护理管理处理员-必须居住在爱荷华州
Care Management Processor-Must reside in Iowa
职位描述
职位概述
为护理管理职能提供非临床行政支持，并参与跨学科团队工作，以支持在整个护理连续性中提供整合的护理服务。为提供高质量且成本有效的会员护理制定总体策略。
主要职责
- 协助处理行政支持工作，包括案件分配、会员筛选和日程安排、信函处理、数据录入以及为团队提供与护理管理相关的电话和文书支持。
- • 协助初步审查分配的案件级别，并协助将案件分配给护理管理人员。
- • 审查数据以识别主要会员需求，并在护理管理人员的指导下实施护理计划。
- • 根据需要安排会员与护理管理人员的访问。
- • 根据Molina政策和流程筛选会员，并在识别适当会员服务的过程中协助护理管理团队。
- • 根据会员福利计划协调所需会员服务。
- • 促进内部和外部沟通，以提高护理管理服务的有效性。
- • 处理会员和供应商的信函。
任职要求
- 至少1年在医疗保健领域的行政支持岗位工作经验，或相关教育和经验的同等组合。
- • 对细节有高度关注。
- • 具备解决问题的能力。
- • 熟悉Microsoft Office（Outlook、Word、Excel）或其他类似软件。
- • 优秀的客户服务技能。
- • 良好的时间管理和组织能力。
- • 强大的口头和书面沟通能力。
- • 熟练使用Microsoft Office套件或相关软件程序。
优先考虑的资格
• 持有认证医疗助理（CMA）证书。
致所有Molina现有员工：如果您对该职位感兴趣，请通过内部招聘网站申请。
Molina Healthcare提供具有竞争力的福利和薪酬包。Molina Healthcare是平等机会雇主（EOE） M/F/D/V
最初发布于喜马拉雅山
查看英文原文
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
Originally posted on Himalayas