Talent.com
Care Management Processor - Remote (Must reside in MA)
Care Management Processor - Remote (Must reside in MA)Molina Healthcare • Worcester, MA, US
Care Management Processor - Remote (Must reside in MA)

Care Management Processor - Remote (Must reside in MA)

Molina Healthcare • Worcester, MA, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [filters.remote]
[job_card.job_description]

Job Description

JOB DESCRIPTION

\n

Job Summary

\n

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.

\n

KNOWLEDGE / SKILLS / ABILITIES

\n \n

  • Provides telephone, clerical, and data entry support for the Case Management team.

\n

  • Responsible for initial review of assigned case levels to assist in Case Management assignment.

    • \n

  • Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan.

    • \n

  • Schedules member visits with team members as needed.

    • \n

  • Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services.

    • \n

  • Coordinates required services in accordance with member benefit plan.

    • \n

  • Promotes communication, both internally and externally to enhance effectiveness of case management services.

    • \n

  • Processes member and provider correspondence.

    • \n \n

    JOB QUALIFICATIONS

    \n

    Required Education

    \n

    HS Diploma or GED

    \n

    Required Experience

    \n

    1-3 years’ experience in an administrative support role in healthcare.

    \n

    Preferred Education

    \n

    Associate degree

    \n

    Preferred Experience

    \n

    3+ years’ experience in an administrative support role in healthcare, Medical Assistant preferred.

    \n

    \n

    To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

    \n

    Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

    \n

    #PJHS

    \n

    #LI-AC1

    Pay Range : $17.14 - $33.42 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
    • [job_alerts.create_a_job]

    Management Processor • Worcester, MA, US

    [internal_linking.similar_jobs]
    Postal Mail Processor - Hiring Nationwide

    Postal Mail Processor - Hiring Nationwide

    The Postal Service • Worcester, MA, US
    [job_card.full_time] +1
    NO EXPERIENCE REQUIRED – PAID TRAINING PROVIDED – JOB SECURITY.The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nea...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Postal Mail Processor - Hiring Nationwide

    Postal Mail Processor - Hiring Nationwide

    Postal Jobs Source • Worcester, MA, US
    [job_card.full_time] +1
    NO EXPERIENCE REQUIRED – PAID TRAINING PROVIDED – JOB SECURITY.The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nea...[show_more]
    [last_updated.last_updated_30] • [promoted]
    CT Tech

    CT Tech

    Saint Vincent Hospital • Worcester, MA, US
    [job_card.full_time]
    We are a community built on care.Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and heal...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Telemetry & Progressive Care RN - $2,300 per week

    Travel Telemetry & Progressive Care RN - $2,300 per week

    Olaro • Woonsocket, RI, United States
    [job_card.full_time]
    Olaro is seeking a travel nurse RN Med Surg for a travel nursing job in Woonsocket, Rhode Island.Job Description & Requirements Specialty : Med Surg Discipline : RN Start Date : 01 / 12 / 2026 Duration : 1...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel MRI Tech - $2,647 per week in Newton Lower Falls, MA

    Travel MRI Tech - $2,647 per week in Newton Lower Falls, MA

    AlliedTravelCareers • Worcester, Massachusetts, US
    [job_card.full_time]
    AlliedTravelCareers is working with FlexCare to find a qualified MRI Tech in Newton Lower Falls, Massachusetts, 02462!.Certs & Licenses BLS, ARRT. Call-off Policy Log in to view.First Offer = Be...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Cath Lab Tech - $2,448 per week in Northampton, MA

    Travel Cath Lab Tech - $2,448 per week in Northampton, MA

    AlliedTravelCareers • Worcester, Massachusetts, US
    [job_card.full_time]
    AlliedTravelCareers is working with MedPro Healthcare Staffing to find a qualified Cath Lab Tech in Northampton, Massachusetts, 01062!. Joint Commission-certified staffing agency, is seeking a quali...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Postal Mail Processor - Hiring Nationwide

    Postal Mail Processor - Hiring Nationwide

    Postal Source • Worcester, MA, US
    [job_card.full_time] +1
    NO EXPERIENCE REQUIRED – PAID TRAINING PROVIDED – JOB SECURITY.The Postal Service is the largest government related agency in terms of employees. The Postal Service currently employs nea...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Vault Processor

    Vault Processor

    Brinks • Smithfield, RI, United States
    [job_card.full_time]
    The Brink's Company (NYSE : BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retail...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    CRNA Needed for Locum Tenens Coverage at Facility in Leominster, Massachusetts

    CRNA Needed for Locum Tenens Coverage at Facility in Leominster, Massachusetts

    LocumTenens • Leominster, Massachusetts, United States
    [job_card.full_time]
    This Job at a Glance Job Reference Id : ORD-203472-CRNA-MA Title : CRNA Dates Needed : November-ongoing Shift Type : Day Shift Assignment Type : OR Call Required : Negotiable Board Certification Required...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Pre-Admission Screening & Resident Reviewer (MetroWest Region in MA)

    Pre-Admission Screening & Resident Reviewer (MetroWest Region in MA)

    UMass Med School • Westborough, MA, United States
    [job_card.full_time]
    Pre-Admission Screening & Resident Reviewer (MetroWest Region in MA).At ForHealth Consulting we partner with purposeful organizations to make the healthcare experience better : more equitable, effec...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Sterile Processing Tech - $1,136 per week in Worcester, MA

    Travel Sterile Processing Tech - $1,136 per week in Worcester, MA

    Flexcare • Worcester, MA, United States
    [job_card.full_time]
    Sterile Processing Tech Location : Worcester, MA Agency : FlexCare Pay : $1,136 per week Shift Information : Days - 5 days x 8 hours Contract Duration : 13 Weeks Start Date : ASAP About the Position Posi...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Derm Tech I-Dermatology- 40 Hours-Days

    Derm Tech I-Dermatology- 40 Hours-Days

    UMass Memorial Health • Worcester, MA, United States
    [job_card.full_time]
    Are you a current UMass Memorial Health caregiver? Apply now through Workday.Day Shift, 8 Hours (United States of America). SHARE (State Healthcare and Research Employees).This position may have a s...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Telemetry RN

    Travel Telemetry RN

    Anders Group • Woonsocket, RI, US
    [job_card.full_time]
    Anders Group is seeking a travel nurse RN Float Med Surg / Telemetry for a travel nursing job in Woonsocket, Rhode Island. Job Description & Requirements.Pay package is based on 12 hour shifts a...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Vault Processor

    Vault Processor

    Brink's, Incorporated • Smithfield, RI, United States
    [job_card.full_time]
    The Brink's Company (NYSE : BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retail...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Hematology / Oncology in Boston Suburbs | High Earning

    Hematology / Oncology in Boston Suburbs | High Earning

    Jackson Physician Search • Worcester, US
    [job_card.full_time]
    Enjoy living in the heart of New England and join a well-established group seeing a large amount of success and continued growth. Full spectrum Hematology Oncology with 50 / 50 split.Research opportun...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Surrogates Start at $55K-$75K+ | $1,200 Bonus + $11K Pre-Pregnancy Payout

    Surrogates Start at $55K-$75K+ | $1,200 Bonus + $11K Pre-Pregnancy Payout

    Physician's Surrogacy • Chepachet, RI, US
    [job_card.full_time] +2
    Earn up to $75,000 as a stay-at-home mom or as a second job.Sign up today and earn $1,200 bonus.What qualities make you a great Surrogate?. Experienced no complications during your own pregnancy.Hea...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Home Care Scheduling Coordinator- Marlborough

    Home Care Scheduling Coordinator- Marlborough

    Guardian Angel Senior Services • Marlborough, MA, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    The Guardian Angel Senior Services is looking for the Scheduling coordinator to support our In-home caregivers & company needs. This job provides the needed support to manage clerical duties &am...[show_more]
    [last_updated.last_updated_30]
    Anesthesiologist in Leominster, MA

    Anesthesiologist in Leominster, MA

    TeamHealth • Leominster, MA, United States
    [job_card.full_time]
    TeamHealth has an excellent opportunity for an anesthesiologist to join our care team model of 5 anesthesiologists and 6 CRNAs at UMass Memorial Health Care - Clinton Hospital in Clinton, Massachus...[show_more]
    [last_updated.last_updated_30] • [promoted]