Case Management Processor (Must reside near Detroit, ...

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 u2022 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. u2022 Facilitates initial review of assigned case levels and assists in case management assignment to care managers. u2022 Reviews data to identify principle member needs and works under the direction of the care manager to implement care plan. u2022 Schedules member visits with care managers as needed. u2022 Screens members according to Molina policies and processes and assists care management staff during process of identifying appropriate member services. u2022 Coordinates required member services in accordance with member benefit plan. u2022 Promotes communication both internally and externally to enhance effectiveness of care management services. u2022 Processes member and provider correspondence. Required Qualificationsu2022 At least 1 year of experience in an administrative support role in health care, or equivalent combination of relevant education and experience. u2022 Strong attention to detail. u2022 Problem-solving skills. u2022 Working knowledge of Microsoft Office (Outlook, Word, Excel) or other comparable software. u2022 Excellent customer service skills. u2022 Time-management and organizational skills. u2022 Strong verbal and written communication skills. u2022 Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications u2022 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.

Created: 2025-10-10