Talent.com
No longer accepting applications
Case Management Processor

Case Management Processor

Molina HealthcareGeorgetown, KY, US
8 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 • Georgetown, KY, US

Related jobs
  • Promoted
Travel Nurse RN - Case Manager - $2,451 to $2,607 per week in Madisonville, KY

Travel Nurse RN - Case Manager - $2,451 to $2,607 per week in Madisonville, KY

TravelNurseSourceLexington, Kentucky, US
Full-time
TravelNurseSource is working with Fusion Medical Staffing to find a qualified Case Manager RN in Madisonville, Kentucky, 42431!. Facility in Madisonville, Kentucky.Fusion Medical Staffing is seeking...Show moreLast updated: 19 days ago
  • Promoted
Ohio Licensed Case Coordinator

Ohio Licensed Case Coordinator

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Case Coordinator to manage workers compensation claims and facilitate treatment services.Key Responsibilities Obtains claim data for EDI submission to the Bureau of Wor...Show moreLast updated: 20 days ago
  • Promoted
Mortgage Loan Processor

Mortgage Loan Processor

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Processor.Key Responsibilities Provide every client the best service in the industry Ensure accurate and timely packaging of all loans originated by the Mortgage Loan ...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Solution Delivery Consultant

Solution Delivery Consultant

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Solution Delivery Consultant to support its Residential Program team in Illinois.Key Responsibilities Support Program Managers in project development, tracking, analysi...Show moreLast updated: 15 hours ago
  • Promoted
Remote Medical Records Processor

Remote Medical Records Processor

VirtualVocationsLexington, Kentucky, United States
Remote
Full-time
A company is looking for a REMOTE Medical Records Processor.Key Responsibilities Process medical record requests by handling calls from patients, insurance companies, and attorneys Document info...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
New Jersey Licensed Telephonic Case Manager

New Jersey Licensed Telephonic Case Manager

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Telephonic Case Manager.Key Responsibilities Collaborate with healthcare providers and employers to create and implement treatment plans for injured / disabled individual...Show moreLast updated: 19 hours ago
  • Promoted
Healthcare Solutions Architect

Healthcare Solutions Architect

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Senior Solutions Architect - Healthcare and Life Sciences.Key Responsibilities Guide customers through the GenAI adoption process from requirements gathering to deploym...Show moreLast updated: 30+ days ago
  • Promoted
Travel RN Case Manager - $2,576 per week

Travel RN Case Manager - $2,576 per week

Prime StaffingLexington, KY, United States
Permanent
Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Lexington, Kentucky.Job Description & Requirements. Active State or Compact RN License.Strong assessment, disc...Show moreLast updated: 4 days ago
  • Promoted
Restorative Justice Case Manager Specialist 1 ATD

Restorative Justice Case Manager Specialist 1 ATD

Volunteers of America Mid-StatesLexington, KY, US
Full-time
POSITION TITLE : Restorative Justice Case Manager Specialist I - Alternative to Detention LOCATION : Lexington, KY STATUS : Full Time, Salaried, Exempt PROGRAM : VOA Restorative Justice REPORTS TO : Res...Show moreLast updated: 10 days ago
  • Promoted
  • New!
Illinois Licensed Telephonic Case Manager

Illinois Licensed Telephonic Case Manager

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Telephonic Case Manager.Key Responsibilities Collaborate with healthcare providers and employers to create and implement treatment plans for injured or disabled individ...Show moreLast updated: 13 hours ago
  • Promoted
Director of Case Management

Director of Case Management

JobotLexington, KY, US
Full-time
Looking for a RN, OT, PT, ST, or Rehab Counselor with Case Management experience / leadership experience to join our team!. This Jobot Job is hosted by : Cam Strahm.Are you a fit? Easy Apply now by cli...Show moreLast updated: 11 days ago
  • Promoted
Case Manager Home Supervision / Home Incarceration

Case Manager Home Supervision / Home Incarceration

The Methodist Home of Kentucky, Inc.Lawrenceburg, KY, US
Full-time
Mission Statement : We serve Christ by providing for the physical, emotional, educational, and spiritual needs of children and families. Change a life, every single day.The Kentucky United Meth...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Offender Information Specialist II

Offender Information Specialist II

Commonwealth of KentuckyFrankfort, KY, US
Full-time
The Kentucky Department of Corrections (DOC) mission is to protect the citizens of the Commonwealth and to provide a safe, secure and humane environment for staff and offenders in carrying out the ...Show moreLast updated: 9 hours ago
  • Promoted
Pain Management Physician Assistant

Pain Management Physician Assistant

Lifepoint HealthGeorgetown, KY, US
Full-time
Come be part of our medical team in beautiful Georgetown, Kentucky! We are searching for an exceptional Pain Management APP to join our team. Hospital Employment with Comprehensive Benefits Package ...Show moreLast updated: 30+ days ago
  • Promoted
Care Review Processor

Care Review Processor

Veterans StaffingLexington, KY, US
Full-time
Provides non-clinical administrative support to utilization management team and contributes to interdisciplinary efforts supporting provision of integrated delivery of care across the continuum.Con...Show moreLast updated: 6 days ago
  • Promoted
Travel Nurse RN - Case Manager - $1,648 to $1,904 per week in Paducah, KY

Travel Nurse RN - Case Manager - $1,648 to $1,904 per week in Paducah, KY

TravelNurseSourceLexington, Kentucky, US
Full-time
TravelNurseSource is working with National Staffing Solutions to find a qualified Case Manager RN in Paducah, Kentucky, 42001!. Details of the RN - Case Management (CCM) opening in Paducah, KY : .Anti...Show moreLast updated: 17 days ago
  • Promoted
Travel RN Case Manager

Travel RN Case Manager

Prime StaffingLexington, KY, US
Permanent
Prime Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Lexington, Kentucky.Job Description & Requirements. Active State or Compact RN License.Strong assessment, ...Show moreLast updated: 4 days ago
  • Promoted
Claims Processor

Claims Processor

VirtualVocationsLexington, Kentucky, United States
Full-time
A company is looking for a Claims Processor I-4.Key Responsibilities Determine covered medical insurance benefits and document claims processes Resolve medical claims by approving or denying and...Show moreLast updated: 30+ days ago