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Case Management Processor (Must reside near Detroit, MI)

Case Management Processor (Must reside near Detroit, MI)

Molina HealthcareAKRON, OH, United States
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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 PJHS Pay Range : $21.16 - $34.88 / HOURLY
  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
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Case Management • AKRON, OH, United States

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Claims Processor

Claims Processor

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Locum Physician (MD / DO) - Anesthesiology - General / Other in Dover, OH

Locum Physician (MD / DO) - Anesthesiology - General / Other in Dover, OH

LocumJobsOnlineDover, OH, US
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Locum Physician (MD / DO) - Radiology - Interventional - $410 per hour in Wooster, OH

Locum Physician (MD / DO) - Radiology - Interventional - $410 per hour in Wooster, OH

LocumJobsOnlineWooster, OH, US
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Locum Physician (MD / DO) - Radiology - General / Other - $340 to $350 per hour in Wooster, OH

LocumJobsOnlineWooster, OH, US
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Locum Physician (MD / DO) - Radiology - General / Other in Wooster, OH

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LocumJobsNetworkWooster, OH, US
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Locum Physician (MD / DO) - Urgent Care in Massillon, OH

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Care Review Processor (Remote) PST Hours

Care Review Processor (Remote) PST Hours

Molina HealthcareCLEVELAND, OH, United States
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ObGyn

ObGyn

CompHealthRavenna, Ohio, US
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Physician (MD / DO) - Surgery - Orthopedic - $550,000 to $600,000 per year in Wooster, OH

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LocumJobsOnlineWooster, OH, US
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Locum Physician (MD / DO) - Radiology - General / Other in Wooster, OH

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LocumJobsOnlineWooster, OH, US
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Locum Physician Assistant (PA) - Surgery - General / Other - $110 to $125 per hour in Canton, OH

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LocumJobsOnlineCanton, OH, US
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Physician (MD / DO) - Anesthesiology - General / Other - $540,000 to $600,000 per year in Wooster, OH

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LocumJobsOnlineWooster, OH, US
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Mortgage Loan Processor

Mortgage Loan Processor

VirtualVocationsCleveland, Ohio, United States
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Care Review Processor

Care Review Processor

Molina HealthcareAKRON, OH, United States
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Locum Physician (MD / DO) - Emergency Medicine in Ohio

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LocumJobsOnlineCleveland, Ohio, US
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LocumJobsOnlineCanton, OH, US
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Physician (MD / DO) - Otolaryngology - $500,000 to $600,000 per year in Wooster, OH

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LocumJobsOnlineWooster, OH, US
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Physician (MD / DO) - Neurology - General / Other - $330,000 to $340,000 per year in Wooster, OH

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LocumJobsOnlineWooster, OH, US
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