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Coordinator, Intake Support

Molina Healthcare

OH, United StatesFull TimeMidH-1B sponsor company
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Location
OH, United States
Employment
Full Time
Work model
On-Site
Level
Mid
H-1B history
17 approvals (FY2023)
Posted

About this role

Job Description Job Summary Provides support for member intake and care portal activities. Responsible for member intake and care coordination portal operations/utilization. Supports the care-centered home and fully integrated/accountable system of care, and contributes to overarching strategy to improve and provide quality and cost-effective member care. Essential Job Duties • Provides daily monitoring and management of the intake support center/care coordination portal. • Ensures that internal/external key stakeholders and members have access to pertinent care coordination portal information. • Ensures that member inquiries and concerns are addressed timely with appropriate triage to assigned department(s). • Represents as point of contact to external care coordination entities (CCEs), care management entities (CMEs) and individual members and other key providers and stakeholders as needed. • Facilitates member referrals as needed. • Attends training specific to care coordination portal use and access. • Assists with monitoring required reporting requirements to ensure that members needs are addressed timely and appropriately. • Supports the care-centered home and fully integrated/accountable system of care through population health management, and related processes, programs and services. • Assists in planning, organization, and design/development of program components by coordinating work efforts across internal or external partners and stakeholders to execute against program requirements. • Monitors program/project metrics and ongoing process improvements. • Builds partnerships and relationships with community-based organizations and providers. • Identifies and reports operational issues and needs to appropriate leadership. • May conduct training, project scheduling, and reporting as required. • Local travel may be required (based upon state/contractual requirements). REQUIRED QUALIFICATIONS: • At least 2 years of experience in care management, utilization management, behavioral health, and/or a managed care setting, or equivalent combination of relevant education and experience. • Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN)). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • Customer service and interpersonal skills. • Attention to detail and organizational skills. • Home office with high-speed internet connectivity. • Effective verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency.

PREFERRED QUALIFICATIONS: • Project or program coordination experience. • Quality improvement experience. 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.

Listing verified . Applications go through the company's official careers site.

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