Healthcare - Case Management Processor

*Spanish speaking preferred Will this role be fully remote?: Yes Are there any specific locations the candidates should be in (i.e., do they need to live in IL): Florida What is the expected schedule (include dates/time/timezone): 8:30am-5pm EST Top Skills Required: Phone, Computer, Organized, Detail-oriented, and effective at multitasking. Will provide telephone, clerical and data entry support for Case management team. What additional IT equipment is required outside of a laptop/headset/mouse/keyboard (i.e., dual monitor & docking station or single monitor & connecting cables note these will be billed back to Molina at cost): They will need 1 additional monitor, connecting cables and docking station Is there potential for this to extend past 3 months and/or convert to an FTE?: there is always a potential for FTE position but not guaranteed and may be extended past the initial 3 months. Duties and Responsibilities (List all essential duties and responsibilities in order of importance) Provides support to the Case Management staff performing non clinical activities and supporting the management of the department. 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. Screens members using Molina policies and processes assisting clinical Case Management staff as they identify appropriate medical services Coordinates required services in accordance with member benefit plan. Promotes communication, both internally and externally to enhance effectiveness of case management services (e.g., health care providers and health care team members). Runs reports to assist in coordination of case management needs. Provides support services to case management team members by answering telephone calls, taking messages and researching information. Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. Protects the confidentiality of member information and adheres to company Knowledge, Skills and Abilities ( List all knowledge, skills and abilities that are necessary to perform the job satisfactorily) Strong customer service skills to coordinate service delivery including attention to members/customers, sensitivity to concerns, proactive identification and resolution of issues to promote positive outcomes for members Demonstrated ability to communicate, problem solve, and work effectively with people Working knowledge of medical terminology and abbreviations Ability to think analytically and to problem solve. Good interpersonal/team skills Must have a high regard for confidential information Ability to work in a fast paced environment Able to work independently and as part of a team. PC experience in Windows environment and accurate data entry at 40 WPM minimum. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers Required Education: High School Diploma or G.E.D. Required Years of Experience: 1-3 years' experience in an administrative support role in healthcare.