护理管理处理员 - 仅限新英格兰地区
Care Management Processor - NE ONLY
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做出贡献。
主要职责
• 协助提供行政支持，包括案件分配、会员筛选和日程安排、信件处理、数据录入以及为团队提供与护理管理相关的服务所需的电话和文职支持。
• 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。
• 审查数据以确定主要会员需求，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会面。
• 根据 Molina 的政策和流程对会员进行筛选，并协助护理管理人员在识别适当会员服务的过程中提供支持。
• 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件。
所需资格
• 至少一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。
• 注重细节。
• 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。
• 时间管理和组织能力。
• 良好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。
优先资格
• 持有认证医疗助理（CMA）证书。
致所有当前 Molina 员工：如果您对该职位感兴趣，请通过内部职位公告板申请。
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 Himalayas
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/VOriginally posted on Himalayas