Sr Case Management Processor
Company: Molina Healthcare
Location: Fort Worth
Posted on: May 7, 2024
|
|
Job Description:
Job Description
Job Summary
Responsible for working with members and providers to assess,
facilitate, plan and coordinate the delivery of care across the
continuum for members with potential risk for high cost and high
utilization. Responsible for leading project initiatives aimed at
reducing the cost of care and quality improvement. Oversees the
development and implementation of new programs, processes, and
practices in response to medical, operational, service, and
regulatory initiatives. Identifies utilization management
information needs and technologies. Develops and manages the annual
operating budget within financial objectives.
-
Knowledge/Skills/Abilities
--- Provides support to the department staff by performing non
clinical activities.
--- Responsible for initial review and triage of Case Management
tasks.
--- Reviews data to identify principle member needs and works under
the direction of the Case Manager to implement care plan.
--- Coordinates required services in accordance with member benefit
plan.
--- Promotes communication, both internally and externally to
enhance effectiveness of case management services..
-
Job Qualifications
Required Education
Associate's Degree or equivalent combination of education and
experience
Required Experience
1-3 years
Preferred Education
Bachelor's Degree or equivalent combination of education and
experience
Preferred Experience
3-5 years
-
#PJHS
#LI-AC1
To all current Molina employees: If you are interested in applying
for this position, please apply through the intranet job
listing.
Molina Healthcare offers a competitive benefits and compensation
package. Molina Healthcare is an Equal Opportunity Employer (EOE)
M/F/D/V. Pay Range: $14.76 - $31.97 / HOURLY
*Actual compensation may vary from posting based on geographic
location, work experience, education and/or skill level.
Keywords: Molina Healthcare, Euless , Sr Case Management Processor, Executive , Fort Worth, Texas
Click
here to apply!
|