high quality mortgage loan originations. Loan Processors are primarily responsible for working with mortga...Show more
Last updated: 4 days ago • Promoted
Medical Claims Processor (Mason)

Medical Claims Processor (Mason)

Russell Tobin • Mason, OH, US
Full-time +1
Shift : M-F / Full-Time; 8-4 : 30 (30-Minute lunch).Characteristics of an ideal candidate : .Ability to learn and adopt new processes quickly and with ease. Ability to work remotely and autonomously.Accust...Show more
Last updated: 23 days ago • Promoted
Physician (MD / DO) - Family Practice in Ohio, OH

Physician (MD / DO) - Family Practice in Ohio, OH

LocumJobsNetwork • Ohio, OH, US
Full-time +1
LocumJobsNetwork is working with Healthcare Connections to find a qualified Family Practice MD in Ohio, Ohio, 45874!.Community Hospital Primary Care Group in Ohio : . A Family Medicine physician is n...Show more
Last updated: 30+ days ago • Promoted
Processor, COB Review

Processor, COB Review

Molina Healthcare • Cincinnati, OH, US
Full-time
Molina Healthcare Services (HCS) is required by CMS and state agencies to coordinate benefits when other carriers are responsible for payment. This requires the maintenance of other insurance record...Show more
Last updated: 15 days ago • Promoted
Extraction Processor

Extraction Processor

eTeam • Cincinnati, OH, US
Full-time
Extraction Processor Shift : 1st, 2nd and 3rd shift Location - 1401 Dalton St.Cincinnati OH 45214 Duration : 1 Months Skills - Sorting, extract, mail room, bundle papers Summary : Under the direction ...Show more
Last updated: 30+ days ago • Promoted
Physician (MD / DO) - Hematology and Oncology in Ohio, OH

Physician (MD / DO) - Hematology and Oncology in Ohio, OH

LocumJobsNetwork • Ohio, OH, US
Full-time +2
LocumJobsNetwork is working with Healthcare Connections to find a qualified Hematology and Oncology MD in Ohio, Ohio, 45874!. Locums Oncologist Needed in Ohio.We have a client searching for a provid...Show more
Last updated: 30+ days ago • Promoted
Targeted Case Manager

Targeted Case Manager

BayMark Health Services • Crestview Hills, KY, US
Full-time
Quick Apply
The Case Manager’s primary job function is to enhance the overall treatment process by assisting counselors in meeting the overall treatment needs of the patients. The Case Manager will provide reco...Show more
Last updated: 30+ days ago
Mortgage Processor - Cincinnati, OH

Mortgage Processor - Cincinnati, OH

Staffing • Cincinnati, OH, US
Full-time
Mortgage Processor Location : Cincinnati, OH Duration : Full-time Rate : DOE US citizens and those authorized to work in the US are encouraged to apply. No sponsorship is available for this contract to...Show more
Last updated: 4 days ago • Promoted